HomeMy WebLinkAboutA016 - Receipt for Nomination papers - Russ Cross ' RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Date &.Time:
Delivered by: '�-A tSs --r
Received by: lu•�Ir 61 Th iY�� r} Title: OPp L-ct U, CV--L) C _�
For election to be held on: i'V! her �_--
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION I AFFIDAVVIT
If you fax your nomination
State Of IOWa ,you ou must also mail the
originals by the filing deadline.
Affidavit of Candidacy
G'40 6t9_ I � City Elections
fi iu u
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 fV ayem�jy $ Zoo
p s'
Name: �uS S ero,$
(exactly as you want it to appear on the ballot)
Home address: 3 Qr d : j C6,k (0,y 4
City, State and Zip Code: "1" I A 5ZrM ' County:
C.rosS w�v1 d LQ MC 'Si ,c.aw•
Optional (will be published)E-mail: Telephone: ( ) ►�' 9645
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 1
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 th er who accepted my nomination papers an
affidavit indicating for which office I choose to be a candid . I derstand that if the affidavit is not filed by
the last day candidates can file nomination papers,I cann e candida f y office on the ballot at this
election. /
State Signed:
County,of
This in r ne was subscribed and sworn or of rtned before me on l=:Z�ce
Date
acne of Perso
Signature of Not ry P
t KATHY L.WATSON
Notary pttblic or other Title: 1 ( L,�� . A
COMMISSION NUMBER 187482
Y COMMISSION EXPIRES NOV.12, 2005
This Affida vit must be riled
with your nomination papers
Notary seal
91
State of Iowa
Nomination Petition for City offga.► . �
To sign 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 1_, 200 S
Awte'S Check this box if the office is
For Af' L.a.r!c e , C Cz%Arlci j Ward (if any), TO FILL A VACANCY'
We nominate (Candidate's name) Rmjbgv Crbas who is a
resident of the City of A Ward (if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
1.
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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
����SNomination Petition for City O#' c
{ c�
To sign this petition you must:
Be a resident of Iowa and the city of /'4�'�'��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
AyyUQ.S
Check this box if the office is
For >�+�,! &I)ci Ward (if any), TO FILL A VACANCY*
We nominate (Candidate's rn 12U� (1&bery who is a
resident of the City of , Ward (if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
2. h� S �� �- d
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An affidavit of 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
go
State of Iowa !1 r
Nomination Petition for City r
ff .�t?�t•r�. ` .�
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 220
14rvvLcs
• n Check this box if the office is
For , lnG , Ward (if any), To FILL A VACANCY*
We nominate (Candidate's me) RU4M O&b
resident of the City of who Is a
Ward (if applicable).
RESIDENCE DATE
SI TURE STREET & NUMBER, if any CITY SIGNED
2.
3.✓ o�l
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An id of Candidacy must be filed with thig petition.
Oast revised May 24,2005.
'To Fill 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 f'
Nomination Petition for City Offtceso) '___','�'JIDa�`
To sian this petition you must• f�� --
Be a resident of Iowa and the city of
Be qualified to register to vote in Iowa; but you don't have to be regi ted 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 , 20
/fir Kcs
For Check this box if the office is, Ward (if any), To FILL A VACANCY*
We nominate (Candidate's ame) Rum e''�JA-t
resident of the City of who is a
Ward (if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if an
1 Y CITY SIGNED
2. 99
3. c�
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An affi avit of Candidacy must be filed with this petition. � S
*To Fill A Vacancy means the office is on the ballot because the elected official left before he end of they 24, 005.
m.
Prescribed by the Iowa State Commissioner of Elections
i
State of Iowa
Nomination Petition for City �, i � � ► Ln�� � .�'
To sign this petition_Iou must. np1 �
Be a resident of Iowa and the city of t'�ii e-<
Be qualified to register to vote in and 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 ward, if
applicable) make the following nomination for the City Election, to be held November
—
For , 20
For 4• r Ward (if any), Check this box if the office is
� ,
To FILL A VACANCY*
We nominate (Candidate's name) T
?
resident of the City of {� � who is a
Ward (if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if an
y CITY SIGNED
3. LL
ohnre 6, nloh W A, A_S el19�f��
y�
8.
9.
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An i avit o an idacy must e filed with this petition. Last re —1
ise
*To Fill A Vacancy means the office is on the ballot because the elected official left before the end oa the aregularo05.
errn.
Prescribed by the Iowa State Commissioner of Elections
State of low
a
Nomination Petition � S��T
for City ffit6is ,
.. _ « c--, ,qe
To sign this petition you must: t ° F'
Be a resident of Iowa and the city of +e s and and
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 ward, if
applicable) make the following nomination for the City Election, to be held November , 20
A-wt.e,S
Check this box if the office is
For_ ,�, �Cl , Ward (if any), TO FILL A VACANCY
We nominate (Candidate's me) ( � �v y
resident of the City of who is a
Ward (if applicable).
RESIDENCE DATE
GNATURE STREET & NUMBER, if any CITY SIGNED
1.
2.
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n affidavit of Candidacy must be filed with this petition.
Last revised May 24,2005.
'70 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
a