HomeMy WebLinkAboutA011 - Receipt for Nomination Papers - Steve Goodhue ' RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERI(
AMES, IOWA
Delivered by: G C Date SL Time: IS Aar
Received by: ? 2.__.- Title:
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
If you fax your nomination
FORM 2-M(Rev-01)[45.31 papers,you must also file the
Prescribed by the originals by the filing deadline.
Iowa Secretary of State
State of Iowa =
Affidavit of Candidacy
School and City Elections
�
For the Office of : r,-3��r) CO °
Rn-a s �, ��,,.��►1 Dir. Dist./War
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: o-4 kr�Rf -1 .. Zoo-7
Name:
- hk�
(exactly as you want it to appear on the ballot):
Home address: 13°-2-� . �-., )b e.f ry IZ J
City, State and Zip Code: Uo�!
County: S-"L�j Telephone: ( S�1�) Z�Z_ 3s` (Optional, wi//be pub/ishe+d)
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 presidet 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. p�
State of .So Signed.-
County of 7'lvz•,
This instrument was subscribed and swom or affirmed before me on c2X-3
by
5 0b,52 IVE Date
Name(s)ofPetson(s
Signature of Notary Public
Title: /1 u
L. I PERGER
COMMISSION# 146549
This Ahrdavit must be filed MY COMMISSION EXPIRES
/OWA
With your nomination papers
Notary Seal
Forms prescribed by the Iowa Secretary of State:
2001 Update FORMS2.V97
JE ` r
t An Affidavit of Candidacy
r
Must accompany this petition.
STATE OF IOWA
i5-am Nomination Petition
71-! For Ci Ele� CtIOnS
f to Fill a Vacancy District #
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Steve D. Goodhue
of 3028 Bayberry Rd . Iowa, who is a resident of the City of Ames
(Nameofcandidate)
(Address)
and a candidate for . 2nd Ward, Ames City Council to be voted for at the City Election on
Tuesday November 4 2003
(Date) (year)
Residence Date
Name Signed
Street Number, (if any) city
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Prepared in the office of the Iowa Secretary of State Page 1 of3_
City Ekcbons 2J 03
Resait�ed f,
Iowa secret s An Affidavit of Candidacy
a Must accompany this petition.
L� t ff �VV STATE OF IOWA
1 �
L
Nomination Petition
a+ CITYCzC: �r For City Elections
e1 if U' A M,E33.li V41 f
❑ Che o a acancy District #
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Steve D. Goodhue
of 3028 Bayberry Rd Iowa, who is a resident of the City of Ames(Nerneofcandidate)
(Address)
and a candidate for 2nd Ward, Ames city council to be voted for at the City Election on
Tuesday November 4 2003
(Date) (year)
Residence DateSigned
Name
Street Number, (if any) city
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Prepared in the office of the Iowa Secretary of State Page Z of
City EL-Wons 2H(03)
Prescribed by theS�a� An Affidavit of Candidacy
Musk a m
S TAT E OF I O WA ° P(��Yetftn }
Nomination Petition
For City Elections
❑ Check if to Fill a Vacancy District #
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Steve D'.car o Ue"`` -
of 3028 Bayberry Rd Iowa, who is a resident of the City of Ames(Nameofcandidate)
(Address) i
and a candidate for 2nd ward, Ames City Council to be voted for at the City Election on
Tuesday November 4 2003
(Date) (year)
Residence Date
Name Signed
Street Number, (if any) city
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Prepared in the office of the Iowa Secretary of State Page of 3