HomeMy WebLinkAboutA007 - Receipt for Nomination Papers - Joe Paulson w "►
RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: c�d �,� C.��L.,�C� Date SL Time: `,E T G(i 3, PA
Received by: A/W r� .1 Title:
i�
For election to be held on: O C
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM.1P�ETITION AFFIDAVIT
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• If you fax your nomination
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FORM 2-M(Rev-01)[45.3] paper
411w-
Prescribed by the origin th fill d line
Iowa Secretary of State
State of Iowa
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Affidavit of Candidacy ' a '-3 PM
School and City ElectionsCITY
CLE.,tt
For the Office of : j h� S / tl' �"ir.
�'A A CITY C Sa OWA
4h � I Dir. Dist./Ward #
❑ Check here if election is to fill a vacancy.
[The seat is on the ballot before the end of the regular tern, usually because of a death or resignation.]
Date of Election: a ve,.� ter' L Z d 6,3
Name: d is D,-\
(exactly as you want it to appear on
the ballot):
Home address: -� Z
City, State and Zip Code: ern =j d
County: o r � Telephone: ( 7.S)Z 92- 0 0 0 (Optional, wi//be pub/ished)
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 presideat 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 can ' to for any office on the
ballot at this election.
State of (/ l.0 A Signed' �-�'�'
County of `1 D 0:: (u PTO E- PA'U�S 0 q
This instrument was subscribed and sworn or afimed before me on S IPTI /</1 6 F2 :J 1 a a 03
by �D E -P A-(,(, S 0&J Date
Name(s)ofPerson(s)
Signature or f Notary Public
Title:_
This Affidavit must be filed �PP���1 MANE R.VOSS
� COMMISSION#134019
With your nomination papers MY fiVM
Forms prescribed by the Iowa Secretary of State:
2001 Update FORMS2.V97
Gty Elecfd b th C^3) . shunjyl�
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PrescribeA by 2e
Iowa Secretary of State Ist aCQD .STATE OF IOWANomination Petitionp'For City Elections
❑ Check if to Fill a Vacancy District # V CLERK
Lj Anofioeb Ei A ES,10V`I'A
I, the undersigned, an eligible elector of the State of Iowa, hereby nominate 6c _ , a ex
of-3Z/3 (Name of ndidale)
e,.r. �. rc�: Iowa, who is a resident of the of h.,
(Address) }.)
and a candidat for rvrc C1 t w u c� y li to be voted for at the City Election on
Tuesday 6 Ue-M k- L 00
(Date) (year)
Residence Date
Signed
Name
Street Number, (if any) city
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2. 20 f�ts+
3. 1410 A- J � vP 8
4. �� .4
5. ,,
o � &f- 3" l4 IULK
10. / r 33 G�eof s' e`y'63
11. ;Z a3 W,,5-- S t. 5 rl Y a
12. > y Z 15 /7WARID � A►vt o s
13. 1 L1 215 fqb Ave, A _
14.
15. r f03
16.
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17. WC a 3 3e) � (.�Ps�� �y Y / 0
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