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HomeMy WebLinkAboutA017 - Receipt for Nomination Papers - Joseph Viles RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA t /J' aZo32 .3'�� Delivered by: i Date &.Time: � Title: L , 7�� Received by: For election to be held on: The following nomination papers have been accepted for filing: PAPERS FILED OFFICE OF CANDIDATE'S NAME NOM. PETI ION AFFIDAVIT If you fax your nomination FORM 2-M(Rev-01) [45.3] papers, you must also file in Prescribed by the original e i ir� leaciNne. !, Iowa Secretary of State State of Iowa Affidavit of Candidacy - 3 School and City Elections y xu VI Csi:i t For the Office of : Council b emb e r �� W4 G) � B Dir. Dist. ar 4 ❑ 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: November 4, 2003 Name: Joseph 14`1. Viles (exactly as you want it to appear on the ballot): Home address: 3b 1 1 Ross Rd. City, State and Zip Code: Ames, IA 50014-3 6 County: Story Telephone: (5 1 5 ) 2 94-4136 (optional, wi//be pub/isho 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 l o w a Signed.- C�. County of 3 t0ry This instrument was subscribed and swam or affluned before me on _�y nr,,Lslh 8 0W49 3 Pf� by 5 f l�l� s. 1 Date Name(s)of Persons) Signature of Notary Public Title: Pam;� COMMISSION# 146549 This Af{davit must be filed ` IOWA ' MYCOM'MISSIO�PIRES With your nomination papers Notary Sea/ Forms prescribed by the Iowa Secretary of State: 2001 Update FORMS2.V97 CAY Ele-- u 2H(fj� - (p 7 PresQbed by a,e J An Affidavit of Candidacy Iowa Secretary of sla(1, Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections L; Check-if to Fill a Vacancy Yu .r# 4 (If Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Joseph i. . Viles (Name of candidate) of 6 to ry County Iowa, who is a resident of the City of -ime s (Address) and a candidate for Council tMemb e r. to be voted for at the City Election on Tuesdayovember 4 2003 (Date) (yeao Residence Date Si ned Name Street Number, (if any) city 2. 3 Al 5 3. 7. 10. 11. 12. 13. 14. 15. 116. 17. 18. ;19. I 20. ,21. 22. 23. ''4. J. Prepared in the office of the Iowa Secretary of State Page of CAy E3,_',;ons 2h(103} Pm-ibexi by the ; An Affidavit of candidacy I: lo`ra Secretary of'State,-- Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections t � u C h v-tf to 011� 'acaricy YV a r# 4 (If Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Joseph ;. . Viles (Name of candidate) of 6 to ry County Iowa, who is a resident of the City of :ime s (Address) and a candidatefor Council 1`viemb e r, to be voted for at the City Election on Tuesday ioverlber 4 200) (Date) (year) Date Residence si ned Name Street Number, if any) city, 1. 2. +1�A • 1Y. 5. 3. 7. 1 10. 11. 12. 13. 14. 15. 17. 18. 119. 20. 121. 22. 23. -)4. J. Prepared in the office of the Iowa Secretary of State Page 9--of t�) _ CtY Elec�-Z"03)-_,_ p,� i i p An Affidavit of Candidacy lo«aseQetarfygf%tate Must accompany this petition. rJ� STATE OF IOWA !' Nomination Petition '0 � For City Elections Ll C .ck if toilf.a `vacancy Yr a.r 4 (If Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Joseph i;, . Viles (Name of candidate) of 6tory County Iowa, who is a resident of the City of Ames (Address) / and a candidate for Council �7 vember, "., WIKD to be voted for at the City Election on Tuesday _11ovember 4 2003 (Date) (year] Residence Sate Si ned Name Street Number, (if any) city I kz:,c> 3 eS ?13,16 3 Z. Rs0AJ 3 fLoS 5. 'd 3. 7. tU. 10, c 11. swf&0 Li v, vt a i 3 12. 13. 14. 15. 16. 17. 18. ;19. �20. 22. 23. -)4. .J. Prepared in the office of the Iowa Secretary of State Page of cry Exec°S.'?7I�}{J � An Affidavit of Candidacy Must accompany this petition. a I,; STATE OF IOWA Nomination Petition For City Elections 17 Check if to Fill a Vacancy Yv a.r,# 4 (If Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Jose an i;'- - Vile s (Name of candidate) of 6tory County Iowa, who is a resident of the City of Limes (Address) `,r and a candidate for Council Member. � V�� �N' D _ to be voted for at the City Election on Tuesday _ ove.,1 e r 4 � (Date) (year) Date Residence si ned Name Street Number, (if any) city � 32/3 Joss �• �i ��s �� 03 Z , 3. 5 / 33 9 7. - ICJ 3101 _ s �a AO 3 11. 12. 13. 14. 15. '16. 17. 18. 20. !21. 22. 23. -)4. J. 'pared in the office of the Iowa Secretary of State Page ofs QtY Prr_,xibed tfe i An Affidavit of Candidacy lora Secr Sofle .. __.. Must accompany this petition. STATE OF 1OWA .1 Nomination Petition For City Elections �7 Ceti#to Fill a Vacancy a.r 4 (If Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate Joseph h.. Vile s (Name of candidate) of 6tory County Iowa, who is a resident of the City of ,imes (Address) / ,' / and a candidate for Council hi emb e r ` WAR-D to be voted for at the City t Election on Tuesday lovember 4 2003 (Date) (year) Residence Date si ned Nam Street Number, (if any) city 12. .J 44 l0 tai, �� o Vv� S l se 3. F i t. 5. 3. 7. 10. 11. 12. 13. 14. 15. 16. r 17. 18. +20. y 21 7 22. 23. ''4. J. Prepared in the office of the Iowa Secretary of State Page ofj_