HomeMy WebLinkAboutA004 - Receipt for Nomination Papers - Daryle Vegge ' RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
i
Delivered by: Da r,v ( c �✓ a c Date & Time: ("
Received by: VC Title: r A ('. ��--
For election to be held on:
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
'� d ,
Form 2-M(Rev.99)(45.31
Prescribed by the
Iowa Secretary of State i1 r1 0(
C13'.3c) p.m.
STATE OF IOWA _
AFFIDAVIT OF CANDIDACY
School and City Elections
For the Office of C I ` 7 CO u NG
(Include district number,if any)
FICheckhere if election is tip fill a vacancy.
Date of Election: " 1
Name (exactly as you want it to appear on the ballot):
-- 7,--)�)RLE 0Ec�
Home Address: o cz —
City and Zip Code:
County: Q C V)�y
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.
Signed: 4 (2
Signed and sworn to (or affirmed) before me on l l C�ll�t , (date)
by `� J r'V ` �"1"le� (print candidate's name).
Signature of Notary Publi (or other officer author"ze witness oaths)
This affidavit must be Official Title: CJtti✓1.tr'U Ptt��tp I C,
filed with your OD
nomination papers. My commission expires: ---I I 0� —�
OAL DIANE R.VOW
2
COMMISSION#134019
" MY COMMISSION EXPIRES
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Form 2-H (Rev.97)
Prescribed by the
Iowa Secretary of State
STATE OF I O WA
NOMINATION PETITION
An Affifavit of Candidacy
must be filed with this petition.
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of ES CIT CIC. G A) 3L W AZt)
, i ;!7nP� �r r. ,v t
i the un;.ers.b.., ., an li ib�e elector of the state of Iowa, _ �l�a►�d J� hereby
,5VYi+trict or other division)
nominate y�,L � "C_ of� Ct tl� (�M- Iowa, as a candidate of
(Name of candidate) (Address) NniFS
the for the office of ?�� {uq� C" COUNC1tTwsciNto be voted
(Name of organization,if any) r 4amom v&iigw—
for at the election to beheld on PQ( - MBER (n?,W1, ` V
(Date of election)
Residence Date of
Name Signing
Street&number, if any City
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7/02
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