HomeMy WebLinkAboutA006 - Receipt for Nomination Papers - Russ Cross i
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RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERI(
AMES, IOWA
Delivered by: Date'� Date &Time: - � �z�l W - v'��
(_ :V
Received by: U-)16-t l C' Vc SS Title:
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
C_rF
Form 2-M(Rev.99)(45.3i
Prescribed by the
Iowa Secretary of State f ,J �M
STATE OF IOWA
AFFIDAVIT OF CANDIDACY
School and City Elections
For the Office of f CYYIt✓ ,t C� I ► `� — -
(Include district number, ny)
F] 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:
City and Zip Code: /o n')C— S lJ?
County: �c rt-(
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.
I 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 s election. If I have filed nomination papers
for more than one office I must file with the officer who accepted my nominatpon apers an affidavit indicating for which office
choose to be a candidate. I understand that if the affidavit is not filed by th st day i ates can file nomination papers,
cannot be a candidate for any office on the ballot at this election.
Signed: r
Signed and sworn to (or affirmed) before me on Sep+,-ev A 6 Y- 14, '�C'G( (date)
by Russ C-V-CSS (print candidate's name).
Signature of Notary Pu qIic( r other officer authpprized to witness oaths)
This affidavit must be Official Title: N fl r P 11
filed with your _
My commission expires: 0-7 — )CC
nomination papers. 0
W* *
COMIMSSION # 1134019 MY CC"";"SSION EXPIRES► I - 0
Form 2-H (Rev.97) SC-10+ ILI, 2-00
Prescribed by the �I
fowa Secretary of State
STATE OF IOWA
NOMINATION PETITION
An Affildvil of Candidacy
must be filed with this petition.
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of Ames City Counc-i 1 , At-Large CA
1, the undersigned, an eligible elector of the state of Iowa, A_-Laarge _hereby
3409 Oakland (g' ;t or other division)
nominate Russ Cross of Ames , Iowa, as a candidate of
(Name of candidate) (Address)
the for the office of Ames City Council,At-Lambe voted
(Name of organization,if any)
for at the election to be held on November 6 , 2001
(Date of election)
Residence Date of
Nance Signing
Street&number, if any City
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Fom, 2-H (Rev.97) J e p I - 141 P o D
Prescribed by the JS PIA11
Iowa Secretary of State
STATE OF IOWA
NOMINATION PETITION
An AffifaviL of Candidacy
must be filed with this petition.
For Nonpartisan Nominations and Nonpartyr
Political Oganizations
For the office of Ames City Ca4-�' D F
I, the undersigned, an eligible elector of the state of Iowa, At-Large herebY
( i ct or other division)
3409 Oakland Iowa, as a candidate of
nominate Russ Ru Cross of Ames
ss -
(Name of candidate) (Address)
the for the office of Ames City council At--1L-rjpe be voted
(Name of organization,if any)
for at the election to be held on November 6 2001
(Date of election)
Residence
Date of
Signing
Name City
Street& number, if any Q
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Form 2-H (Rev.97) �
Prescribed by the
Iowa Secretary of State � 6,9 P/(�
STATE OF IOWA
NOMINATION PETITION r
An Affifavil of Candidacy
must be filed with this petition.
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of Ames City_ Council At-Large
I, the undersigned, an eligible elector ofthe state of Iowa, At rge hereby
3409 Oakland (�i or other division)
nominate Russ Cross of Ames Iowa, as a candidate of
(Name of candidate) (Address)
the for the office of Ames City Council.At-Lambe voted
(Name of organization,if any)
for at the election to be held on November 6 , 2001
(Date of electiun)
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 •�� P/1/(
STATE OF IOWA �� A
NOMINATION PETITION
An Affifavil of Candidacy
must be filed with this petition.
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of Ames City Council , At--T.arqe -
G`f-Y p� A-v►�e
1, the undersigned, an eligible elector of the state of Iowa, At-Large -_hereby
3409 Oakland
nominate Russ Cross of Ames Iowa, as a candidate of
(Name of candidate) (Address)
the for the office of Ames City Council. At—Lambe voted
(Name of organization,if any)
for at the election to be held on November 6 , 2001
(Date of election)
Residence Date of
Name Signing
Street& number, if any City
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Form 2-H (Rev.97) rr5tPT-14 W1
Prescribed by the
Iowa Secretary of State
STATE OF IOWA
NOMINATION PETITION
An AffifaviL of Candidacy
must be filed with this petition.
For Nonpartisan Nominations and Nonparty Political Organizations
For the office of Ames City -Co nc! 1 At_Large
0-4 4-y Of
r a l;r, bl- f h st• �flo,.", Z1t--La r JF, hereby/
:, the anc:crs.5ne , an ��:;;IU , eje nor e the
( i ct or other division)
3409 Oakland � .
nominate Russ Cross of Ames Iowa, as a candidate of
(Name of candidate) (Address)
the for the office of Ames City Council At-Lambe voted
(Name of organization,if any)
for at the election to be held on November 6 , 2001
(Date of election)
Residence Date of
Name Signing
Street& number, if any City
2.
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