HomeMy WebLinkAboutA012 - Receipt for Nomination papers - Emil Peterson 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
f �J
t { mp If you fax your nomination
State of Iowa papers,you must also mail the
i Affidavit of Candidacy originals by the filing deadline.
s 2 2005
n Gr-ee�eity E ectloji$ �y CeA1L4er
� k i t CCl I
/LAS Qe-r Ward# -----�
rr
❑ 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 Q Ve t/Vy �✓ �� p
Name:
(exactly as You want it to appear on the ballot)
Home address: 2.-73C) VcAky Vl?4.1 RcQcl
City, State and Zip Code: �s f �C /�- !~01) I County: 90r
Optional (will be published)E-mail: Telephone: ( 5 1�-j`«-_ I c?cM
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 ($750) in a calendar year for the purpose of supporting my
candidacy for public office.
I know that I cannot be a candidate for more than one office to be filled at this election. If I have filed
nomination papers for more than one office I must file with the officer who accepted my nomination papers an
affidavit indicating for which office I choose to be a candidate. I understand that if the affidavit is not filed by
the last day candidates can file nomination papers, I cannot be a candidate for any office on the ballot at this
election.
State of T�> � zed:
County of aor
This instrument was subscribed and sworn or affirmed before ine on
by � * Date
Name of Pers
�Pµ1A�S�
Signature of Notary PublicR REBECCA L. LUING
o COMMISSION # 1.78439
z r
MY COMMISSION EXPIRES
Notnry�public or other Title: c �, F lO1NA -1
This Affida vit must be riled
with your nomination papers Notary seal
State of Iowa
2 2005
Nomination Petition for City Of , p .
Giay I ES IOC,oP'A
To siqn this petition you must:
Be a resident of Iowa and the city of IW 15P and Ward '"'(if applicable),
Be qualified to register to vote in Iowa; but you don't have to be registered.
We, the undersigned eligible electors of the State of Iowa and the above city (and warq-,r',f
applicable) make the following nomination for the City Election, to be held November a` , 20 d$�
zrd
Check this box if the office is
--(if any), 11 To FILL A VACANCY*
We nominate (Candidate' name) CK-A'l l > �S'0 �
resident of the City of me who is a
Ward applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
1.
2. �M�S
3.
4.
5.
6.
7.
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 end of the regular term.
Prescribed by the Iowa State Commissioner of Elections
• Q �5
State of Iowa
Nomination Petition for City Of r-� o
.tlY g
To sign this petition Vou must:
Be a resident of Iowa and the city of. 4 V14e.5 -, 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__K, 2045'
!�(ct/'Y G�-QP levy A4QA Ca 1 &v_Ter--� Check this box if the office is
For 2tXt J'c•( O"t Tevs�e.4s , Ward (if any), � To FILL A VACANCY*
We nominate (Candidate's name) �W1 j ) /4o Pe 4 /,s o 11 who is a
resident of the City of Ward -�if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
(Av� Ew
Z5t,` a<
Z_V4.
5. A/-
6. MLT
8:
10.
11.
r
12.
13. a- G
14.
15 D
38r7 rle c, -K l3fvo
16 -1? 0 0
17. 6
18. 8/7 /5/['_'te-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 QD
State of Iowa y 4
Nomination Petition for City
o ►� _
To sign this petition you must: ryi yp p
Be a resident of Iowa and the city of V11215� .41
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 war , 'f
applicable) make the following nomination for the City Election, to be held November , 20 0S.'
Mctr ror�e.f� � Cs�e.�
For �►( rNs pf Check this box if the office is
Ward ^(if any), To FILL A VACANCY*
t
We nominate (Candidate' name) �w11� At P�4c> r5�iD �
resident of the City of .eS who is a
Ward '-cif applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
2.
3. .S D�
4. 7
5.
6. ,- 1
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 end of the regular term.
Prescribed by the Iowa State Commissioner of Elections
°D
State of Iowa
Nomination Petition for City
ty Of $�P� �.
C T
". _...
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__, 20O.S7
Ma'-Y 6reP I p y A4pCL1ca 1 CQV-4,- Check this box if the office is
For _ tX tea( 4 �ir�s/"�'pS , Ward — (if any), To FILL A VACANCY'
We nominate (Candidate's name) �'I/►'1 j �� 1� rs 9 Ll
resident of the City of �.e s who is a
Ward -----(if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
8
� 05
3. . 45r
d/3 Nt.lei,it/r_Al
4.
6. 2 au
7. `r / �✓r
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 end of the regular term.
Prescribed by the Iowa State Commissioner of Elections f _
State of Iowa
Nomination Petition for City Of i
To sign this petition Vou 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, 20Or-
owy -e I tAAVC WCa I CeV.4r' Check this box if the office is
For
�04 rc• 4 7ey's�e•pS , Ward -- (if any), To FILL A VACANCY*
We nominate (Candidate's name) �'w1) ) �, �g rs p >� who is a
resident of the City of_ ym e S , Ward -----(if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
2. 4 —rZ
2:13. k�r.ISmAnI ,a1�cs 9/)2j&!�
4.
Fa3 i3� P/60
s.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
An affidavit of Candidacy must be filed with this petition. fast 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 CityO
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__K, 200.E
nA''Y Gr�-eIQy �ecWca 1 Cpv�.)e -
For Rn n - Check this box if the office is
� R 'ta C'T 7rvS be.?�S , Ward — (if any), To FILL A VACANCY''
We nominate (Candidate=,e
e) f lN)j ) �� pek /'S ID who is a
resident of the City of S , Ward '--,(if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
23.
Z`hit Z z 3 6 13 to 1-r1-0 1, Z S
4.
5
7. Oft S 3 d
v �
oD r G 9.d2_a.
9.
10. ,
11.
12.
13..
14.
15.
16.
17.
18.
19.
r20.
An affidavit of Candidacy must be Iiled'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 (Q
State of Iowa
Nomination Petition for Cit y A
i"ir G aG+ES,iOVIA, __J
o sign this petition Vou must:
Be a resident of Iowa and the city of We
Be qualified to register to vote in Iowa; but you don't have to be registered.
4 and 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, 20OS-
&V 4r-• Check this box if the office is
For UQ d'cj C4 Te�-AS�V-+�!S , Ward -- (if any), ❑ To FILL A VACANCY''
We nominate (Candidate's name) I�IN�j ) i� rS 9
resident of the City of wie S 1,1
who is a
—•---7 , Ward ---,(if applicable).
RESIDENCE DATE
SIGN TU E STREET & NUMBER, if any C TY SIGNED
1.
2
3.
4. ''�` l 2-1 D
5.
6 �
Z� 7
73Y Z-1 �- :7 9 /Los
8.
9. f,�. -w 1 z I,A--t4 1117,5vT Pnti cLs �C I�, o
10. v
11. adz^ 6�-
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 '
C
State of Iowa
Nomination Petition for City `�o� =
Off�� _p
To sign this petition you must:
Be a resident of Iowa and the city of4vwes , 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_, 20O.7
Mwy Gr-PP I P y l�ApCL1Ca l CQV-)6r-- Check this box if the office is
For R04 Pa 4 7_eus�e.rs , Ward — (if any), To FILL A VACANCY*
We nominate (Candidate's name) who is a
resident of the City of_ Wt e.S , Ward --•(if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
XI tv &
1.
3.
4. 1
(J e us
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 ter
State of Iowa -I'
Nomination Petition for City f
To sign this petition you must:
Be a resident of Iowa and the city of_4and Ward
Be qualified to register to vote in Iowa; but you don't have to be registered. (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_, 204S^
tact,-Y P t Pny /MVCW a I �e,�. r- Check this box if the office is
For 2Oq d'c.( 0 T✓US�e.ps Ward — (if any), To FILL A VACANCY*
We nominate (Candidate's name) �W1 j )A i-�- rS 9
resident of the City of vyle s who is a
Ward --{if applicable).
RESIDENCE DATE
IGNATURE STREET & NUMBER, if any CITY SIGNED
2.
4. 133fl ?.�� f i3J
5.6.
s"6/y
8.
10. VA
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
State of Iowa
or City OfficeS1 n9
7 I '2 2
Nomination Petition f �µ �a .'�►_
e..
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 war , •f
applicable) make the following nomination for the City Election, to be held November , 200S—
Check this box if the office is
For , Ward —(if any), To FILL A VACANCY*
We nominate (Candidate' n�a�m_�e�) Cw11� A. N4, rs-otj who is a
resident of the City of i� , Ward ^(if applicable).
RESIDENCE DATE
;SIGNATURE STREET & NUMBER, if any CITY SIGNED
K ��&,
2. 2730� . `t (0 65
3.
4. RG D 9 � .y Ciro �}~5 q �o ,0
5. 33
6.
r RI
7.8. 4).3 ✓hoc.
9. 2J,57
)
10. �1
11.
12.14.
CGd� 11 GL
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
f �
. State of Iowa
i
Nomination Petition for Cit Y Off 40 `
To sign this petition you must:
Be a resident of Iowa and the city of AmleS, —, 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 war if
applicable) make the followin�nominat for the City Election, to be held November�, 206S
q�y ee (-P M
For�r /? ��I � Check this box if th
rd Oc�- 1lwT�'j'S e office is
Ward (if any), To FILL A VACANCY*
We nominate (Candidate's ame) evv�1, At pie4e/sol-7
resident of the City of es who is a
Ward ^(ff applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
�wwad
2. ZITT Val6 V�ecv �cQ hne5 1 05'
3.
4. VCIfe yew 1�roe5 917 DS"
5. U,
eliiL
7. a
s. lit �,ale �•-u,a C°2.. -- rn e o �
�
9. 0
U C .. �lz
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 1U
State of Iowa
Nomination Petition for City Offi"S',
ev5 .�►•
To sign this petition you must: �-
Be a resident of Iowa and the city of ,4vwe_� 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_, 2005
MA''Y 6reP ley �PA Ca I Cpv.�r-- Check this box if the office is
For R: cam( 4 , Ward — (if any), To FILL A VACANCY'
We nominate (Candidate's name) i�(/I/)j ) / 1 �' /�$9 who is a
resident of the City of_ Wl e S , Ward applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER—if any CITY SIGNED
2.� , s 1i
3.
4.
5.
6.
7.
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 end of the regular term.
Prescribed by the Iowa State Commissioner of Elections
1