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HomeMy WebLinkAboutA006 - Receipt for Nomination Papers - Monte Parrish RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: I ALLl•T-r � . '/��I(�'.,I c, t--f Date &.Time: Received by: !�`'�,/'+ n � o i � ,�"_����-' Title: For election to be held on: The following nomination papers have been accepted for filing: PAPERS FILED E=OFFICECANDIDATE'S NAME NOM. PETITION AFFIDAVIT kJ TV- Ili . �'(A'c�+. l S F 0.00 If you fax your nomination papers,you must also file the 0.00 + ° 0.00 * State of Iowa 24.00 Affidavit of Candidacy ��„� 20025•oo School and City Elections �:6 M2.2.00 _�25•oo , Sear - Ps �l� clrY e 11 .00 � Di A 16.00 -� tion is to fill a vacancy. 3.00 allot before the end of the regular term, usually because of a death or resignation.] 4.00 26.00 Nov(.//�m bev . IC� , 2003 9.00 2 3.0 0 ///� 4.00 ton few /'"l� /p4ry(5LA 5•oo 4 (exactly as you want it to appear on the ballot): 24.00 * 24.00 � 22.00 �� �('�� 267.00 * Code: , Telephone: 1-- •�1f 32 (Optional, will bepublisheo .L swear or affirm that the information 1 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 presicl at 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 candid fo an office on the ballot at this election. State of Signed; County of -5 )rtA This instrument was subscribed and sworn or affirmed before me on by ()nf£:. M - f ci ( �i sh Date Name(s)ofPerson(s) Signature of Notary Public M. Tide: alll-dLi -�I)q This AM-davit must be filed With your nomination papers Notary Sea/ Forms prescribed by the Iowa Secretary of State: 2001 Update FORMS2.r'97 wese by the'- Iowa Seavtwy of state An Affidavit of Candidacy STATE OF 1 O WA Must accompany this petition. Nomination Petition For City Elections❑ 'y Check if to Filt a Vacancy District # T LA9646 1, the undersigned, an eligible elector Qf/tvhlee State of Iowa, hereby nominate trc� �e (N Ofcandi date) I y� of cf � itt1JC� �„� (Address) Iowa, who is a resident of th City of and a candidate for C l 1 o be voted for at the City Election on Tuesday 2 00 r3 (Date) (year) Residence Date Name V i ned us e Street Number, (if any) ✓ city 1 g v S;,>e l2 2 3 X,�f .-e T.Jn ,.. r.- P�//►�US 2r- X c 3t?U il 1� #1 7 Y s 4 07 3bo3 a c as Oo 3�grre B! ._A S6tf (LQ---111k_ d Q ( I 70 o J davy.2%zezA e j ._ A Xj lo t � S-4-0U Prepared in the office of the Iowa Secretary of State Page I of—L5- GLY HeWtl 2H(03) fte=bw by 4e, Iowa seaeuw*of State, An Affidavit of candidacy STATE OF IOWA Must accompany this petition. Nomination Petition For City Elections //'' rC El Check if to Fill a Vacancy District # T ZAR6 G. I, the undersigned, an eligible elector Hwa,twh a °`�P�" j I S ate of Iowa, hereby nominate°f !dref �� � I I o is a resident f the,City of date) (Address) and a candidate for C t I � o be voted for at the City Election on Tuesday (Date) (year) Residence 7usDate Name ✓ e i ned Street Number, (if any) Ci ty r 1 b�106 06 � o D7 SZ e Otis Bwa. Arts 17 /0 C,/.A UeA- l� 3 U 6✓ Qra S. Pe,W4A4e1AIr"(f U3 rC Gj /�LC� 53 g Z� 63 (v 7�� � 8� e ri�rtd� , S `f Prepared in the office of the Iowa Secretary of State Page <�, of Cky by b�e(Q3) Pr�Iowa Secretary of S(a(e An Affidavit of Candidacy STATE OF 1 OWA Must accompany this petltion. Nomination Petition For City Elections ��11 CC ❑ Check if to Fill a Vacancy District # T ZAR6 4 I, the undersigned, an eligible elector of the State of Iowa, hereby nominate (if`"°''cable of 1 G�� �`� -- Iowa d is a resid?Nmty of� Sdate) �� (Address) I and a candidate for ( / voted for at the CityElection on Tuesday —LV(L�l'F'�J l3'�� '� 2 00.3 (Date) (year) Residence Date Name ✓ i ned us C Street Number, (if any) ✓ Ci s� 1.11-5 v11— ZSC] N ti a � 6,(0 Stcce 7f/ (j o J Ct'Ci C 12- *^ C, � 24 oQI IKA A, o J Saab �t1\ s ��aa "Pi7 c ) 7, �,t,A Ao,��±2- g 2Yo Prepared in the office of the Iowa Secretary of State Page of t QtY Ektitiorts 2H(03) Nvsoibed by the i- -+Secretary or Stag An Affidavit of Candidacy STATE OF I O WA Must accompany this petition. Nomination Petition For City Elections ❑ Check if to Fill a Vacancy DistrictT //11 C # �A G.. I, the undersigned, an eligible elector of the Stateof Iowa, hereby nominate (""�pli�abla of c7l� ' LV' (N me of candidate) (Address) t Ilowa, why is a resident f the City of F S and a candid ate for ( ( o be voted for at the City Election on Tuesday (Date) (year) Residence Date Name ✓ us e i ned Street Number, (if any) ✓ Ci l�I e 2 c 5 h er,��n � 0 -7 Sty d��y s 2 Z� C' YLS 4o- S octi P 40W ; F2 3y ale fAAe 312 Prepared in the office of the Iowa Secretary of State Page 4 of-if CO BeWons TH(03)PreWOW _ Iowa Gary the, state An Affidavitof as Candidacy STATE OF I OWA Must a000mpany this petition. Nomination Petition For City Elections /'] ❑ Check if to Fill a Vacancy District # T ZA R6 4C I, the undersigned, an eligible elector f this of Iowa, hereby nominate (IfAPG''cabia (/ of f 611 ^ (N me of sand dato, - � f � � ow a, who is a residen of City of /�i S _ (Address) n and a candidate for to be voted for at the City Election on Tuesday 3 (Date) (year) Residence Date _ Name ✓ us � i ned Street Number, (if any) ✓ City UJA I uLA-) S s tJ -z �3 ca�� ego g Prepared in the office of the Iowa Secretary of State page p !—Y tmca IS tM(113) Po-maibed by,the An Affidavit of Candidacy Iowa Secrwwry or scat" STATE OF (OWA Must accompany this petition. Nomination Petition For City Elections ,` El Check if to Fill a Vacancy District # T �A R6 E {tr Mai�awe I, the undersigned, an eligible elector f the ate of Iowa, hereby nominate of Iroll �� . pwa, w o is a reside((��Vottobe Cityof //.�� {" r" of candidate) (Address) / / 3 1 , and a candidate for ! C l� voted for at the City Election on Tuesday .---ZV(L�/'F (Date) (year) Residence Date Name i/ Street Number, (if any) `/" city o F/J a a - "IdA I�A c � -ISM t_ 0 _ r (J C s e 3 0^,4 Prepared in the office of the Iowa Secretary of State Page of � 1� .wu cn v» hesaitmd by An Affidavit of Candidacy b.n sa«,t,Y estate, Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections /} /� ❑ Check if to Fill a Vacancy District # T ZAR6 E Ufa (IiApQI ! KlJ� I, the undersigned, an eligible elector f the %�to of Iowa, hereby nominate l- C (N me of candidate) of 1��1 SAX( ,I wa, who is a residen of the City of A M E S (Address) 1 , and a candidate for C ! (� to be voted for at the City Election on � Tuesday -�Y(Ly'F'M 2 003 (Date) (year) Residence Date Name ✓ i ned Street Number, (if any) Ci Sri 6am 6, g-B a3 1- 1 Prepared in the office of the Iowa Secretary of State Page of —Y twalms L"(U!) wee by the An Affidavit of Candidacy tows so-:Mwydstaw Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections ❑ Check if to Fill a Vacancy District (K Appticaa© I, the undersigned, an eligible elector c�1f� f� State of Iowa, hereby nominate ��h t C J\►fib �� (N ne of candidate) of 1��s c�V& , �owa, who is a reside f th _ ity of A M E 5 (Address)and a candidate for e ! ILl- o be voted for at the City Election on Tuesday /Y Q LI F'M 13 RA 2003 (Date) (year) Residence Datei ned Name v us e t Street Number, (i;f any) ✓ city y z �_7 1. Prepared in the office of the Iowa Secretary of State Page 2of � OW Elections ZH(03) Iowa is y of slate- - /� An Affidavit of Candidacy ._ S THT O F O w Y A Must accompany this petition. Nomination Petition For City Elections C ❑ Check if to Fill a Vacancy District # T ��4 1, the undersigned, an eligible elector Qf ft�ate of Iowa, hereby nominate 4Ntf ! �fVl of f (N candidate) - r~ QQ Iowa, who is a residen t e ity of �/.�} �/( te (Address) i!Y l � and a candidate for C C/ o be voted for at the City Election on Tuesday , . �' �U4�FM� � 4 � 03 . (Date) (Year Residence Date Name ✓ ffigned Street Number, j #any) 14 �s city e g o,3 o" S 2 if ki u c9 z 1316 Q. 7 I,'<,- 81 0,0KY boy l 3o beQZ1Z S 5 � UD I'Yi IC b OL Prepared in the e Iowa Secretary of Sta e Page of i �� � ' V � � t 1,4 { DOFF 057 G-7a� . g /3 �A1 3 t 44 W-j -- Pm=twd by the An Affidavit of Candidacy Iowa seae!ry or stale. STATE OF [4WA Must accompany this petition. Nomination Petition For City Elections ❑ Check if to Fill a Vacancy District # LT��v1 (K Aa(�rcawe 1, the undersigned, an eligible elector Uwa,Vho e State of Iowa, hereby nominate (S '� (N me tandid...- of bf —gg I is a resident the City of A (Address) l , and a candidate for C t !tom �-� be voted for at the City Election on Tuesday /V Q yrz-m s&-A> 4 2 Q (Date) (yeat) Residence Date Name v' i ned - cts � Street Number, (if any) Ci A lu 49 , ZOZ fit/ z�b L en a 2 Vuc,4 J s I*Aea Ch 30 3-;? 03 m 8 -6 - l i7 Ja4 o o lr'/ a� Nor � c Prepared in the office of the Iowa Secretary of State Page of 1�y MOW"$m(us) ftesuted'bythe An Affidavit of Candidacy wwase-awyofstaw Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections ❑ Check if to Fill a Vacancy Distric�%_pp li cable 1, the undersigned, an eligible elector of teM S to of Iowa, hereby nominate , �� of l£v!1 S J�(_ ,l _e candidate) Iowa, who is a residen"f the City of_ _ A (N At and a candidate for tr ! t Ji o be voted for at the City Election on Tuesday _.& fl'F'� ,� "Y (Date) (Year) Residence o 1 e Name 1 ned � cts� Str Number, (if any) Ci t Prepared in the office of the Iowa Secretary of state Page-]Lof-15 a Raa�ed�Y�e An Affidavit of Candidacy Iowa seaey of stag Must accompany this petition. STATE OF IOWA Nomination Petition For City Elections ❑ Check if to Fill a Vacancy District # T (if Applicablo 1, the undersigned, an eligible elector of the ate of Iowa, hereby nominate IV of 1611 j owa� o is a reside t f the Cit of (N me candidate) (Address) , and a candidate for C l IL.- o be voted for at the City Election on Tuesday a YFM k 0o,-3 (Date) (year) Residence Date Name i ned atsr e Street Number, (if any Ci a J1 ✓`�`� 3 20q -To rr YhQf � lJ f7 Gr�rsac.vjwc r -7 �5 l_ Prepared in the office of the Iowa Secretary of State Pageof� %esat*d by the wwa se«etary,W state An Affidavit of Candidacy STATE OF IOWA Must accompany this petition. Nomination Petition For City Elections El //'' rC Check if to Fill a Vacancy District # T ZA Ru t G I, the undersigned, an eligible elector of te of Iowa, hereby nominate WAppli le I v` (N candidate) I ��� (Address) °f- J�<< ��._ �P y o _ Iowa, who is a resident of the City ..., � and a candidate for C ! /Z. R� o be voted for at the City Electron on Tuesday -�-Y(��'F/�/1�'�/' ; '3 a (Date) (year) Residence Date Name ✓ K S >° i ned ' ( Street Number, (if any) ✓ Ci oV i f�Y t �`.�Zl f`y,►r' 3{/O"( �L1,4 b oa a U � saN q-mE /S�3 /Ion 6 wiL,r->- - ►'I � � rs �Sl A tte's " 17/o a �-o Prepared in the office of the Iowa Secretary of State Page Of a'� ..ny aec3onsetn + An Affidavit of Candidacy focea Secnatary astaee. � STATE O F tOWA Must accompany this petition. Nomination Petition For City Elections 'y C ❑ Check if to Fill a Vacancy District # T LA RG G (If Applicable 1, the undersigned, an eligible elector of the State of Iowa, hereby nominate of 1611 J ML- Iowa,�w`hho is a resident f the City of candidate) (Address) , , and a candidate for l t'o be voted for at the City Election on Tuesday z o0 3 (Date) (year) Residence Date Name V" i ned - ccs e Street Number, (if any) ✓ city ° /S1 a 3 { r/ T3oz o le 03 1-A t� I y. T le 7'� • � oU >r l I n 8-1�03 Z _ 3� ,g -ia3 • �� 4 fit�t! ito a�Y-; � o s V-aa o Prepared in the office of the Iowa Secretary of State Page h-of Y rMcoo s[H tw) we=tMd by Yee An Affidavit of candidacy toJ.a ssact&.Y rnrscatr STATE OF IOWA Must a000mpany this petition. Nomination Petition For City Elections ,l ElCheck if to Fill a Vacancy District # 7_ LT►R6j E 'I (if Appfica6te 1, the undersigned, an eligible electorMW tate of Iowa, hereby nominate 9W(N of cwWidate) of 7r ! � i( Ia, who is a reside t f th City of__ AM! S (Address) •( and a candidate for C t fL III'YY��� o be voted for at the City Election on Tuesday (Date) (year) Residence Datei ned Name t! us e Street Number, (if any) city -Jon✓1 L i y0i IL+12-8 '� ,its S q IY,v Io 0/t4 FA 301 61/ �, 1 ew a3 70 zt rip s J2, ,-( 1-2 g Prepared in the office of the Iowa Secretary of State Page of