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HomeMy WebLinkAboutA014 - Receipt for Nomination Papers - Jim Popken RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK -' AMES, IOWA Delivered by: v I VY"1 t�"G LV Date &-Time: Received by: V G' Title: e-r 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\A ( Ct If you fax your nomination I� papers,you must also mail the c r I State of Iowa P P ' I , �tP M 200S I� originals by the filing deadline. Jo a� Affidavit of Candidacy C�pti'R;I its -� City Elections _CITY,OFAMES IOWA For the Office o i \ 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 _ &p V. P-h),0 D Name: j1YY1 (exa ly as you want it to appear on the ballot) Home address: I U 0 C l g r k d of City, State and Zip Code: 14 m P_.S l Iowa s 00/O County: r Optional (will be published)E-mail: d i P° Jim J'oT ken,o!!!� Telephone: ( ) - 6,S00 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 Jf;n- U 10L, Signed: County of St r This instrument was subscribed and sworn or affirmed before me on -�-++ by V r m .- op ate Name of Per's Signature of Notary Public �� Notary public o&w& -Tide: q o P"Y ZG �eP�A� DIANE R, SS $ COMMISSION 134019 MY C MMISSION /RES This Affl-davit nnust be filed with your nomination papers Notary seal 0 State of Iowa sP 2o ?U1 ` ination Petition for City �o 1 as- a_M Offices C!_ERK _ G ciaoi" - ition you must: Xx Be a resident of Iowa and the city of tunes , 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 84� , 20 0_5: Ar es G.�j / Check this box if the office is For O to n r 1 I G L a rq e , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) J;r►l �o>d en who is a resident of the City of y►,�{ , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 3. s 4. 1DCW! 0 5. 6. { 7 O 8. 9. t�l✓l A.,-4 A.tia'/ 4& 10. �} v 2 S r o d 11. 2�a pl erc �C, ryes t ns' 12. 740 13. 14. 5 ,n t2 —d 15. J OJ- 16. 17. _ t j 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 S,EaP 20�AN nination Petition for City Glad _ it��hs ne�ition Vou must: Be a resident of Iowa and the city of rne.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 8f , 2005: icy ' '" "le""S 6• / Check this box if the office is For Lcl rol Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) J ►l Pn 10 k e ri who is a resident of the City of Ane: , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED Vv 3. -7 - L _ 4. 5. v z, c.,L (PC- 6. 7. 8. 9. �(.✓ 2Zy 42,�If��. � S ( l� o 1 I/G/ /au�� ✓� 4M�s 1 — 12. ors C^ etnq 9 16i a-5 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 rP 2 J at on Petition for City Offices C�"6'P yo "I`o sslan"fb�iiit on you must: Be a resident of Iowa and the city of ,y, �� 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-Fi& 2005 Amcs C, -j C I Check this box if the office is For L ►� , Ward (if any), F I To FILL A VACANCY* We nominate (Candidate's name) J ;},, Q [q who is a resident of the City of �Y„P , Ward (if applicable). RESIDENCE . DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. 2. 3. � O6 �►-��� �S- 4. co 6 r Z/,D Z. A-i /oGLL 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 State of Iowa ination Petition for City Offices - , GI `, AfA S•104V ion ou must: Be a resident of Iowa and the city of_ Am �r , 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 ". Check this box if the office is For or y� , Ward (if any), To FILL A VACANCY" We nominate (Candidate's name) Jim �o 9 ktn who is a resident of the City of AM S , Ward (if applicable). RESIDENCE DATE j GNATURE STREET & NUMBER, if any CITY SIGNED MI6 Al, G� 0 a i -1nn- s.3. 5. o a1�1� �a o _7. `J 2Z � 20 toy 8. 10. mG � 12. A- 13. ff Pi 1 SS_ Kk.to 14. 15. O ��ro 1 l0 10 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 11 '� j I� !, S T z 0 2'0' S State of Iowa © as � Petition • ^ Inatlon P i •on for City Offices CITY CLERK CITY Or AM ES,IOWA o Sian this Petition you must: Be a resident of Iowa and the city of s , 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 05' : "'--5 Check this box if the office is Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) who is a resident of the City of the s , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. F I 0,75 5. lrlycz o� 3. 2 1/2 � ✓. Sept� 5. Gig GS, s. 7. 8. 13' '5feueY.s, �- eS l QS 10. 016s ��v J 11. ` rots I S 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 1i ��-�� -h J?;' State of Iowa , :yam I Ination Petition for City ' _ �� offices ^^ eu r IBY 1 4,Co-rPL J'lu A �1_oKKsi- e# ion you must: Be a resident of Iowa and the city of.- r►,e s , 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-&b_, 20U.5: Amc/ s `A Check this box if the office is Ward ' (if any), To FILL VACANCY` We nominate (Candidate's name)_-J;M 7�>�rh who is a resident of the City of r,,p� , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 3. �. 4 O b� 5 6. _- 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 p State of Iowa 1o . a5 ination Petition for City a-- Y Offices To stAhis ition you must: Be a resident of Iowa and the city of yVte S , 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 L�, 2005-: s �' Check this box if the office is For 0 ,5 t.R. L.a.r e. , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) ;;Yvr \ who is a resident of the City of &r:la PS , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET& NUMBER, if any CITY SIGNED 1. Z 2. 41 Q0AJ';,— 4-y 3. 4. e -23-d 6 g 9i� cv Qv2 �_ a 7. 8. wi t v�-L ��1 LOGS E S1 21 0 10. 11. 12. Z4 13. — _d 14. C-leyk Ave A"es 4 � 15. 1 ^ (p 16. -P. /"J� 17. _ 18. e 19. 20. An affid v of a aby mus be fr1ed 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 ination Petition for Cityoffices ii JL CIT t ition you must: Be a resident of Iowa and the city of me5 , 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�, 20oS: li, i `' "'-5 U1 Check this box if the office is For r , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) Jim 9p 2 Y7 who is a resident of the City of YA eS , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET& NUMBER, if any CITY SIGNED 2. AVe A44i yes 3. ` c{ 4. AA -,2 5. 6. 3 Z 23 7. + t 1 8. rn an 7 3 M5 9. 2 Z Sf 04--k,scc.-An Z Roc 10. 11. 12. rt 5 0 13. s4 14. 2C $ 15. 72 1 . 18. vs5 19. 1 G -o 0 2 Oar r An affidavit of andidacy ,t be filed with this petifio . Last revised May 24,2005.1 — .To Fill A Vacancy means the office is on the ballot because the elected official lelt before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections a© k State of Iowa r' �jnination Y Petition for City offices J -. is._ntition you must: Be a resident of Iowa and the city of M es , and Ward (if applicable), Be qualified to register to vote in Iowa; b 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_", 2005: AAAZS G,i � Check this box if the office is For 'i� ZA k*ja Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) c i b, Ropke-h who is a resident of the City of AmQS , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED W5. 5��� j a7 6. / r 0 � 7. c-v a. 3 C)y Cl�trlc ,st e S Q d S 111. 12. // 13. 15. It 2-� C C.� t�� 16. ` ur►-e� 2 2 17. C.10. 18. s. 4*) qa 8` c�tee, A� Ana ' avit of Candidac m the filed with this petiti n. Last revised M y 24. 2005. 'To Fill A Vacancy means the office is on the ballot because the elect ed official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections j!i -s`1I State of Iowa ? ail ination Petition for City Offices LL Vou must: Be a resident of Iowa and the city of rne,S , 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�: '^•� Check this box if the office is For (fbu an 1 r i Z ck ray e , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) Ji M /00 30/fen who is a resident of the City of� m e S IF , Ward (if applicable). RESIDENCE DATE SIGNATURE - ^^ STREET& NUMBER, if any CITY SIGNED 1 �j US�G(.Vl2. d 3. Q 4 ��L Ta —S'aS 7. IFV7 s. 11. 12. �Q S ICJ t,c ��/r'• ' �" 13. g 2. l K101 ca 14. 15. tva s',95 a16. 17. Vle Oct r k AV. 18. �},r►�s �''S- 19. 20. /( An affic9tvit of Candidacy must be filed with this petition. Last revised MO 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 ao State of Iowa SL 2 ut� ination Petition for City Offices C! 'd �I fs= e#�ition you must: Be a resident of Iowa and the city of AM Ca , 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,i11_, 20 05 : � s G Check this box if the office is For Ca k nc 1 t f L A r!,e , Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) JiM n�en who is a resident of the City of mcs , Ward (if applicable). RESIDENCE DATE SIGNATURE STREET& NUMBER, if any CITY SIGNED 1. 2. �✓' 2-3- y 3. 4. 5. -r 6. cZ C 2 a 2 8. ( -us�fN Av e Awes sa l 9. - V 16 v e- 4 �irxr p � 11. � 10 ttia S • 12. I 13_ 0 r e. V S "4 is �' u 15. 16. 17. 2 18. lA - 19.� P�-c, C �02�0 if f 6t 20. An affidav t of Candidacy must be filed with this petition. last revised M y 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 �b