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HomeMy WebLinkAboutA008 - Receipt for Nomination Papers - Matthew Goodman RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERI( AMES, IOWA Delivered by: q f El�t/ {�� C Date & Time: ,�� _ Title: ��J I T LI Received by: For election to be held on: U� �' � � C"6)`� The following nomination papers have been accepted for filing: PAPERS FILED [FqQFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT , T.- �9 A",EAR r If you fax your nomination FORM 2-M(Rev-01)[45.31 papers,you must also file the Prescribed by the ongj, b the filing deadline. Iowa Secretary of State State of Iowa Affidavit of Candidacy 4 LP,03 School and City Elections 14 ;5� n _ For the Office of rn,s C S9 C!(*VIC. G LG�� Dir. ❑ 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: N o v e vv\(a - 44� 2oo3 Name: M �,� ��Go an (exactly as you want it to appear on the ballot): Home address: 3 3 o 3 W e-% 4 S4, City, State and Zip Code: P,yv e S T A 4'oo( `4 County: S-V o-v\ Telephone: (i,IS a q d - 1 1-73 (Optional, will be publishea) 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 Ondidate for any office on the ballot at this election. State of A Signed; ' 4,1 County ofThis instrument was subscribed and swom or affinned before me on EPZn b M 47TT � /?00 D❑ 4� f Date Names)of P n(s) //�� , A � ' /� �//` Signature of Notary Public _ yt. 41u) ► \ (J.O_JA Tide:_ ILL C o~'Q1AC This Af-da vit must be filed COMMISSION s 134010 Mr With your nomination papers �owA -p Q® Notary Forms prescribed by the Iowa Secretary of State: 2001 Update FORMS2.V97 P wtw tv n" vft Of Ca ....... ndlaaCyr SATE OF IOWA r. Nomination Petition For City Elections rr '�4 z003 Lf =5 P ❑ Check if to Fill a Vacancy District # ' 1,the undersigned, an eligible elector of the State of Iowa, hereby nominate RX MA4_ � —S la3 e.S4 S-�. A w►c S a of3 'w►s S Iowa, who is a resident of the City of A ( ) and a candidate for met. C:�� (,u Ac.i 1, Q+ is ,s, to be voted for at the City Election on Tuesday Wve-mkoil 20o.3 (Date) (1ber1 Residence DateSlaned Name Street Number, (if any) city 1. ac del��e H0. Ie+F 2e7S-�n-� des 9-1-C)3 r�a 'N 4. 5. ,2 6. 7. 1 SOS a. C 10. �d ;- 7 12. 13. LEA 14. rL44Le o 16. Gj 7003 17. c TI7nr �h S� A�cs ' T/+ ��a/n 18. .C- (,b 7�4 S'/, Ames 74 9 .z o3 20. 7 - 21. }-s? pfll l� 22. 12 � 14. ER Prepared In the office of the Iowa Secretary of State Page -ofA. ply HeCUMS 7H(03) AWaW a the w+8eaeorr b stage STATE OF IOWA Nomination Petition 4 6 For City Elections / P, 11/� Ya i'S ci C!L I:i d ❑ Check if to Fill a Vacancy District # ,�� ES,IOWA I,the undersigned, an eligible elector of the State of Iowa, hereby nominate MV►�3i (Name d nnGdeta) of lJ e s� 5�., QrKs Iowa, who is a resident of the City of A y1A r.S , (Nd**W) and a candidate for me C:� l � -� to to be voted for at the City Y Election on Tuesday aye- #r L4 200,3 (Date) (Yeao Residence Sate Si ned Name Street Number, (if any) city 2. S 4 ':t 3. ' 4. VR42W O '' 5. 6. o s� Z z.61 0 a n C\-CZ t_� z? 1 12. 13. 16. -;-a2llf 4 rrx-j R-h z3 1714 Q lS '2z1� �1 18. 15 .IJ U 'A�v�Y' � 19. ZZI �r►x f �}vtiP 17 0 G 20. 21. a 22. qtv 23. Prepared in the office of the Iowa Secretary of State Page o3of CAy Electl '2N(03) Avxrbed kma Secretary of State y dida Mu a pan , STATE OF IOWA Nomination Petition 4 "0M s-_ For City Elections �, �,5` to,M. ❑ Check if to Fill a Vacancy District # r. ,MES Rf�9ES 10�4'A I, the undersigned, an eligible elector of the State of Iowa, hereby nominate ew w►Ct of e.Sk ��. A (Name of candidate) QrAt s Iowa, who is a resident of the City of A,nn c S (Address) and a candidate for rr"e S. C ►�h C'j f...v�c� a�' Jav gc to be voted for at the City Election on Tuesday koyejnke - 4 2.00.3 (Date) (year) Residence DateSigned Name Street Number, (if any) ��`` ��,c, i 3!W? Wat- 5tyed- 2' e Soh 3a hest f- y#3 e 5 4. Il�0✓Sftti d� a nG W. ,,-&tl(t r Alt, , o 5. J, )q a. 12.13. 3 b w t!a✓ d /e 3 20-g \,j W-0-S a�q 710 16. 17. ' 1 .9 z� G3 19. T� s��6bakkP, 20. i-A<(4w- YZ- C � '``ts �� 21. 22. 23. 4. J. r, ti— Z3`� F?� R� -Z Z? Prepared in the office of the Iowa Secretary of State Page .J ofA • • • • i +L+L - • - • -• _ • • a c • • - - • • - r • •�alGA �•► • s. : Residence . :• Stmet Number, (if any) IV10 MEMO�IH. :.?ice. • ��u.� �� i���!F. 0. •,� .� KAM