HomeMy WebLinkAboutA015 - Receipt for Nomination Papers - Ryan Doll RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: � - l L)0 Date Time: P
Received by: Title:
i .' V
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
FORM 2-M(Rev-03)[45.31
Prescribed by the
Iowa Secretary of State If you fax your affidavit of
State of Iowa candidacy,you must also mail the
original by the flung deadline.
Affidavit of Candidacy
School and City Elections
For the Office of Amer Ct f�z Dir. Dist./Ward# 3
Check here if election is to fill a vacancy.
[The office is on the ballot before the end of the regular term,usually because of a
Q a �
Date of Election: 1� qII
Name: r7 - I/ Cr 1
(PrInt name exactly as you want it to appear on the ballot)
C!l�i'CLEM
Home Address: C/O/ &14 L CITY OF 1RIES,IONIA
City, State and Zip Code: 4 k `es. T,4 5 00 )3 County: SYo,-
Optional(will be published.)E-Mail 1 c,Pol�r rat/ Goy Telephone: (5ZJ) 60
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. 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 and fifty dollars ($750) in a calendar year for the purpose of
supporting my candidacy for public office. [This paragraph does not apply to candidates for federal offices.]
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 date for any office on the ballot at
this election
State of 3,p we- _ Signed:
County of St p r
This instrument was subscribed and sworn or affirmed before me on
by
(date)
j=.
(Prin candidate's name)
Signature of Notary Public
A/�
Official Title: e
This affidavit must accompany MARY E. MC
your nomination petition. ; N Commission Number 1576M
My Commission i XOMS
Notary Seal
1211612003 Forms Prescribed by the Iowa Secretary of State.• 2003 Edition
Nomination Petition 1
For City Offices u 2 0 Z015
To sign this petition you must 113"1_A-M
Be a resident of Iowa a nd the City of __________ _, War �' E licable)
Be able to register to vote in Iowa; but you don't have to be registered. S
We, the undersigned eligible electors of the State of Iowa and the above City (and ward, if applicable)
hereby make the following nomination for the ` f ________________ Election, to be held
G
Check this box if the office is
For the Office of _ --.�_-,�1-_____, ward _� (if any), ❑ To Fill a Vacancy*
we nominate Candidate's name _�- __ '// _ who is a resident of
the City of ;! c ____________ Vilard _ (if applicable), for the office listed above as a candidate
of the following political organization, if any, _______________________.
RESIDENCE DATE
NAME STREET &NUMBER, if any CITY SIGNED
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Form 2-H: City,rev. `03. Iowa Code sec 45.1, 376.4 Affidavit 2-M must be filed with this petition.
*To Fill A Vacancy means the office is on the ballot because the elected official left before the end of the regular term.
1211612003 Forms Prescribed by the Iowa Secretary of State: 2003 Edition
nb
rJ
Nomination Petition e
For City Offices `-P 2 -.
To sign this petition you must �� ` � � ..A]
Be a resident of Iowa a nd the City of-4�.cs--------------_---WWar l 3a l amble
Be able 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)
here y make tt following nomination for there ty ___ _ Election, to be held
-ILI�L/+--8------ 20 Off:
For the Office of Cis L 444tr'� 3 Check this box if the office is
�r -_, ward-_-_ (if any), ❑ To Fill a Vacancy*
we nominate Candidate's name � ate__ &ff --------------- who is a resident of
the City of v-4mz�---_-------- Ward —3-- (if applicable), for the office listed above as a candidate
of the following political organization, if any, ---___
RESIDENCE DATE
NAME STREET &NUMBER, if any CITY SIGNED
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Form 2-H: City, rev. `03. Iowa Code sec 45.1, 376.4 Affidavit 2-M must be filed with this petition.
*To Fill A Vacancy means the office is on the ballot because the elected official left before the end of the regular term.
1211612003 Forms Prescribed by the Iowa Secretary of State: 2003 Edition