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HomeMy WebLinkAboutA010 - Receipt for Nomination papers - Ann Campbell RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: Date &-Time: Title: 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. PETITION AFFIDAVIT iiff � If you fax your nomination State of Iowa papers,you must also mail the qi originals by the filing deadline. Affidavit of Candidacy C 4Y �.....:,...� BICITl v'' M ,I� A City Elections For the Office of: lYfi 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 0 , a', D� Name: n,'1 / 1- C/i, -m ,J b /l (exactly as you w t it to appear on the ballot) "/ Home address: 7 a• pe o-✓"5 d A City, State and Zip Code: A-,on e 5 County: Optional (will be published)E-mail: #80 b a H ACaa-k"AJ 10 Telephone: 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 as a candidate of the organization named above. 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 president 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 seven 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 W fr Signed: Z4.m Z - � - County of This instrument was subscribed and sworn or affirmed before me on 71 A0 n 9 I—\n h 0 . Camp ,/ J 1 Date by Name of Person Signature of Notary Public Notary public or other Title: © PCA-b f t 1 C. a�A�,� DIANE R. u0i COMMISSION * " P.y CO,MM1SS10 This Affidavit must be filed 1 -O - with your nomination papers. Notary seal State of Iowa f' ;"� .SAP `- 7 2005 Nomination Petition for City fi } _sr, /0 CLE;�X& To sign this petition you must: Be a resident of Iowa and the city of , and Ward (if applicable), Be qualified to register to vote in Iowa; but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November 1-1 , KOS-: Check this box if the office is For 1 Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) v who is a resident of the City of ,, , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET &NUMBER, if any CITY SIGNED o , k"r, 2. 3. 10. 12. %h - G .� 13. Y 7 —D 1 1 Z- 35 9�1 � 18. 19. onr ftC"4wih 4ol FaA /arts , wc!~S 20. c An affidavit of Cand' cy must be filed with this petition. Last revised May 24, 2005. *To Fill A.Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections �0 State of Iowa ��V Nomination Petition for City O fi� ga: (0 To sign this petition Vou must: Be a resident of Iowa and the city of 4, bul and Ward (if applicable), Be qualified to register to vote in to you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November t , 2005- Check this box if the office is For J , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) <,- /� ,� who is a d, resident of the City of �/� , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. I)z Q 2. io < I(S loS 3. /4IM s -cam ol-t! ?-(0 3 J S'7� g ! D 4. A. yyy 5 7[ 5. i V 0 s. 7. 8. 9. �?lcrs- 10 11. 12. 13 Ll 2b kbovVIT 14 Mf5 0 14. % aS 15. 17. too 18. Rv G 19. a33�1 20. S1 6 An affida i of Candid a y must be filed with this petition. Last revised M Py24,P2O05. *To Fill A Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa Nomination Petition for City Offic a To sign this Lpetition you must: ) CITY0 Af"°��� Be a resident of Iowa and the city of !� , and Ward (if applicable), Be qualified to register to vote in Iowa; but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if _ applicable) make the following nomination for the City Election, to be held November �", 20,.E Check this box if the office is For `� Z , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) who is a resident of the City of , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 3. .57 4 5. ZZD 02 y 9 2-UT S 12. � ��tb I�or�ltwes�rn �eS �-z3-aS 14 -7 OL y� 15. 16. —ate G� aAu- 40 7 R�c- " AoiL 41v d."� g -ay-os 17. �'�( ZS 18. 19. 20. An affidavit of andidacy must be filed with his petition. Last revised May 24, 2005. *To Fill A.Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa r E) ' ` JJ IIV Nomination Petition for City Off i r Y To sign this petition you must: dIMZ4- Be a resident of Iowa and the city of and Ward (if applicable), Be qualified to register to vote in Iowa; but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November`, 20 0. Check this box if the office is For Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) (.Y ,•� c�. �a ,, who is a resident of the City of �„ � ,� a , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. AQ n3. sl AeS Z V P 4. .2... 7 ,/,9�� 6. 0 7. 12. i 17/S 1 � a 14. d-d�.ti d u ', 1�an fir• �eS ��-©,5 1 � a 16. K •2 17. d" 1 19. ` -�- g 20. affidavit of Candidacy must be fired Mth 4his petition. Last revised May 24, 20 5. *To Fill A.Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections I:,a ,-:,2 .sue•: >.-- State of Iowa sp Nomination Petition for City C 'f ' ` 05 To sign this petition you must: Be a resident of Iowa and the city of , and Ward (if applicable), Be qualified to register to vote in Iowa;but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November 20 e, Check this box if the office is For )�� , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name who is a resident of the City of /' , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 3. 4. 5. 6. � L3 7. L�-N�c-Qi g" s. �0 9. 10 air s g �Q 12 06Yl 3 C 13. 14. I !( R 15. TN-rl - �t 16. 1 J I Y Q1,516 R nAd AA018. 8 19. ^ y 5`�9 -.f ... ��4 oS� 20. o v 3 41)j Ames 8- 6 -or n affid t of andidacy m-u—sNie filed with this petition. Last revised May 24, 2005. *To Fill A.V cancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections Q a It N State of Iowa n k Nomination Petition for City To sign this petition you must: Be a resident of Iowa and the city of niA2 and Ward (if applicable), Be qualified to register to vote in Iowa; but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November P' , 200 Check this box if the office is III For , apt/ , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) who is a resident of the City of / �,,� � , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. , Z�3 S;'-t-c' 3 Z 6 3. a� 7 5211- Al, d 5. 6. 7. 6 _ 8. p , J �- 10. f- S- 11. 12. 14. G 15. 1 16 ci 2� oS 16. e v 17. 19 Aww— d� An affidavit of andida must be filed with this petition. Last revised May 24, 2005. "To Fill A.Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa r:-17 ii Nomination Petition for City Off' ' es a to A ` To sign this petition you must: Be a resident of Iowa and the city of '171 �4 , and Ward (if applicable), Be qualified to register to vote in Iowa; but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November <j-", 20 0-15 Check this box if the office is For��e-r./D't� , Ward (if any), F To FILL A VACANCY* We nominate (Candidate's name)� �,r�u� who is a resident of the City of / , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. t a y 306 � 2.- 3 i U 5. 6- 7- VI s. �— O 9. 10. - 11. -Q-U Lic, 15 CR �S3/ 61 - z vs 1 q .t i.)o O 16. 3 /a- 17. tB. y 11f457- 3 18. 19. . - 3 �~ 20. (� F L - An affidavi of Candidacy-must be filed with this petition. Last revised May 24, 2005. *To Fill A Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa Nomination Petition for City Offices , To sign this petition you must: Be a resident of Iowa and the city of r ' 1 , and Ward -=(if applica�- == Be qualified to register to vote in Iowa; but you don't have to be registered. We, the undersigned eligible electors of the State of Iowa and the above city (and ward, applicable) make the following nomination for the City Election, to be held November_-, 20�: Check this box if the office is For Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) L _ who is a resident of the City of , Ward (if applicable). RESIDENCE DATE SIGNA SRE STREET & NUMBER, if any CITY SIGNED 2. a ,r /S 8. 9. AL 13. 14 19­ 41 & 6 14. 2 7 t `j t ti yw U'l -ZG 15. 6 is ut� 16. 3 � � s tfke 17 C ( f (f)/Cjk),s- r bf 1 74Z d v� 19. 20. An affidavit of Candidacy must be filed with this petition. Last revised May 24, 2005. *To Fill A.Vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Comimissioner of Elections 0� V I State of Iowa n r # Nomination Petition for City to To scan this petition you Must: Be a resident of Iowa and the city of / and � Be qualified to register to vote in Iowa; but you don't have to be registered and (if applicable), We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, to be held November�, 20 <�D: For Check this box if the office is Ward (if any), To FILL A VACANCY'' We nominate (Candidate's name) �&� �?,ot lilt resident of the City of_4q _ who is a Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1 D o 0 3. r 5. �� 3 a o g J h� A rags 9. z-g-v5 10. fL�2ci? _ri, 6 5 0 11. 6 Z A P 12. o� LtJ 13. ine ZS` 0S' 1 15. 16. 17: .� l�>P 18. 20. An affidavit of Candidacy must be filed with this petition. 05. "10 Fill A vacancy means the office is on the ballot because the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa Nomination Petition' ' for City Off To si n this etition ou must: AVE a p V 0frr� 9ff Fb Be a resident of Iowa and the city of and Be qualified to register to vote in low9; b_U4t4yyou don't have to be regi to ed and (if applicable), We, the undersigned eligible electors of the State of Iowa and the above city (and ward, i applicable) make the following nomination for the City Election, to be held November a, 20 D1. -' For Check this box if the office is Ward (if any) To FILL A VACANCY* We nominate (Candidate' resident of the City of Q �,� who is a Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. Ave 3. A 4. 5. h psi 6. O CrXI.!/ 7ZZA. ZIDS 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. An affidavit of Candidacy must be filed with this petition. Last revised May 24, 2005. "To Fill A vacancy means the office is on the ballot because the elected official left before-the of the regular term. Prescribed by the Iowa State Commissioner of Elections