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HomeMy WebLinkAboutA005 - Receipt for Nomination Papers - Mary Ann Lundy :f. RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK ARIES, IOWA Delivered by: Ane- Date & Time: kDiat 075 ,2V3 �9 U Received by: , Title: For election to be held on: �d The following nomination papers have been accepted for filing: PAPERS FILED OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT Xj" If you fax your nomination _FORM 2-�L{DQ„-n"-[4s 33 papers,you must also file the ri by t != originals by the filing deadline. State of Iowa V. 2 J 103 Affidavit of Candidacy ! m u School and City Elections 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: C�1 X' ��,e_e.2 1+ , 0(1Q Name: 0.r u ULn A�,..1 (exactly as you want it t6 appear on the ballot): Home address: 431 � mot- ho e Y)� X ay eel' City, State and Zip Code: MPS . =&s 50014 - f)(r�(o County: (QD�o r S Telephone: (,5a) ag I- o ,15!1 (Optional, will be pub&heo 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 1QblJeel Signed: County of 57-D W This instrument was subscribed and sworn or alrirmed before me on by AIR VAAfy L.GI Alb -� Date N me(s)of Person(ss) Signature of Notary Public --�-1& Title:_ifeaul-_ � A Z~ COMMISSION#146549 4K in This AMida vit must be filed MY COMMISSION EXPIRES /OWN �.. 17`© With your nomination papers Notary Seal Forms prescribed by the Iowa Secretary of State: 2001 Update FORMS2.V97 For 03> I� An Affidavit of Candidacy P- C the io«a c to of stw l i Must accompany this petition. _ 1,:45Trr STATE OF IOWA L Cad�i cm � { 10VIA Nomination Petition For Nonpartisan Nominations and Nonparty Political Organizations For the Office of District# ec L? (If applicable)U I, the undersigned, an eligible elector of the State of Iowa, hereby nominate, 431 G-V""oe+ni"t �° AAA (� c � me -of Iowa, who is a resident of the -meS A*affltcity/dam and a candidate for the office of to be voted at the City Election, Tuesday,"A)OP'Q"Q,n 4 , Residence Date Nqne Street Number, (if any) City Signed 1 S=zy3 7-63 2. 10-30 3. X 8- 2-9 9. / U 11 . L 18Di b-ol b 8' o 12. 14. t1� L D C��.•-�-A— �Y.r— r11710 15. P 16. 17 18 �- -o 19. �. 20. ,� / s A0- -a 2 . (,v -0 --U 22., 23. g ! 5" C- Ct' Y 17- 63 24. e�� 1 # 40 3-1 -o 25 C, 2 2 I �6)_ ced S o a l V 9-47- Prepared in the office of the Iowa Secretary of State Page_Lof__L Form 2-H(Rev.-0.3 r An Affidavit of Candidacy Prescribed by the accompany,� L7o� Must any this petition. Iowa Secretary of a [A' �7 p;STATE OF IOWA domination Petition € °u . Ttpanman INNoiinations and Nonparty Political Organizations For the Office of `' r,ot1mcc c V Csrm.Q� cn )cL-) District# (If applicable) Q I, the undersigned, an eligible elector of the State of Iowa, hereby nominate, 43► r.S� . � S 0.r a22 nrL l��� of Iowa, who is a resident of the &M w�afd/city district and a candidate for the offifce^of - to be voted y� at the City Election, Tuesday, `1 M 3e, -q- Residence Date Signed Name Street Number, (if any) city 2 3. cy, -v ZT 4. Qd 5 6. 8. 9. 10. J 12. 3 ( 13. 14. 93�7 - 5. 17. q av = i 5 1 q 60 9 il 4/0 V 7— 11 2 22.- . , Sid. 23. 24. ` ��z � 1 /�5 b/�'P p- f %,3 25. a ofPrepared in the office of the Iowa Secretary of State Page 1 rr � MUM Aar& Date Residence Signed treet Number, (if any) A Bills mpg i CAM ION Will ResidenceDate sm / �l ` 1 O, . • 1 ,1' a • _�1MY I RIM WAR A IF ! WN 'Few M- I • � fir. 1 •. � � �UL / / / / i o r I Form 2-ti(Rev: ' An Affidavit of Candidacy Prescribed Iowa Secretary o a Must accompany this petition.VJ '33 STATE OF IOWA ,u Nomination Petition i 'f�+l:¢9 A 4S _ i l par asap- . oininations and Nonparty Political Organizations P For the Office of District# atake (If applicable) I, the unde signed, an eligible elector of the State of Iowa, hereby nominate, 43 i(o - "Ok--n W4. of Iowa, who is a resident of the w,aFd/ci isti a and a candi a for the office ofAmzo- --c2t�uA to be voted at the City Election, Tuesday, �O'Uq--, Residence Date Name Street Number, (if any) City Signed 2,6 2. fl S- 3. QTD l�rfi / U� L-, 4 U2 :VA 8`17,d 3 5. 6. 7. 10 )1 . 12. Z 14. Ji/. ` 15. 16. 17. 18. 19. 20. 21 . 22. 23. 24. 25. Prepared in the office of the Iowa Secretary of State Page 5 of W r" i - f i Form H(Rev.-6 An Affidavit of Candidacy Prescribed by the Iowa secretarg of Mate' p+'^ -e) Must accompany this petition. ` STATE OF IOWA Nomination Petition l Y i J: '„Ji�ip PU1l�d -w--"V6rN'0npiIrIlSdff' iminations and Nonparty Political organizations For the office of Ca'� District# UU (If applicable I, the undersigned, an eligible elector of the State of Iowa, hereby nominate, 431U 'Z!�A o"NYXX.L- ' of Iowa, who is a resident of the AYYY—::1S /ci dis t and a candidate for the office of Cc3u rt to be voted at the City Election, Tuesday, ` U11�rY �3_¢, Residence Date Name Street Number, (if any) City Signed 2. / ��3� f��se���s� v� Y l�3 3. 0 v 5. ZK r e, LL 6. 7. 8. 9. 10. 11 . 12. 13. 14. 15. 16. 17. 18. 19. 20. 21 . 22. 23. 24. 25. 1 1 1 (— Prepared in the office of the Iowa Secretary of State Page � of W