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HomeMy WebLinkAboutA010 - Receipt for Nomination Papers - Sarah Buck RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERI( AMES, IOWA Delivered by: Jr�J`�/q�/ 13 G,`�J� Date & Time: Received by: _ fill 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 If you fax your nomination FORM 2-M(Rev-01)[4S.31 papers,you must also file the Prescribed by the originals bf,E Iowa Secretary of State State of Iowa I . Affidavit of Candidacy , fir'' ''' 10 �D(� ;��, I School and City Elections CiTV el_�=dr4 CITY O AMES,II)WA For the Office of : 01 fq da-i 1 ru St4e- Dir. Dist./W ❑ Check here if election is to fill a vacancy. [The seat is on the ballot before the end of the regular term, usually because of a death or resignation.] Date of Election: No✓&7M6 /Z , PM-3. Name: -9,yAN /3 uCl,, (exactly as you want it to appear on the ballot): Home address: 92:.. City, State and Zip Code: Am es, / 0 Soo/4 -41-a� I County: o CU Telephone: (S15) 0-2-- a- -346, (Option/, wi//be published) 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 presidat 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 ($750) in a calendar year for the purpose of supporting my candidacy for public office. I 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 I choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file nomination papers, I cannot be a candidate for any office on the ballot at this election. state of -ou),x Signed: L�2O' L 4wc� County of &O N This instrument was subscribed and swom or armed before me on f0, o�4t7 by Date SS/�E'qJ L/�'f� Names)of Person(s y� Signatur��e//of Notary Public_ �c Tit/e:_ L. RIPPER(lPIR Inc COMMISSION# 146549 ThisAffl-davitmus MY COMMISSION EXPIRES tbeFled �OWA -SS With your nomination papers Notary seal Forms prescribed by the Iowa Secretary of State: 2001 Update FORMS2.V97 Gty.Elections M(03) Ia abed theAn Affidavit of Candidacy Iowa Secretato ry of Stale STATE OF IOWA Nomination Petition For City Elections 10 20M A MA El Check District #Check if to Fill a Vacanc a (If` plicable) GITY CLEM €D�A I, the undersigned, an eligible elector of the State of Iowa, hereby nominate J " Of_ZD 2 P1WhUrd Dr. Iowa, who is a resident of the City of 4me (Name of candidate) s �nt (Address) and a candidate for ( Y+ta &D +d] 1—fu5 f-° to be voted for at the City Election on Tuesday A10 yPwhar" J003 (Date) (year) Residence Date Name Signed Street Number, (if any) city Al 1. b y'do'i S f. �Ylo re >�27 17e, Zhu s y' (i i4t4q rx Z4, e6 �jc11(7 s 0 rnadd"t3 `f 't 10. � -7 12. ann,�I 13. Jo n 14 16. ' M,//'&Z 17. -3�d 5 . IZ Ap-IL, 19-3 /-6 �l 19. �P � 9-3 d3 ?2 :4. 3 al �3 Prepared in the office of the Iowa Secretary of State Page of ID City Elections 2H(03) Prescribed by the An Affidavit of Candidacy Iowa Secretary of State Must accompany this petition. . STATE OF IOWA l Nomination PetitionFor City Elections 10 ;003 ❑ Check if to Fill a Vacancy District # S 4S AM I, the undersigned, an eligible elector of the State of Iowa, hereby nominate S A e � of aW,2 Prx--hurd Dr. I e� Iowa, who is a resident of the City of )Ames (Address) /nt and a candidate for ( -J fU 1�mD t{Ct ���5 fi°� to be voted for at the City Election on Tuesday &VetylhQx- 0�0013 (Date) (year) Residence Date Name Si ned Street Number, (if any) city s w 3 7 �'a D $ 3. tL 4A4�� > [e/S A e 5 W06CO aIn 1 C�A, 4M as 3 rret4 y !off 4 A. 6 z A o Z Dp e AAd et,1' Char es fatrner Zz O °• Kully vu`eereA ~ b t h d-/t s Aj 3 �f [�L e r� hr(5w L>v tv 2S� b3 4. ^1 1[- h' zip 51" All3 6.—SV4 lul` leS Zto 7. ��. 7EazA c'yt 8. Cai^a Az)c 8 d 03 s. o J/ v a�j o 2. e� 3 l-0 3 3. . $ s 717. .4. - t7o, W-1drr (�Ivr( f} tMC 7 Prepared in the office of the Iowa Secretary of State Page of t! ■ . � i i •- • -• • • • • — • • -• • ` M T'- 1 b Abu MA MM GAY Elections 2H(03) p`�'bed to An Affidavit of Cac�Iowa Seaelarywf stale Must accompany STATE OF IOWA LLr= Nomination Petition For CityElections r.- �. �� bons o A❑ Check if to Fill a Vacancy District # 25:L C (n App ca e) d n Si ii 1:5ld I, the undersigned, an eligible elector of the State of Iowa, hereby nominate -J A ES,Ip WA meo candidate) of 2 �irx�httirsf Dr, t es� Iowa, who is a resident of the City of &)Y1es (Address) /� t , and a candidate for ( �t- t4 {�p�p t Ct �t u5 De to be voted for at the City Election on Tuesday ��yP,mh�t" �- 0�003 , (Date) (year) Residence Date Name Signed Street Number, (if any) city _ t ell a hz.. 4002 S-mrJ � M o 4 , 14 itc-�(L. 619 ,C iKr oo� (:rz <�c t- 8 Zed i. uni neck � i .1 MP '01 4W45's a �, 4 h Ct e o (3t k) 11. 12. 13. c a i'0 14. r / / n bes 15. 17. Z r3 20. 3 ) ?2. t ZIP 0 � � 14. LI-f� Prepared in the office of the Iowa Secretary of State Page of 2 Ekc+ions 2H(03) town Secretary a' of An Affidavit of Candidacy 'Iowa Secretary of Stale Must accompany this petition. STATE OF IOWA << Nomination Petition For City Elections tip I� cry 10❑ Check if to Fill a Vacancy District # gj;tE�2 AM If Appli I, the undersigned, an eligible elector of the State of Iowa, hereby nominate J A of_ Daa Pirz>-hW5j Dr. , es Iowa, who is a resident of the City of ernes (Address) /► , and a candidate for t AW1 1�66Di- J-i T FQ6 to be voted for at the City Election on Tuesday tL yP jam- zo-3 (Date) (year) Residence Date Name Signed Street Number, (if any) city zy a� Pleb 3 %g ,F,xt Pr2- 8 v f. �.1!31e >. K a i ti va `tW ©`t U 3 s 0T4L0 �Z3 1. '� O 3. 4. �1�C�j'� — %1��1�C/�Z j ��'� Nf/ �O CGS( � J 71�j 5. G-7 s. � cc- t � wtfc 7. Ll 8. V� L rrr QIS�Z 9. -�" .0. �' -858 cr ne- e� E3. &R77�__Ma m) 3 _3 ,-at S � �i�Mo � P►�eh v r�- �� Prepared in the office of the Iowa Secretary of State Page of City Election,2H(03) Pr1ZsWbdW the An Affidavit of Candidacy Iowa Secretary of Slate Must STATE OF IOWA r, Nomination Petition For City Elections I 0 �Om AM ❑ Check if to Fill a Vacancy District � '4 oa Applicable) t,lf a9'LLs_ 91 I, the undersigned, an eligible elector of the State of Iowa, hereby nominate � r W.ESq,10VIA (Name of candidate) of cq,Wa Poehu, Dr. es� Iowa, who is a resident of the City of Ames (Address) � t� � � and a candidate for U p� �rU61-6-- to be voted for at the City Election on Tuesday au yew 4r a003 (Date) (year) Residence Date Name Signed Street Number, (if any) city ee1c5 -z 11 D 'Y r so.k� 117 3. /Y� � ";5 C� 6-�3 �! rid - Qii Loll. 31�� 51 i. r'ar' /� 9 631 l nqe, 7. Y11 5'wo 7 10. Jv Alm n 12. Cher b S 14. w 45 r--- 15. E2, '�111-7 17. ' 18. /�o s A 20. 21. 22. 23. 24. Prepared in the office of the Iowa Secretary of State Page of oty-EleCtiops 2H(03) hmsaibed by the An Affidavit of Candidacy Iowa Secretary of stale Must accompany this petition. STATE OF IOWA r = - Nomination Petition For City Elections q !' ❑ Check if to Fill a Vacancy District #', Applicable I, the undersigned, an eligible elector of the State of Iowa, hereby nominate '_ rwAVES,IOWA of qW2 P,z--hulyd Dr. , es >— Iowa, who is a resident of the City of (Address) /n� t and a candidate for ( ��U { pica, rfC(5� ' to be voted for at the City Election on Tuesday &✓e h'ar 0?003 (Date) (year) Residence Date Name Signed Street Number, (if any) city �/O G �' 6 Gns ,2966 eLYt25 S'2SD� 3. h n 17 ZZ- Ate(" � 7 1. v ib nN z I ts- As 10. h O r 3 03 1 12. � � 2 13. U rr-e Cie. -e s - —O 15. aa3l l��vcve� � s ' 16. 17. 18. SDI .�� n G��►/ h�nK • �•03 19. ?0. ?1. 22. ?3. a4. Prepared in the office of the Iowa Secretary of State Page -, of i J Gty Elections 2H(03) Rx-°' An Affidavit of Candidacy Iowa Secretary of State STATE OF I O WA Nomination Petition For City Elections r'�n 1 1 0 .�0D3 ❑ Check if to Fill a Vacancy District # `i 8 '_�8 iM I, the undersigned, an eligible elector of the State of Iowa, hereby nominate (if Applicable MY tif� t ,IOWA of_Ma Pinc--htcrd Dr. , "� Iowa, who is a resident of the City of }mes(Name of candidate) (Address) ��tt t s , and a candidate for ( ,t�GD ��-1 �fL(b�"2e to be voted for at the City Election on Tuesday AID vembar C200-3 (Date) (year) Residence Date Name Signed 1. r Street Number, (if any) city 1Am �C Z f r JkIt Awve t. - �/cl-c/L..- ` �03 ). 1W�o r 3. Ado 9 03 1 12. S l4- -'.dIJLeY '-4 13. e-S KDe 9 a3 14. 15. 16. 17. 18. 19. ?0. ?1. ?2. ?3. 14. Prepared in the office of the Iowa a Secretary of State Page of �g Gtyflections 2H(03) Presailxtby tf,� An Affidavit of Candidacy Iowa Secretary of State Must accompany this petition. STATE OF IOWA ..,- Nomination Petition �,rr For City Elections ElCheck if to Fill a Vacancy District # 8 4 AM I, the undersigned, an eligible elector of the State of Iowa, hereby nominate J � apt (A of_�05 I'1 il�hurs�Dr. , �s Iowa, who is a resident of the City of Ames (Address) r and a candidate for -/t4 A I-W i -j j T-cu5l-6- to be voted for at the City Election on Tuesday ��✓ems 02603 (Date) (year j Residence Date Name Signed— Street Number, (if any) city Dp4 ' Z S'f t Efzc '::'y,edY g_ZS 0 3. 33Z? 1Lf.JSm/anf a. - —K�� S ertce �/Z3/6 w" 37o1 5. �i t fzo (E5 o {�� r e S L5 0 : � )e es �315 9 0,3 �. /sz b' g 3 10. , 12. 13. 14. 15. 16. 17. 18. 19. ?0. ?1. ?2. ?3. .4. Prepared in the office of the Iowa Secretary of State Page of CKY EkkWns 2H(03) Prescribed by the An Affidavit of Candidacy y Iowa Secretary of State MUstAccmpany,thls-pe STATE OF IOWA g Nomination Petition For City Elections ❑ Check if to Fill a Vacancyg '� District # (I Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate (Name of candidate) of_�W.2 PI rzhur4 Dr. es Iowa, who is a resident of the City of Ames (Address) r and a candidate for i Lt6�� D to be voted for at the City Election on Tuesday &yemy�r- (Date) (year) Residence Date Name Signed Street Number, (if any) Ci Z:;: 2.L W CIJK Avc. 1tcIC � �i� QEy — /-r 3. q Az ?Z; AMES 4��{ 10. C� 12. 6�� 3 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. Prepared in the office of the Iowa Secretary of State Pagel 0 of I i Gtq EVtions ZH(03) P"e9m bed by U%e An Affidavit of Candida Iowa Secretary of Slate STATE OF I OWA ;r M � s P Nomination Petition For City Elections i, L El Check Check if to Fill a Vacancy District A - z �:. I, the undersigned, an eligible elector of the State of Iowa, hereby nominate (if AP of ,q 2 Prrz-hUV5�D (Name of candidate) r, Iowa, who is a resident of the City of ernes (Address) /n1 and a candidate for ( ��U b66,2 +G ( rf u 61"6-- to be voted for at the City Election on Tuesday t1 o yPmhQr C2003 (Date) (year) Residence Date Name Si ned Street Number, (if any) city 1 e Mlt 3 b. 3. - 74 � 3. Z 2d t t,,crn �r , I�►'ti� S 7S 31 /o. 10. 4, i� `73o 10. ?/ u/ 11. / .�errleo cc�e,N Zahe, x 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. L5. -T :1 Prepared in the office of the Iowa Secretary of State Page )I of g Crry'Elections 2H(03) Re,aldkl b'th� An Affidavit of Candidacy Iowa Secretary of State Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections ' ti I 10 y, ❑ Check if to Fill a Vacancy District # '' 4 A/0 If 1ppfiealle�-- I, the undersigned, an eligible elector of the State of Iowa, hereby nominate A -y of_Q1W2 P'/X'-hccrst Dr. 6e�� Iowa, who is a resident of the City of ewes (Address) and a candidate for &D i rfub t"°e to be voted for at the City Election on Tuesday t�p y�7Y1lv�- (Date) (year) Residence Date Name Signed— Street Number, (if any) city 1. 1� dS� ela'mes _2z-te�l Z 1 Jar � r 3. _ t �J o t- S�l� r �C� ,i;&rr po /' a�— �. S)- �rQ �25 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ?0. ?1. ?2. ?3. .4. Prepared in the office of the Iowa Secretary of State Page 1 Z of City.Elections 2H(03) PrwIowa�to An Affidavit of Candidacy Iowa Secretary of State Must accom an STATE OF IOWA N - Nomination Petition il - 4�) For City Elections i cry h. 10 -r y93 ❑ Check if to Fill a Vacancy District # A� I, the undersigned, an eligible elector of the State of Iowa, hereby nominate J A CBt ,1�7V'Jc1 (Name o candidate) of 5"a Pfz--hccr�Dr. , es Iowa, who is a resident of the City of Ames (Address) , and a candidate for pAt phi T—ru6 l"°>� to be voted for at the City Election on Tuesday t)ayewhar 0?003 (Date) (year) Residence Date Name Signed Street Number, (if any) city t. 'y`lDoLc) 41 3. a� r �, -3 7. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. '.0. '.2. ).3. .4. Prepared in the office of the Iowa Secretary of State Page �3 of atyfled s 2M(03) Prescribed by fht Iowa Secretary of State An Affidavit of Candidacy Must accompany this petition. STATE OF I O WA Yu - Nomination Petition For City Elections r^ ❑ Check if to Fill a Vacancy District # I, the undersigned, an eligible elector of the State of Iowa, hereby nominate A ' Of d Pnc>.hWd Dr. eS Iowa, who is a resident of the City of rneS (Address) nn t , and a candidate for ( i�U &—od-ad to be voted for at the City Election on Tuesday NovPmhpr (Date) (year) Residence Date Name Signed Street Number, (if any) Ci 3. soV1 IS'dS j-,MPU6fts &^,e TA. Cd-gl f rl� d Uri � g o 10. 11. 12. 13. 14. 5. 6. 7. 8. 9. '0. :1. '2. 3. 4. Prepared in the office of the Iowa Secretary of State Page �' of g CAY'Ele,4 o 20,(03) Prescribed by the An Affidavit of Candidacy Iowa Secretary of Stale Must accompany this r STATE OF I O WA £ - Nomination Petition For City Elections �] ❑ Check if to Fill a Vacancy District # 10 `-E-2t, AM (If Ap I, the undersigned, an eligible elector of the State of Iowa, hereby nominate J A1'ea V'fA of_�2W.2 Pfz-,hu'r6t Dr. e"5 Iowa, who is a resident of the City of Ames (Address) /t + and a candidate for ( A�>', �pl-{-Ct,1 rru5h,2�-- to be voted for at the City Election on Tuesday tVDyPtylhat- aM5 (Date) (year] Residence Date Name si ned Street Number, (if any) city 82sa3 f• � ,Es u S�f�,C�s tis Pam'. r�{----e s 8.ZS'a 3 T. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ?0. ?1. ?2. ?3. .4. �� Prepared in the office of the Iowa Secretary of State Page 5 of I Ctty`Ekl.tions 2H(03) Pr8aibed by the An Affidavit of Candidacy Iowa Secretary of State STATE OF IOWA ' Nomination Petition For City Elections ern M ❑ Check if to Fill a Vacancy ' Y Al District # ; _- (If Applica�(��r y cYi I, the undersigned, an eligible elector of the State of Iowa, hereby nominate J N. ll ORa , (Name of candidate) of_ � �irx�hc�r j Dr. , �s Iowa, who is a resident of the City of ernes (Address) n and a candidate for I-)D'Sp L+dj 1—ru6 t- - to be voted for at the City Election on Tuesday No ye-mly - * 0?003 (Date) (year) Residence Date Name Signed Street Num er, (if any) Ci 3. m m S t. i I— I L ti4 zL tjeiR/ZWdd() PL /b-WE 5 0 �. L o� — d Pt� eS 17/03 3. KT SIt NA 11/1�Les ZZ Ash lave. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. ?0. ?1. ?2. ?3. 14. Prepared in the office of the Iowa Secretary of State Page 40 of �g CW,Ekctws 2H(03) Pre5cIowa S�to An Affidavit of Candidacy• Iowa Secretary of State Must accompany. ' STATE OF IOWA Nomination Petition i For City Elections '�� U1 ❑ Check if to Fill a Vacancy � AM District # - �ApLfi—caWle ° 6; �;I, the undersigned, an eligible elector of the State of Iowa, hereby nominate (Name of candidate) of LW,2 P1 r)r--htcr5-t Dr. eZ Iowa, who is a resident of the City of &jes (Address) /ni and a candidate for ( V�U +d,,� rf u5 °� to be voted for at the City Election on Tuesday &Vemhar" '�00'3 (Date) (years Residence Date Name Signed Street Number, (if any) city toa 21 0 ZZ-o 3. f. i. i. 10. 11. 2. 3. 4. 5. 6. 7. 8. 9. '0. '1. :2. :3. ;4. Prepared in the office of the Iowa Secretary of State Page of CA-Eledlons 2H(03) �,a'bdd by 6 Iowa Secretary o of Stale An Affidavit of Candidacy STATE OF IOWA n. Nomination Petition � For City Elections ❑ Check if to Fill a Vacancy District (` (lydn:t°_i:: d� I, the undersigned, an eligible elector of the State of Iowa, hereby nominate � ' " �4" (Name of candidate) of �2 piix--hccr3t Dr. of Iowa, who is a resident of the City of YYI eS (Address) , and a candidate for OA'�(4 { 86,p LIAA rf-u6 1-°P_ to be voted for at the City Election on Tuesday No yemhar (Date) (year) Residence Date Name Signed Street Number, (if any) Ci 1 t'1Q h 1'% 16 Zwfl-o z o / L 3. 9 CT M/74(vid C'i C, /PUS P 2,S/G i. 3. 251- �r)A k eY%4, 1. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Z0. M ?2. ?3. 14. Prepared in the office of the Iowa Secretary of State Page j-7 of I