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HomeMy WebLinkAboutA008 - Receipt for Nomination Papers - Dan Rice RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: T a y p t C Date Time: t 1 �Q GCS. i Cl��/L�J F Title:G S�= Received by: For election to be held on: The following nomination papers have been accepted for filing: / PAPERS FILED OFFICE OF CAN D, 'AT E'S NAME NOM. PETITION AFFIDAVIT ��0,V, 1 If you fax your nomination AUG 2 9 Lu i State of Iowa papers,you must also mail the .a) N originals by the filing deadline. 1 ',40 JOM Affidavit of Candidacy CITY CLERK City Elections CITY OF AMES,IOWA For the Office of: Ames City council Ward# 1 ❑ 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 November 8 - O d S- Name: Dan Rice (exactly as you want it to appear on the ballot) Home address: 827 Burnett Ave. City, State and Zip Code: Ames, Iowa 50010 County: Story Optional (will be published)E-mail: d r i c e 8 2 7 @m s n.c om Telephone: (515 ) 6 6 3-9 4 8 7 1 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 o Signed. County of r This instrument was subscribed and sworn or affirmed before me on fiU n ust�l by :1)ftYl R,I'm Dkde Name of Person /� , Signature of Notary Public L,! 11 n U J VoNotary public : �QYLQj . SS la2gQ This Ahfiida vit must be filed with your nomination papers Notary seal ,�. t p State of Iowa i LIQ" 2 9 5 - o i anon Petition for ' 4_. o City offices �I 11 cL CA To sian this petition you must: Be a resident of Iowa and the city of AMES , and Ward 1 (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 a , 20 05 Check this box if the office is For AMES CITY COUNCIL , Ward 1 (if any), To FILL A VACANCY* We nominate (Candidate's name) DAN RICE who is a resident of the City of AMES , Ward 1 (if applicable). RESIDENCE DATE -- SI ATURE STREET & NUMBER, if any CITY SIGNED o O 2. 12 a C— 2 I A e a 12-0 3 C'S��r v� eA 14 fzo C,6 b 3 OS 5. 6. l/ ls& oc - 7... 091 gur VP. $. �) ' 10 9. C/o 8 os 10. � �s y a s 1, 831 Y 1 13. 0 C ve- ph eS 6 G-T 14 ? �k a ) 17. "PIA &I ,, - (� 05 20. 11'A5 ," ) (U a idavit 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 h i ' A " 2 05 4 State of Iowa !d - Q r ination Petition for City Offices (;s F�C1.Cii1 c�l ES i1 a':� _ r To sian this petition you must: Be a resident of Iowa and the city of AMES and Ward i (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 20 05 Check this box if the office is For AMES CITY COUNCIL , Ward I (if any), To FILL A VACANCY* We nominate (Candidate's name) DAN RICE who is a resident of the City of AMES , Ward i (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. `1 � � M� it 2. �pO�ll2, k t, ;se,- 03- 3. l0 J M (,v VZ�J CU /`' \•�� •Cam✓a.-. G'' /E'@t� ' 4 7 fI?c J 6. 8. 3130 T r er tt 2oo SOS S $ Iz3 10. 51 24T� sT. 12. c 13. S Jc{w P. 2 5-0 14. c `// Svi4�L d g"Z`( -o 1 . . 3 L//18S0 , 4�e 5 16. - Z C- S4-j 17. J2,3 IcIt 18. a 1, I 16S 20. o c rl-X 101S An aftavit of Car#tdacy must be filed with this 06tition. 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 `a State of Iowa 1p� y nnination Petition for Cit Offices n you must: Be a resident of Iowa and the city of AMES , and Ward i (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 , 20 05 Check this box if the office is For AMES CITY COUNCIL , Ward 1 (if any), To FILL A VACANCY* We nominate (Candidate's name) DAN RICE who is a resident of the City of AMES , Ward i (if applicable). RESIDENCE DATE S15 ATURE STREET & NUMBER, if any CITY SI?NEP G t-ILL/ C) v,,," 6 Z-1 s � '� s P / t 4. © Cr sf4/ S - teTAI S G D STD . 6. Gt t 8.�� t �,6 vk .U; - /G 7,q LAMr 10. �3 11.12. 32� �{�t,, S� he 9, �7 l 13. t Z71 F( f 14. t l! ��c h �►c 2-7 aV 15. 16. 17. 19. jif � os— 20. R v e n affidavit ol Candidacy ust 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 t State of Iowa ration Petition for City Offices y ces itlff you must: Be a resident of Iowa and the city of AMES , and Ward i (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 , 20 05 Check this box if the office is For AMES CITY COUNCIL , Ward 1 (if any), To FILL A VACANCY* We nominate (Candidate's name) DAN RICE who is a resident of the City of AMES , Ward 1 (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1' Q 19YW9 g z 2. r v 3. - 4L& dQ XS ch/ 6 00 5. �tJ 6. //o 0 z 7. v ©' .7 < 8. f 9. ALP 11. <>✓ [12. I 2 s 14. 15. 16. 17. 18. 19. 20. An affidavit of Candidacymust be filed with this petition. pe 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