HomeMy WebLinkAboutA016 - Receipt for Nomination Papers - Greg Velasquez RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: Date & Time: .�� i `'t�� /� o2���C� 1.31) t�'1
Received by: Title:
t
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
y,:
If you fax your nomination
papers, you must also file the
FOR - �-8,e' _ ._4 ('1�y�
s �= . = originals by the filing deadline.
Qw to s4tab �-J
11 ' State of Iowa
0 _� �' ;Affidavit of Candidacy
f 3d rye '!School and City Elections
Fo An ti-A�LEE Dir. Dist./Ward #
❑ 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: mcyc:-ngiz 4 2vol
Name: AXu Et
(exactly as you want it to appear on the ballot):
Home address: a io CArt-Y ,lam
City, State and Zip Code: Ame s, 1 Ac Soo I H
County: S-rnRy Telephone: (5t5 )31!_- �g o (Optional, will 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 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.
State of
County of
This instrument was subscribed and sworn or affirmed before me on —salla&I"ayAll
Date
by VeLg5quE-:Z
Name(s)ofPerson(s)
Signature of Notary Public
Ti /Irede: a%AL JILL L, RIPPERGER
Z COMMISSION# 146549
This AM'davit must be filed MY COMMISSION EXPIRES
,o,„a 3 si�m
With your nomination papers
Notary.Seal
Forms prescribed by the Iowa Secretary of Slate:
2001 Update FORMS2.V97
^`''
crty Ekctio s) i N An Affidavit of Candidacy
Iowa s�« ° ate �i' Must accompany this petition.
STATE OF IOWA
a°30 n Nomination Petition
Cc =.,�5 For City Elections
0 1 W Pj�63Ft�lE�,I0IJU
❑ Check if to Fill a Vacancy District # AT 1.ARGF.
(if Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL A, i_P,?.(e to be voted for at the City Election on
Tuesday 4 NoVEMBER 2003
(Date) (year)
Residence Date
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Prepared in the office of the Iowa Secretary of State Page of- %
Oty
Press fed it RP An Affidavit of Candidacy
Iowa Se,,creta o to
l Must accompany this petition.
STATE OF 1OWA
Nomination Petition
00 For City Elections
11 District # AT T,ARGF.
El Lec if� t� i Cy
- - (If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL AT to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
Name Signed
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City Ektctio
11 s �a�e V Hv^ M An Affidavit of Candidacy
( Must accompany this petition.
STATE OF IOWA
3 Nomination Petition
For City Elections
❑ dheck ig( �'a & ncy District # AT T,ARc;F
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELAsQUEz
21O GRAY AVENUE (Name of candidate)
of Iowa, who is a resident of the City of AMES
(Address) r
and a candidate for CrrY COUNCIL � ��� to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
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City Elections 4H
A*w,*ed by the nn " An Affidavit of Candidacy
Iowa secretary oflS a IJ i Must accompany this petition.
STATE OF IOWA
Nomination Petition
## For City Elections
�t b VLC iA
❑ CheL if toQ�IIf'A'V*Wfu0 District # AT T,ARc,E
_- - (If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQuEz
2 TO GRAY AVENUE (Name of candidate)
of Iowa, who is a resident of the City of AMEs
(Address)
and a candidate for CITY COUNCIL h,t t.A to be voted for at the City Election on
Tuesday 4 NoVEMBER 2003
(Date) (year)
Residence Date
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Street Number, (if any) —.-City
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Prepared in the office of the Iowa Secretary of State Page of 1�_
City An Affidavit of Candidacy
Iowa S t of Staten Ri �N Must accompany this petition.
STATE OF IOWA
Nomination Petition
O�P1r1 For City Elections
'C° J
❑ �tb � cancy District # AT T,ARGE.
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
(Name of candidate)
A
of 210 GRAY AVENUE Iowa, who is a resident of the City of ,4ES
(Address)
and a candidate for CITY COUNCIL �-� t to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Date
Residence Signed
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Prepared in the office of the Iowa Secretary of State Page s of JO-6
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Presc a �, �, An Affidavit of Candidacy
r—ift)ed bed _
Iowa Sea a e Must accompany this petition.
STATE OF IOWA
! 3v , Nomination Petition
For City Elections
CITY Or PIE',iadl"A
Elb F11r' acancy District # AT 1,ARGF.
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CrrY COUNCIL A-T j_Ag(5 to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
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Name
Street Number, (if any) city
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Prepared in the office of the Iowa Secretary of State Page of V`
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City Ek�ctions.
New-lbed by t µ ..m An Affidavit of Candidacy
Iowa Seaeta r Must accompany this petition.
STATE OF IOWA
30 Nomination Petition
For City Elections
❑ Check i to 11 f—'i acancy "" District # AT 1,ARGF.
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEz
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL L.AizCe: to be voted for at the City Election on
Tuesday 4 NOVEMBER 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 7 of (IR
City (03)
ion s a o ( _ _La Li An Affidavit of Candidacy
Must accompany this petition.
STATE OF IOWA
_:3
Nomination Petition
=-gyp For City Elections
El MAcalWy District # AT T,A(If Applicable)
RC,F
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
of 210 GRAY f�VENtiE (Name of candidate)
Iowa, who is a resident of the City of &4m
(Address) ,
and a candidate for CITY COUNCIL A..r LEAP PC lc to be voted for at the City Election on
Tuesday 4 NOVEMBER 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
Prescl crty e T N(03) An Affidavit of Candidacy
](a f StaleIowa Si 1
6 Must accompany this petition.
3 STATE OF IOWA
r. j Nomination Petition
�IYCf�' For City Elections
CIT'Orr MES,10WA
Check if to Fill a Vacancy District # AT I.AgcF.
(If Applicab(e)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEz
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL A,r LAZ(C to be voted for at the City Election on
Tuesday 4 NOVEMBER 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 I of ��S
Pre9c.1bed N An Affidavit of Candidacy
Iowa Secret Fe � B
M—i STATE OF IOWA Must accompany this petition.
Nomination Petition
For City Elections
❑ C ec�k� to Fill a Vacancy District # AT 1,ARc',F
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELAsQUEz
of 210 GRAY AV (Name of candidate)
ENUE Iowa, who is a resident of the City of (NaES
(Address)
and a candidate for CITY COUNCIL A—( LAr-&V- to be voted for at the City Election on
Tuesday 4 NOVEMBER 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 /0 of
City E
by qd An Affidavit of Candidacy
Iowa sy�ate „ Must accompany this petition.
STATE OF IOWA
DLL Nomination Petition
/ For City Elections
❑ Check if to Fill a Vacancy District # AT 1,AgcF.
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
(Name of candidate)
of 210 GRAY AVENUEES Iowa, who is a resident of the City of M
(Address)
and a candidate for CITY COUNCIL A yA(ZGC to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
Si ned
Name
Street Number, (if any) city
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Prepared in the office of the Iowa Secretary of State Page _of_��
City ElecWns,ZH(03) 1
Prev,bed An Affidavit of Candidacy
Iowa Secretary o ate y — `
Must accompany this petition.
STATE OF IOWA
° o Nomination Petition
For City Elections
ElCheck i o F�11 arc t y_ District #AT T.ARc;F
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
of 210 GRAY ANIT-NUE Iowa, who is a resident of the City of &4ESef candidate)
(Address)
and a candidate for CITY COUNCIL 4--r to be voted for at the City Election on
Tuesday 4 NovEMBER 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 A2 of1_
City ERIcUons 2ii�] q w A 7
�1 fl An Affidavit of Candidacy
towasecretaryo/sttm b i Must accompany this petition.
STATE OF IOWA
Nomination Petition
For City Elections
❑ Check if to Fill a Vacancy District # AT 1,AgcTE
(if App(icable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELAs2uEz
Of 210 GRAY AVENUE (Nae of candidate)
Iowa, who is a resident of the City of UZne;
(Address) ,
and a candidate for CITY COUNCIL AT to be voted for at the City Election on
Tuesday 4 NOVEMBER 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 3 Of
City Eied (03) rj —
LC, } An Affidavit of Candidacy
Iowa s_ -� Must accompany this petition.
} � ,V STATE OF IOWA
Nomination Petition
I For City Elections
rr `
❑ fto-Fill -a Vacancy District # AT 1.ARGF.
(If Applicable)
1, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL A.T LP(R-CE• to be voted for at the City Election on
Tuesday 4 NOVEMBER 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 A_�A_of_N
City Ekdjons
An Affidavit of Candidacy
Iowa Seaeta
te B
Must accompany this petition.
1, STATE OF IOWA
Nomination Petition
)
For City Elections
❑ Clieck if to lt;ill kV.!cancy District #
AT 1,ARGF
(if Applicable)
1, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEZ
of 210 GRAY AVENUE (Name of candidate)
(Address)
Iowa, who is a resident of the City of AMES
and a candidate for CITY COUNCIL 141r LAi E to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
Name --Signed
Street Number, (if any) city
1.
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Prepared in the office of the Iowa Secretary of State Page �s of
City EI-fi.4+17�-
:(bee nAn Affidavit of Candidacy
Iowa Se«esf�wnt f,„ t Must accompany this petition.
STATE OF IOWA
E Nomination Petition
For City Elections
❑ wif to Fill a Vacancy District # AT T,AgGF.
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG VELASQUEz
(Name of candidate)
of 210 GRAY AVENUE Iowa, who is a resident of the City of AmEs
(Address)
and a candidate for CITY COUNCIL AT 'i kizC-C to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
Signed
Name ,
Street Number, (if any) city
2.
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Prepared in the office of the Iowa Secretary of State Page (e, of ��
Iowa Secr I I tate An Affidavit of Candidacy
} p Must accompany this petition.
s, STATE OF IOWA
pin a' Nomination Petition
4
For City Elections
❑ Check if to Fill a Vacancy District #
AT T,ARCiF
(if 4plicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate__ GREGyELAsQuEz
of 210 GRAY AVENt)E (Name of candidate)
Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL Art LAec-S to be voted for at the City Election on
Tuesday 4 NOVEMBER 2003
(Date) (year)
Residence Date
Name --Signed
Street Number, (if any) Ci
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Prepared in the office of the Iowa Secretary of State Page 1 of
Otr EkKtk .
An Affidavit of Candidacy
Iowa Secr, State b g
Must accompany this petition.
STATE OF IOWA
Nomination Petition
For City Elections
❑ heck if to Fill a Vacancy District #_AT 1.ARcF
(If Applicable)
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate GREG V E L A S Q U E Z
Of 210 GRAY AVENUE (Name of candidate)
Iowa, who is a resident of the City of AMES
(Address)
and a candidate for CITY COUNCIL AT LRr_(__e to be voted for at the City Election on
Tuesday 4 NOVEMBER 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& of 1 S