Loading...
HomeMy WebLinkAboutA013 - Receipt for Nomination Papers - Jon Shelness RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: Date & Time: Received by: �Q s. Title: ` CA 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 If you fax your nomination j State of Iowa papers,you must also mail the j SEP 1 9 20� originals by the filing deadline. �* Affidavit of Candidacy CITYc� k�ra� City Elections i, cirr OF AMEs,IowA or t eice o or of �me�, ,�obJa : Ward# u/a ❑ 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 Robeluber 8, 2005 Name: 3rou *beiueq;g; (exactly as you want it to appear on the ballot) Home address: 236 &outb Makota City, State and Zip Code: ZItue2;, 30bla 50015 County: btorp Optional (will be published)E-mail: t�ijeCue�g a' ta�tate.ebu Telephone: (515)314 - 5420 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 cindidate for any office on the ballot at this election. State of_IO'W 0—/ Signed. County of O This instrument was subscribed and sworn or affirmed before me on Sep,1� ,r Iq , Zoo by V o n A+k iUf 1 7 T r+i r u 4'e, ! ��S5 Date Name of Person Signature of Notary Public Notary public or other Title: 1 CJ MICHELLE FULLERTON Notarial seai—state of io a commission Number 7049 3 This Affidavit must be Fled My commission Expires with your nomination papers: Notary seal State of Iowa _�� _ Nomination Petition for CityOfftes0� 2�,�� To sign this petition you must: CITY(--t�iES`Iot" Be a resident of Iowa and the city ofe� , 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 S , 20 03: For D� Check this box if the office is p Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) —who_who is a resident of the City of Rmlefs , Ward 1W (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 3. 4. v�S 2 8. '9 - f - 10. 34,36 IV;l�y Sp 714k_e, 11. 1 D� Z 7 QrvY a4,-) Irlie 12. 13, 14. vzrc01 i v S Lrhm([�t 15. fill, J 16. 1 D � ',,c ✓ ,� � o 17. 23 3 , �Ao 18. 20. An affi avit of Candidacy must be file with this petition. Last revised May 4, 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 of 01-g JI y To sign this petition you must: ! ;`� pM Be a resident of Iowa and the cityof MC,5 and W rd ft-a I ab 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 S 20 05: Check this box iif the office is Forpo� Wards (if any) To FILL A VACANCY* We nominate (Candidate's name) You *0111eq;.5 —who is a resident of the City of Z[Me! , Ward na (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED -d z 2. 112- 3. c)"I 0/2 it 53q� L a, b 4exle Ael c A AA e s a p 4. —TVA- t�Ro�z!,,/ &25 Vez` r2(k&-N ci- .�Z-�T lZlo 5 5. �'[i -� 2 CYO P-�l � 6. 3) r / ct AM 7. 9. -(' 53 os 11 Lgpj/�A_ f e ©S� 12. W&A o 13. g Cw ) CGS — µ� ti \Jp qZ 6 14. r( 5V( , Zl rfc 2_ b 15. 16. ► 4�',�k4�o�z 30�5 .;.—.` 1�. S 18. [5 (Z O 12.e'LhAAO C_y 1/40 0 Co C o h i n o AMf5 0 2- o'er 19. \ oS 1(�av Co Yv.e �[ Z O 20V tea. 1 �l2 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 go State of Iowa Nomination Petition for City Ot # � To sign this petition you must: 4; � Be a resident of Iowa and the city of M C.5and iWard l kif plicab.lf�), It Y Y erL u Be qualified to register to vote in Iowa; but you don't have to be registerq ._ CITY c ,�MES 10MA �.. 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 S , 20 03: Check this box i!f the office is For p�� , Ward (if any), F I To FILL A VACANCY* We nominate (Candidate's name) YOU *brine,5. who is a resident of the City of tTIE� , Ward na (if—applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 03 IMPS Z Y/e 5. c. Y 03 « 6c PS 6. C f� frahk� wces 2 0� 7 Ci �3 'Fis-N4 8 Z01 8. 312`� a oRd , 10. �,,,-�lu✓ ��,, 11. br" 24 d 12. 3a 73 VeJc,4 6 e,�, m AS a R b$ 13. -b ra fCy 14 15. 16. ►tee C�l N t i ►�^e 3 17. tiJj 18. _ AZ 19. c� 20. �J7� L�v "VL (-Y\ 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 Nomination Petition for City Offi, F1, To sign this petition you must: { Be a resident of Iowa and the city ofe� and Ward r,� p �if_ap lica`bl�) _ Be qualified to register to vote in Iowa, but you don't have to be registered. G i 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 S , 20 05: For IlHa or Check this box iif the office is , Ward IM (if any), To FILL A VACANCY* We nominate (Candidate's name) -Tull *behle.59; —who is a resident of the City of , Ward UZI (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. NGiP 5qa�� F 6 Ok o -,6 6,Ae z �5 2. 4. (Z Ak 7. s. 9. q 4 6 1[eeof_ 10. ,2 11 � 2 lAm Co CO D * b 12. q 2�6 13. 14. 15. 13 FCC A o^ "I o� S 16. WA Stn't cS � a oS 17. O�Ck� 4 q b 1 . �7 19. VAA � 20. but V �,� # 1 , q! OS An affid it of Candidacy must be filed with this petition. Last revised IMay 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 tin State of Iowa Nomination Petition for City Offbas"� To sign this petition you must: f` Be a resident of Iowa and the cityof ( ' �e� and Ward �� �f a � I ci a I Be qualified to register to vote in Iowa; but you don't have e 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 8 , 20 05: For fR or Check this box if the office is p Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) lo ��je� e�� who is a resident of the City of Ward Ila (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED hL 3. ck- Fl SV\,Q_C 6 I© r t 4. S10 I u *7. r� Seale Mes q /o 7 }� 10. Ir ( 0 S 11. � 12. 13. t 14. Ca Q ( G � L(3 V f.,✓bti CQ n h,� 0 i 5- 15. lauV 3�!O7 Q�b_ c- �Yn( .S 4 8' a -$6LA 94-05 17. 18. 10\ oS E20. 2b16 � 17' An affidavit of C ndidacy must be filed with thi 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 10� State of Iowa Nomination Petition for City Offices To sign this petition Vou must: Q� ` 'I Be a resident of Iowa and the city of ZIMC5 and Ward if a �� Be qualified to register to vote in Iowa; but you don't have to be registered. ( pp�licable�� 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 S , 20 05: For Check this box if the office is , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) 3foll *befile-55 _who is a resident of the City ofTl1e� , Ward nd (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. Sc-* :5a{- Z 2. A 65 3. �- 'y�(� �S'-cis 4. 31443 �� c 6. . r I 7. o f vn�a 't-s 0 - � �y /mil® 8. S'�3o le 1 9. < 10. 11. 2q(-4-(A-)e S' S 12. 13. 3f-) 14. e ,-2 1 E 7 fi I Ca 15.4z 73; I St,,.�1 1 _ �� 31.E r `Q vo� 17. ate- � � n ►'�-� 2-7- ��'r��o I n L)OLAJR OS 18. U1 rc I o 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 0-� State of Iowa Nomination Petition for City Offi bet__ r To sign this petition you must: ride � 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. r a 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 05: Check this box if the office is For ��� , Ward t1a (if any), ITo FILL A VACANCY* We nominate (Candidate's name) 3rion *belne.5.5 —who is a resident of the City of Ward Ha (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 3. 4. l�l (14 1,v_ VJY 5. 1/ 7 4s 7. +n- 2-37 8. 9. /53 ; Fr-z�- o�- 12. �00 � 13. ISL �11 C fi J ��/4 14. 15. 16. 17. $ zql 18. toAc% > 19. 20. An affidavit of andida must be filed witH this petitio . Last revised Ma 4,'2006. *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 AID L State of Iowa Nomination Petition for City Pf jobei _� a; �H To sign this petition you must• , 1& OM Be a resident of Iowa and the city of ri�e� , and Ward_na(if appl,cab'I'e), Be qualified to register to vote in Iowa; but you don't have to be registere 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 8 , 20 05: Or Check this box if the office is For p , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) ,glom �&betne.5!6 —who is a resident of the City of Z[TIje!5 , Ward Ha (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. / SI2i3e�kSeh CA 2. CAM 3. 4 r `1 8 OS 3 ► F F g g 5. A A S q 1,916 6. F �--- ©o AA (a 3 7. 8.48. C, - 6 o S 10. 11. 6S" 12. 13. c� �ZaOs 14. 16. * uv S SI V q 6( 0J 17. l3 L oN r4�ry eod �n�S "I q oS 18. 19. l�{�S Ccc hJ 1/ U 20. CQDZ elc�r v• / Ana davit andidacy 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 �,O State of Iowa Nomination Petition for Cit v To sign this petition you must: Be a resident of Iowa and the cityI e � of , and Vllartl=��(i applicable), Be qualified to register to vote in Iowa; but you don't have to be registered,,---- t 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 03: For 0� Check this box if the office is p , Ward (if any), F� To FILL A VACANCY* We nominate (Candidate's name) 31011 �&befileq;5 _ who is' a resident of the City of Tne , Ward nN (il applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. s u ,. g , o 3. � S � g Q oS 4. 5. 6. 7. -8. �1 S U5 KIT wl Z�,Z,S >✓ti� t,f 1I��c� 12. 13. 14. 15. 16. 17. 18. 19. 20. An affidavit of Candidacy must be filed with this petition. Last revised imay 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 Offidei�� Y:= To sign this petition Vou must: 1,�� P� Be a resident of Iowa and the city of MCC , and Ward IW(if applicabld), 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 S 20 05: Check this box if the office is Forp�� , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) You '6bettleg.5 —who is a resident of the City of , Ward na (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. Ll S Fla 3. Y� ,/ -�� 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