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HomeMy WebLinkAboutA011 - Receipt for Nomination Papers - Robin Habeger RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: Date &-Time: Received by: Title: 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 Q a 9 P If you fax your nomination �- ;.� 0 20� ' ' 05 State of Iowa papers,you must also mail the .rn, originals by the filing deadline. Affidavit of Candidacy City Elections For the Office of: Al e's C,' ��� Ward# 1 ❑ 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 Lyc"e- B 200 Name: r (exactly as you want it pear on the ballot) tie /[ Home address: l Bd 3 14!' Aue City, State and Zip Code: Ane5 4 S00/0 County: S46/' Optional (will be published)E-mail: f Q�U er f��`S4RE�CIE Telephone: ( I )ZVJ 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 under that if the affidavit is not filed by the last day candidates can file nomination papers,I cannot be a c di date or any off on the ballot at this election. State of -'n GL Signed.-- County of 4 U r- This instrument was subscribed and sworn or affirtned before m Qe on �T�w� e t� D , 0 Q by 20 6 V1 401 �- Date Natne of P on / Signature of Notary Publi VVUCJ I \ Notary public ax-e4w4_Title: k10+OL Lrtj Pu-L I G . OSS o COMMISSION 134019 * MY CQMMISSI o0 ThisA>�davit must be filed '�W" f with your nomination papers; Notary seal State of Iowa 0 Nomination s anon Petition for City Offi�� y CI 41H,IOWA To sign this petition Vou 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_aa, 2006' C, - Check this box if the office is For }� (,� G� , Ward � (if any), To FILL A VACANCY* We nominate (Candidate's name) ✓` Br' who is a resident of the City of , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 4. 5. 6. z 7. zi 8. Ml 9. �C78 05 10. Z17 g-L 12. s AIXAwl 13. �a AD 16 15. -^,7L,4 t v,r4- ZOVI se. DA i N 3 rrJrz S 9' o a 16. /Z ` 3 v 1 . �1� �2-+►, 19. 20. ( DS An affidavit of Candidacy must be filed with this.petition. 1 Last revised Ma6y 2 , 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 L ��x State of Iowa - Nomination Petition for City Offis °r ai x To sign this petition you must: Be a resident of Iowa and the city of 5 , and Ward (if applicable), Be qualified to register to vote in Iowa; b t 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�, 200-57- Check this box if the office is ForC04aLC��I� , Ward-L(if any), To FILL A VACANCY* _ I . We nominate (Candidate' name) Iry who is a resident of the City of S �' , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 4 C�' 5. . to act �. 303 E , 1 8. d � _ 9. -ds 1Z�= -7-05 (.J cx0 - 11. 12. 13. ! �� 14. .7 15. I 4 4�1LS� 16. R� �a 4d ,-�s,v, . 4 -7 _os_ 17. 18. vZ'�S 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 Commissioner of Elections State of Iowa - A Nomination Petition -for City Offps r°�az=5a� To sign this petition Vou must: Be a resident of Iowa and the city of CS , 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 A, 200t'S" Check this box if the office is For 011 , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) ✓` An'LO'e / who is a resident of the City of AM t43 A , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. 2721 Lin�hcr AYheS �� 9 Z 0 5 2. Q7 )'d N- A illfr3 3. J 1" 6 4 � ��© � 8. � . c Ave— Z 0 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 end of the regular term. Prescribed by the Iowa State Commissioner of Elections { 1 State of Iowa Nomination Petition for City off.c ;Qy CITY`..u.V A IES,MM1A To sign this petition you must: Be a resident of Iowa and the city of 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 $ , 20057 ` Check this box if the office is For t1G ' , Ward -L-(if any), To FILL A VACANCY* We nominate (Candidate's n me) WN•�. �r who is a resident of the City of '1�7 - , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1: ag p 5 1 6. ZZZ s. f-tuu z�iz 7. q o 8 �0�3 .T•c�e{ 7 9: 11. ri �, 1 r• 12. 13 CutG� 7A ,Q /f h r� 14. �;� c 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 end of the regular term. Prescribed by the Iowa State Commissioner of Elections ref City Elections 2H(03) Prescribed by the An Affidavit of Candidacy Iowa Secretary of State Mush"accoCtm pan y..�YNis p . `6n STATE OF I O WA Nomination Petition tr, if : For City Elections J5 f l 1C):a51 ,10 I ❑ Check if to Fill a Vacancy District # (If Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate C� ;A-- #43&q& (Name of candidate) of l�j� C/ark VG Iowa, who is a resident of the City of A-n10S (Address) i and a candidannte,, for __Ci / � (,(�Q J .. to be voted for at the City Election on Tuesday /i/Gt1, g Z001 (Date) (year) Residence Date Name Signed Street Number, (if any) Ci er 9/o�-- 3. "2S - D 41f) t- 405 f if\ - ' 2.2AOL; f Gs 12. �J M. 14. s ins 15. /;L'f An 9- �© 16.18. 9. a S G ni��t✓ q-Z-p ? �C Prepared in the office of the Iowa Secretary of State page of a� City Elections 2H(03) - Prescnbed by the An Affidavit of Candidae}}.` Iowa Secretary of State Must accampany this petition. STATE OF IOWA Nomination Petition For City Elections 10 a5 a``V1' 1:7 Check if to Fill a Vacancy District # (I(Applicable) / I, the undersigned, an eligible elector of the State of Iowa, hereby nominate ; (N ame of candidate) of J903 Clark ye Iowa, who is a resident of the City of Ar4tt� (Address) I _ and a candidante' for Ci 4 �pavt�l.� (t( 6Z J to be voted for at the City Election on Tuesday (Date) (year) Residence Date Name si ned Street Number, (if any) City � Coo, 43 41Z4 Pwy-e-5y - A a G L CLk-1 1 I ` Sfi iM t .S 21+ 65- 3. ID m4xAj&L Kus S' 2( a 420 ). r, 2-7v5 19 Vy�Fnori_4-- " N 0,Y 10. -7lEl 12. 13. 14 t5. � v l� IC s S-a7-65 16 j ("207 � 7. y o 18. 1 r7Z 7_ s 19. gip ' '2. I o C lax- ?3. S 2 I'I196R Mr-Mr-L A M 14. Prepared in the office of the Iowa Secretary of State Page of a6 ,y Elections 2H(03) Iowa to o An Affidavit of Candidacy Iowa Secretary of Slate Must accot>hpanythis petion. STATE OF IOWA Nomination Petition ; For City Elections � I�,�,a5 a.►vt, [� Check if to Fill a Vacancy District # (I(Applicable) I, the undersigned, an eligible elector of the State of Iowa, hereby nominate i (Nam of 490-s Clark VG Iowa, who is a resident of the City of A rLtr� (Address) II e of candidate) _ and a candidate/ for Gi 7-y Cp�0,L1 (,(�u�d -I— to be voted for at the City Election on Tuesday I V�y, g ZD0'5 (Date) (year) Residence Date Name Si ned Street Number, /(if any) Ci 1 ?"nO o rM 4 O5 cA,4.C- 3. � t � 3 i. T' o o 10. 12. �d S �/► 0 13. 14. O `h 16.1 .�, 17. - - / 1 s. - 1 5A - o ?2. t A. 0 Prepared in the office of the Iowa Secretary of State Page of i