HomeMy WebLinkAboutA008 - Receipt for Nomination Papers - Judith Clem RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERIC
AMES, IOWA
Delivered by: JA i_ 1. A L I Date & Time:
Received by: �'Li yL' S �' Title:
For election to be held on: ` C C
The following nomination papers have been accepted for filing:
PAPERS FILED
OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
N�;�d:OFFICE
C�41�tar ��s{ e !kC I`� v� e 'r ��iCj c:I1c. vc
Form 2-M(Rev.99)[45.31
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Prescribed by the �x cr^ 11999 I
Iowa Secretary of State J i
L, r l.Lci�it
STATE OF IOWA CITY CIF AN.IEs,f0WA
AFFIDAVIT OF CANDIDACY
School and City Elections
For the Office of M a G re ej j> L4AAA eA I ( o C--Q VV1 V- 9 C)a rj (9 Tv�t.,s-}-e e S-
(Inck&district number,if4y)
Y
Check here if election is to fill a vacancy.
Date of Election:
Name(exactly as you want it to appear on the ballot):
Home Address: Z 3 O ^] 1 -►1nrn-�er L 6 yl Q 0,cQ
City and Zip Code: A vyl e- , S A '75 Do I `t — gas
County: S4-0 v t4
swear or affirm that the information I have provided above is correct. I am a candidate for the office indicated above
and request that my name be printed on the official ballot for this election. I am eligible to hold the office for which I am a
candidate; if I am elected I will qualify by taking the oath of office. I know that I cannot hold a public office if I have been
convicted of a felony or other infamous crime and my rights have not been restored by the governor or by the president of the
United States.
know that I am required to organize a candidate's committee which shall file an organization statement and disclosure
reports if my committee or I receive contributions, make expenditures,or incur indebtedness in excess of five hundred dollars
($500) in a calendar year for the purpose of supporting my candidacy for public office.
know that I cannot be a candidate for more than one office to be filled at this election. If I have filed nomination papers
for more than one office I must file with the officer who accepted my nomination papers an affidavit indicating for which office
choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file nomination papers,
cannot be a candidate for any office on the ballot at this election.
" J
Signed: Q
Signed and sworn to(or affirmed) before me on q - I (date)
by 3-uA I+k A c-ry-i (print candidate's name).
Signature of Notary Pt,u¢¢lwic(or other oyyer urQriz" ths)
This affidavit must be Official Title:
filed with your "4+ ( '
My commission expiresi
nomination papers. __
Form 59 vn..noon r s S co.
(Chopler 45,code of Iowa)
STATE OF IOWA
�
r ((�]_ 1999 i
t
Nomination Petition
For Nonpartisan Nominations and Nonparty Political rgan %ations
For the office of Q�r� -1 ► s��� , ��5�7e✓`t'� ��
I, the undersigned eligible elector of the State of Iowa, do hereby
� (If applicable,district or other division)
nom �inate OinA.4i k de-i f Zia 7 �ivr.�.crlati� �:c� A,v ow�a,
(Nome of candidate) (Addnzs)
as a candi ate of - - - -- — for the
(Nome of nonporty polilical organization,if any)
office of� � — � '' — -�` �-z � - *x�- to be voted for
at on election to be held on 19da.
N A M E RESIDENCE (Add School District, if needed)
Si nature DATE SIGNED
( 9 ) STREET AND NUMBER, IF ANY CITY
1 / k, �e V �S y�
2 —,KC < C-Ce, 12302'-T r�jo'--
_3
4
5
61
7 2r 8 S C
8 i
9 JZt� cKe� Z l� Cf�e �aer p 2-
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11 � ��v �r���.✓rc titer
12NM
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14
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17 Am 1��
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19
207
21
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24
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(OVER)
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BIWAN y ME
�01
ON NEW-a A . 11 Ree"ll.-PaRIA,�m �1
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Will.
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G� �I I AS •
Form 59 —.1.eccon c sa a co,—1. V1
(Chapter 45,code of Iowa) L�
STATE OF IOWA °
a ' n 1099 L
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of / '�-
I, the undersigned eligible elector of the State of Iowa, — o hereby
� (If applicable,district or other division)
r 11 1
nominate Cl. �1 in 4 > > f X 0-7- �t �,-.L R& S9 - Iowa,
(Nome of condidote) (Addnu)
as a candidate of -- - - --- - -- - -.-_--_.___fir the
(Nome of nonporty politicol orgonizotion, if any)
office off 4 - hU , to be voted for
at an election to be held on 191a.
N A M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
1
3
4 y a�='"
r--- "8 /011 /v
Q ,f /
1ov. i
13
14
15
16 1t i G
17
18
19 1
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20 �Z
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21 / r�
22
23
24
25
(OVER) �-
Form 59 w TI r.ason•so s co,w•rss.o, 5 0-55rV Q
(Chapter 45,code of low.)
STATE OF IOWA 1999 D
Nomination Petition
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of v
I, the undersigned eligible 04elector of the State of Iowa,- do hereby
nominate �� (If applicable,diHricl or other division)
06 A. Cl of 230-7 I J-1.- t �.-d, Iowa,(Nome of condido4) (Address)
as a con idate o ---for the
�j (Nameofnonporiy poimcoi orgunrronon,it any)
office of` L - ---jr 0 to be voted for
-�-YQ ''� 1H, ,� a ,,,�, t �e�-t1 v�, �1
at an election to be held on 7L'1.1�
IN M E RESIDENCE (Add School District, if needed) DATE SIGNED
(Signature) STREET AND NUMBER, IF ANY CITY
A 4ce�IJ
2 - '73() Ott 11tu USN 9'
/ 9
3
6
C
712
13 2-L
14
17
18 rZ
19
20 r/6�c� U LS .E LZv Qi'IZGs/ 9/Z-/
3 r
23
24
25
(OVER)