HomeMy WebLinkAboutA009 - Receipt for Nomination papers - Jeremy Davis RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: i "/'r /J ' / `- c,4 IV . 1-f;'Vl: Date Sz Time: �._
,., Title:
Received by:
For election to be held on: /V
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
r _
If you fax your nomination
State of Iowa papers,you must also mail the
`?35 originals b the filing deadline.
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Affidavit of Candidacy
City Elections
fie-Mce of: M+�S e,i�tn �o u n C t 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 d u e rn rj er 81 R O B S
Name: _t�Ct.V
c-� (enCtly as you want it to appear on the ballot)
Home address: I l l '�'e h h A Q e nw e_
City,State and Zip Code: f%,x e cy =o �,, County: r
Optional (will be published)E-mail: Telephone: (5 1!;)a 9/- `�O 11p
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 ,tJ a, Sirm
County of S -
This instrument was subscribed and sworn or affirmed before me on 02 t o2XS
by J�kctny Al V . Date
Nadle of Person
Signature of Notary Public
a%AL 7T JILL L. ERGER
Notary public 9 a Aer��: �.l/ 4 �• /ftF � f� * COMMISSION#146549
MY COMMISSIO EXPIRES
TOWN J-/
This Affidavit must be Fled
with your nomination,papers, Notary.real
State of Iowa �, �{
Nomination Petition for City Offii' sCEP -- 2 `v��5' GF;
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To sign this petition you must: f�l "�" �iUIE�'10�y�
Be a resident of Iowa and the city of tvtQs , 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 D5:
Check this box if the office is
For _L-1-!� CdL>n c- L , Ward 3 (if any), To FILL A VACANCY*
We nominate (Candidate's name) 1 ex-u�ny t� . �0.��s who is a
resident of the City of t-1r.n:e , Ward 3 (if applicable).
RESIDENCE DATE
SIGNATURE STREET & NUMBER, if any CITY SIGNED
1. �o 7 8-a1-P5
2. ZOT
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3' aje IDYL— 1pI
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An affida i of Candidacy must be filed with this Oetition. 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 f
Nomination Petition for CityOff64��SER
To sign this petition you must: . CIS t = lIt�Fup€a�1�t�
Be a resident of Iowa and the city of Mes , and Ward 3 (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 fallowing nomination for the City Election, to be held November g , 2065:
Check this box if the office is
For AM-e-s Co Q nc-t � , Ward 3 (if any), r I To FILL A VACANCY*
We nominate (Candidate's name) c'e rv�.j '1] gu 7 5 who is a
resident of the City of 0i,nVk e s , Ward .3—(if applicable).
RESIDENCE DATE
SIGNA URE STREET & NUMBER, if any CITY SIGNED
1 Ave A-wl e s 1 Z Q 6 5,
Pict Stti�,
L.� � f-... /aye 4{31. �&-V�l 8 13+ o�
3. 1 for f -% Ave. 4' id AMC
4. 13 `r d e7
5.
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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