HomeMy WebLinkAboutA005 - Receipt for Nomination Papers - Sharon Wirth RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: �'%r:�1i`arj ? Date &Time: aAW/ 6�?,'40,04
Received by: �� � Title: ��"dcl
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
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Form 2-M(Rev.99)[45.31
Prescribed by the «---� -- -
Iowa Secretary of State
STATE OF IOWA 4 L601 p.
AFFIDAVIT OF CANDIDACY
School and City Elections �, t
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For the Office off L r
(Inciu e district number,if any
❑ Check here if election is to fill a vacancy.
Date of Election: Nov, L. AD d I
Name (exactly as you want it to appear on the ballot):
k cu,C>� W I f -k,\,
Home Address: jso'D, -B ux r\s A w-rI
City and Zip Coder� S —Z�� QC
County:
I 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,
1 cannot be a candidate for any office on the ballot at this election.
Signed: lr�
Signed and sworn to (or affirmed)before me on 'T / 0 (date)
by sywwo'"1 W' 4k (print candidate's name).
Signature of Notary ubjig(6r`btfieroffi r authorized to witness oaths)
This affidavit must be Official Title: !LG
filed with your 7_�
nomination papers. My commission expires:
JILL L. RIPPERGER
' COMMISSION# 146549
owe MYCgMMI SION PI VX
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Form 2-H (Rev.97)
Prescribed by the
Iowa Secretary of State
STATE OF IO WA
NOMINATION PETITION
C
An Affifavit of Candidacy
must be filed with this petition. t'C afn
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For Nonpartisan Nominations and Nonparty Political Organizations
For the office of t� CtTUk YA CIL
I, the undersigned, an eligible elector of the state of Iowa, hereby
(District or other division)
nominate w >r of %03-P>Lirrg+t Ayv\v.s , Iowa, as a candidate of
(Name of candidate) (Address)
the for the office of C.t�c� CCU C� �;�CNf to be voted
(Name of organization,if any)
for at the election to be held on N O y . 4 a o o I
(Date of election)
Residence Date of
Name Signing
Street&number, if any City
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Form 2-H (Rev.97)
Prescribed by the
Iowa Secretary of State
STATE OF IOWA -
NOMINATION PETITION C 4 -iU;l
An Affifavil of Candidacy 00'tf,,
must be filed with this petition. A
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of C—�4-4LA CZYLY—►'1 C.t] , W
I, the undersigned, an eligible elector of the state of Iowa, of d 1. hereby
(District or other division)
nominate �rn W of $D3BttvruAt. AyAts , Iowa, as a candidate of
(Name of candidate) (Address)
the for the office of l.-6V-.1'1 ul, %CNf to be voted
(Name of organization,if any)
for at the election to be held on N O V- 4, a 0 O
(Date of election)
Residence Date of
Name Signing
Street&number,if any City
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