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HomeMy WebLinkAboutA007 - Receipt for Nomination Papers - Daryle Vegge RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Date & Time: tI- Delivered by: >I1 Y J Received by: �� _ Title: l X For election to be held on: The following nomination papers have been accepted for filing: PAPERS FEAAVIT OFFICE OF CANDIDATE'S NAME NOM. PETITION a a � If you fax your nomination AUG 2 9 State of Iowa papers,you must also mail the I t `• Affidavit of Candidacy originals by the filing deadline. CiTV CLERK City Elections CITY OF AMES IOWA For the Office of: 0'1'-F\l CO I 10 CL Ward# 3 ❑ 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 012 l� M Name: - -1-7) R1 h (exactly as you want it to appear on the ballot) Home address: 5 2- R City, State and Zip Code: M. 1 500)LlC0unty: Optional(will be published)E-mail: Telephone: 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 TO Uj_ � { Signed:_ County of Sr© .Y This instrument was subscribed and sworn or affirnzed before the on m . A o 00 by ate Natrl�of Peqpo Signature of Notary Public C �� . ®-44-1 Notaijf public T i Qyve✓ R Voss S DINE_ OSS $ COMMISSION 134019 My COMM! FXim This Affidavit must be riled with your nomination papers Notary seal State of Iowa ''nation Petition for City Offices JMVIES,011A an is petition you 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]�L, 20_OX: �Vb Check this box if the office is For — , Ward (if any), ❑ To FILL A VACANCY* We nominate (Candidate's name) "r—)PRy LE V E&CE who is a resident of the City of hwrl?,S , Ward _a (if applicable). RESIDENCE DATE GNATURE STREET & NUMBER, if any CITY SIGNED 1. 2. 01 Z 4. 3�>r 7. c 8. 9. Z 12. jyrr 13. 14. L 15. � 16. 17. 18. 9-7 1 � D �� fi0 l�lch j7�_ L,,.PS C Ai affidavit of Candidacy must be filed with this petition. Last revised May 2,4, 2005. ill A Vacancy means the office is on the ballot because the elected official left before the end of the regular term. G Prescribed by the Iowa State Commissioner of Elections OLGI.uN..�+q 3 + d P State of Iowa 91MInation • Petition for Cit OffiUyoa � Qa, y Offices cis�o sJ n this p etit N ion you must: Be a resident of Iowa and the city of Be qualified to register to vote in Iowa; but you don't have to be registered.and Ward (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 Check this box if the office is For , (�)� �J ( [ � } , Ward — (if any), To FILL A VACANCY* We nominate (Candidate's name) �� C resident of the City of who is a Ward,a (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED , 2. 4. 6. 7. 8. _ 9. S /Z s-o 10. 12. 1 . 13 8� 15. Ck 7--3 '4- Z�"c� 16. 17 Sc , 19. t _ w 5y20. 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