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Home My WebLink AboutA017 - Receipt for Nomination Papers - Mary Kitchell RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERI AMES, IOWA Date &.Time: Delivered by: k I c� Title: Received by: I'CA t L( 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 � - t lo If you fax your nomination State Of Iowa papers,you must also mail the 2 2 t 5 '� 1 1 : 1 1 A- Affidavit of Candidacy originals by the filing deadline. 13 City Elections For the Office of: Gree[�• (�lec�ic Cc, � �eQ 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 Noye"n'ber 6 . Z.00 Name: —�- V t 4-c ..- (exactly as you want it to appear on the ballot)Home address: 4114 Uje_ 2,r SriJe City, State and Zip Code: P re1 e- ZO ttilo`. S o 0 1 0 County: _5 Optional (will be published)E-mail:n t k;_' Cy �o I Coyn Telephone: ( �j 1 S) 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_ J::n(-ju Q Signed: (�. County of :5TV rs_ This instrunient was subscribed and sworn or minted before the on nn t by M tt-kA i (K i TC Ff cu, Date Name of Aa Pers ` f� f rSr.'graattu e of NotaryPublic (p_ I 1 11 a�:d 1) Notary public I�LC�+a PL� ' 1� o�QPIAL L'IANE S _ MISSION 01 4019 ,JMMISSION PIRES This Affidavit must be filed 1OW N "1 - with your nomination papers Notary seal i State of Iowa S,- r Nomination Petition for City CIS C ERix 9 CITY e,' AMES 10111A To sign this petition you must: Be a resident of Iowa and the city of H rues , 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 8, 20p5": —t-��-}.�� Check this box if the office is For _ 1�1rce het i(Yle�i ca -4{1' �_ (if any), To FILL A VACANCY* We nominate (Candidate' name) CLr tier i who is a resident of the City of s ---- (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED I-il ►o me_ 3. rtiet e_ -n ) 4. Th' f S cU- 9. 3 o o r A-\okejU,,Q 0d A-w--, .g 9, I c't CQ-1 13. 14. C( fi=jl> gI 15. � .t�cu v�c{c 8°� !`( fit►•— .v�.�s 1 •31323<7 ee�Wood 2J Awle 3 -Zb _0,57 1 Gj O Nt [: An affia4vi(of Candi acy must be filed with thi petition. Fast revised Kday 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 �. � p ,.r kIV ',I State of IowaSEP Nomination Petition for Cit -- � To sign this petition you must: Be a resident of Iowa and the city of Ames , 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 8 , 20OT: rLA1<1 -e- Check this box if the office is For_ 1c�N ree6!4 me t'nX ��-4 ' . ater--- (if any), To FILL A VACANCY" We nominate (Candidate, name) �;�e) (�c�r�� itle- ► 1 who is a ' resident of the City of Ay I s , Wftrd--- (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED «5ist, « I ,4w s- Ames s 2. IqI2t)pV Q O 3: �f 11 ctf�. S 13 Y pul � sev ro / II 9 J ��.,z�. ' 1Mes q tS 0J' 5 140 7. a. 9 6 10. wid 2Zb Q e � 5 — 12. - �/9z�c5- 1 1fo0 9—/9 o✓r 14 S— An q G 154 16, 1 ��r�uYe Lb�q Ar\((3_ 4(YLQ (3-6105 18. �3aICA heI-elr 19 , 20. An affidavit of Candidacy must be filed with this petition. 0 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 a Q -�- Nomination Petition for City Offi, >eS To sign this petition you must: Be a resident of Iowa and the city of P c^eS, , 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 8 , 20oS-: —TrLk-s+c-e- Check this box if the office is For Ieq neJj c xk 1W , #-- (if any), To FILL A VACANCY* We nominate (Candidate' name) tY'�a.r\/ l< -he t k who is a resident of the City of , Wftr i-- (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED Afy e O-d 2. 3. ✓r�� s 4 75, 5. 21253/ r 9 s. , 7. a. a 10 z 9 2 OS 1 . ftmv 14. o 16. 3o3 ( zt oS- 17. �cf r.(�,cA ,4�'i 18. Z9 20 An affidavit of Candidacy must be filed with this petition. 1-ast 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 Op State of Iowa SL-P 2 2 �5 Nomination Petition for City Off"Ic „_ft. a 6 F n To sign this petition you must: _...___. Be a resident of Iowa and the city of fA mes , 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 8 , 20oS: Check this box if the office is For ( 1 C7;rc�IeU tYlec�i C�1 ��` ' ,mat--- (if any), To FILL A VACANCY* We nominate (Candidate' name) f�c�.r\/ K��r �� ► who is a resident of the City of ppyv-s , Wftfd--- (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2 3. D ! Z6++' 9 b 4. I 5. LLe ,11. t>ci /.3r `e"Y", 1f�i—e NO w Dr, S -ZI o5 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 i Nomination Petition for � '`"�o City C ( f To sign this petition you must: ( Be a resident of Iowa and the city of fA f"es and W rd C - 11 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, 20pS Check this box if the office is For-CLn"Qrce leq McAieak any , To FILL A VACANCY` We nominate (Candidate' name) A-C he- 1 k who is a resident of the City of`.hwNpas , Wftrd- (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. �` 2 tkP Yarn 2. 0 7- , 3. o 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