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A013 - Receipt for Nominaiton Papers - Jami Larson
RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: T o h'1 ', 1_ 0 Y c Date & Time: Received by: l_ ( al tc, v�}5� ; Title: 4 For election to be held on: G The following nomination papers have been accepted for filing: OFFICE OF CANDIDATE'S NAME PAPERS FILED p t 4ti� i' NOM. PETITION AFFIDAVIT V1 n Epapers, ur nomination State of Iowa must also mail the Affidavit of Candidacy he filing deadline. City Elections For the Office of. __ L.S C i-r! o,t) i L Ward# Z 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. Date of Election �oa� L Name: A M i 6 (exactly 2006 as you want it to appear on the ballot) Home address: f /tr a.'a," t CITY CLERK City, State and Zip Code: _County: Optional (will be published)E-mail: �� a� <!o Telephone: (�jS oration I have provided above is correct. I am a candidate for the office F� o� ame be printed on the official ballot for this election as a candidate of -ligible to hold the office for which I am a candidate; if I am elected I I know that I cannot hold a public office if I have been convicted of a V10U i rights have not been restored by the governor or by the president of the t l/Lj � organize a candidate's committee, which shall file an organization y committee or I receive contributions, make expenditures, or incur -ed dollars ($750) in a calendar year for the purpose of supporting my yLMvtlw � fate for more than one office to be filled at this election. ed ffice I must file with the officer who accepted my nomination papers lan hoose to be a candidate. I understand that if the affidavit is not filed by ition papers,I cannot candidate for any office on the ballot at this State of_ , Signed: e� County of t This instrument was subscribed and sworn or ajfirnzed before me onFIN— by �<A I'f-1 ' /,A fl Date Name of Perso Signature of Notary Public Notary,public or other Title: SCOTT M BAUE tit 7 This Affida vit must be filedp with your nomination papers Notary seal L G State of Iowa Nomination Petition for CityF;Ttf To sign this petition you must: C11YCLERK Be a resident of Iowa and the city of AMLg CITY OF AMES,IOWA and Be qualified to register to vote in Iowa; but you don't have to be registered.and 2. (if applicable), We, the undersigned eligible electors of the State of Iowa and the above city (and ward, if applicable) make the following nomination for the City Election, ai-j r` L' 1-s � v -4 SV" Check this box if the office is For t'��� C �,�cc i i�L�t�r;r Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) �], t\Ag ,rLE� Y� t'fi, �� r.$ who is a resident of the City of , Ward 2 (if applicable). RESIDENCE DATE SIGNAThIRE STREET & NUMBER, if any CITY SIGNED 1. 3-3ZI Rfor R1� 3. -G 4. `7 � e � Z�S L—Lz a 5. � V O 6. 3 �. tZ l�.t 7 S z ti 8. Zfa 8 1 tti.. v�dL to`Z(,—p(. 467 -lJ , Z 12. j 13. 3 �� r 14 11(0 �olr r. ���s -27—oCv 16. 17.18. 19. t 3 20. , l`l3 a u u,vw 7 06 An affidavit of Candidacy must be filed with this petition. O 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 I 'I State of Iowa Nomination Petition for City r A G 16 To sign this petition you must: Be a resident of Iowa and the city of .m L= , an I W Be qualified to register to vote in Iowa; but you don't have to be registe ed. WY OFAMES,IoWA 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, as\1 4�. D/-c,- For_ L i� •Y Check this box if the office is r. C�Lsr� i - L m Ward �- (if any), R To FILL A VACANCY* We nominate (Candidate's name) -TTAro g$ r4 who is a resident of the City of / , Ward �Z- (if applicable). RESIDENCE DATE 4SI,G TURE STREET & NUMBER, if any CITY SIGNED 31l a 5. tau 3 a i a. •S��.r.a� s. P n,e s_ iA 7. Zz n(o 9. 10. 11. 12. 13. 14. 1� 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 U L Nomination Petition for City ff' AU�4 To sign this petition you must (t Q Be a resident of Iowa and the city of A i� s CITY CLERK Ad cl of Be qualified to register to vote in Iowa; but you don't have to be registered. V. ' 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, of\'4i, 0JL , Check this box if the office is For C, I ��( C.U�ry�'i ME M�"iz Ward 2— (if any), R To FILL A VACANCY We nominate (Candidate's name). 1I.Aroi; "t d'4 L69 Ste;t4 who is a resident of the City of , Ward 2 (if applicable). RESIDENCE DATE S N STREET & NUMBER, if any CITY SIGNED 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 16. 17. 18. 19. 20. An affidavit of Candidacy must be filed with this petition. Mast 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 Nomination Petition for City IE rrAUq1 6To sign this petition you must• Be a resident of Iowa and the city of / fh �; ' Be qualified to register to vote in Iowa; but you don't have to be register(da g CITY OF AMES,IOWA 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, ,4,6. b&r&— For Ce-U,A4 IC:i C-MOC Check this box if the office is Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) '`�M1;S '} J-Ai j `t who is a resident of the City of ,/�:�;�G, , Ward 2 (if applicable). RESIDENCE DATE GNATURE STREET & NUMBER, if any CITY SIGNED 1. 311 1 2. -� 3. '` 4. t3 44�- G,c ` r 8. 2" 6-ZG 1 . - 6. 'o � Or' r�C Cr� GS OCO lei 33�s 14. A _C(O as I I l�i d L'�r AMC s . Co a4 -O 15.�, 1 a�aa- A C L 17. . 18. O 2 pQ. z i 19. �l 7 � R2-- 0 n aff' it of Candidacy must be filed with this petiti 1,ast revised '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 Nomination Petition for Cittnd7LgW .. ,.. To sign thip petition you must:Be a resident of Iowa and the city of_ A m Li Ica e) Be qualified to register to vote in Iowa; but you don't have to be regis red. CITY OF AMES,IOWA 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, oiQ - For r -Y Check this box if the office is Ward 2- (if any), To FILL A VACANCY* We nominate (Candidate's name) �T Aror-,; " � tL�r " ,�, �� who is a resident of the City of mo t - , Ward 2. (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. 2. t10 I 2a3. rn0 �' CJ y s. I 8 Zvi 6�17461?kl A 10. �l b(- 6 11. CU�b'aAll 12 �p�1� 14. 3 � 16. b AyYU1�0 1 za 10 17. �a . -7 / vo/, 1 ,� 7- -o - 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. Prescribe:: by the Iowa State Commissioner of Elections , State of Iowa Nomination Petition '�L �t on for Cit To sign this petition Vou must• � , Q Be a resident of Iowa and the city of A t-4 F-, d II:�JJ I I ��p licable), Be qualified to register to vote in Iowa; but you don't have to be regist red. cln of aMES,tC 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, o;:t �,, t��-; IZ is 27 { For C; i Y �, Check this box if the office is { CU c:i �- yy'�C-Mi3' � Ward .7- (if any), To FILL A VACANCY* We nominate (Candidate's name) 4,A ro t;s '19 `'tTA 641 " �,�iz re-ty who is a resident of the City of � ;�C,, , Ward �Z, (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 1. ti„,Q. �9�9 ortc vCa Jon J`', 3. S /� G�27 a(o 3. 5. b Z7 /624 Uc A IV E ZA 6 213 D6 �/ �7 7/0 (/.9Lc�r 'e 6. A 7. IA 8. 9. 10. 11. 12. 13. 14. 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 Nomination Petition for Ci [ To sign this petition Vou must: AUG 6 Be a resident of Iowa and the city of_ A m L s ` 'a' Be qualified to register to vote in Iowa; but you don't have to be regi tered. CITY of aMEs,Iowa le), 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, a,\! For CU,A4 C 1 M3� Check this box if the office is Ward �- (if any), To FILL A VACANCY* We nominate (Candidate's name) �TA MCI " L81Z 5� ��$ who is a resident of the City of /� �G; , Ward -2- (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 2. 3. 4. 5. � /90 2 S-�e,/e� g� I�✓ 6 6 - 2fis-v Q ,� �(94 8. C 1 ?� 6-2 rj 9. 10 1 1 � — 13. m nD C9 C9 �1t_ - iH " '- 14. 6 r17. 18. 19. 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 i State of Iowa Nomination Petition for City � s 16 To sian this petition you must• (p � Be a resident of Iowa and the city of A fry tg san � Ht�Be qualified to register to vote in Iowa; but you don't have to be regiteFS 7e)' 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, a,� �, fi . , y , t D" For C;t `Y� C.v�, G i yy1 �k3�: Check this box if the office is Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) _ '� �M .� ";7' 'j L� 1� who is a resident of the City of 14 , Ward �Z. cif applicable). RESIDENCE DATE SIGN TURE STREET & NUMBER, if any CITY SIGNED 2. -% 4: I"e 6 / 5.6. ' 7. 3� 1 8. E/2. lf'�' s. 3 10. 12. 11�( r1e11 A � I 13. SLnz - 14. 15. 16. 17. 18. 19. 20. An affidavit of Candidacy must be filed with this petition. fast 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 IE Nomination Petition for City AUG � 6 " To sign this petition you must: a, f l Be a resident of Iowa and the city of A m l=s , aled. , Be qualified to register to vote in Iowa; but you don't have to be registe CITY OFAMES,IOWA 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, o,,! �: p&r t� Oa:j:a ig.M 1.4 ED,, Check this box if the office is For (✓4 `Yf cUi�� �-'i �- i'�11✓ k3;✓!� Ward (if any), 5d To FILL A VACANCY* We nominate (Candidate's name) -jAMt=5 't I-A64 1 " t-A1Z-5-cis4 who is a resident of the City off{;tzc; , Ward 2. (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1 3 2 0 l0%!1 xv es 6 2 6 t�C 2 SOoc, KOT, 3. \� t 12 (o 5. - S Z IV / 7. l a 8. a�a ��.- C &/-)a 0(0 9. 10. 12. &Z� i �-c( C S - 2? 13. _a 14. _ 15. Zip 54 W - 2 7-0 1 . 1212 19. Q 62. UJ v 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 State of Iowa Nomination Petition for City f To sian this petition you must: AWIP � Be a resident of Iowa and the city of A—"L , a W rdBe qualified to register to vote in Iowa; but you don't have to be regist red. cln R We, the undersigned eligible electors of the State of Iowa and the above city anld TY ward,sifown applicable) make the following nomination for the City Election, oi3 phi' For _ C; i-`Y� CUu,�i c i C Check this box if the office is Ward - (if any), R To FILL A VACANCY* We nominate (Candidate's name) ` ~1z �1 resident of to City of r �( who is a Ward 2 (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. 2. 3. 4: y D 5. 6. 7. Z S `' -1.A-zC. 9 8. V n � 10. Xe 182� 11. J 'A7 12. Tb 13. 14. 1 . a 16 /C/ 17. ` Z-7 fo 2 � �� 20. �Y An affi f` andid y must be filed with this petition. ro �ast revised 05. *To Fill A Vacancy means the office is on the ballot because the elected official left before the end of the aregula 24, term. Prescribed by the Iowa State Commissioner of Elections t State of Iowa Nomination Petition for Cit i(*s F To sign this petition YOU Must: 16 Be a resident of Iowa and the city of f A , Be , nd and le), qualified to register to vote in Iowa; but you don t have to be regi tere . CITY CLERK We, the undersigned eligible electors of the State of Iowa and the above city (and ward,CITY OF AMES, �fA applicable) make the following nomination for the City Election, ow' � D/_-grL -j � yLE�- M i For 1✓ Check this box if the office is rn Ward (if any), To FILL A VACANCY* We nominate (Candidate's name) ETA ry1 t,� 'f " TA�'� " LA 9 STY t� who is a resident of the City of , Ward 2 (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED E del �_S �,-2 7-0 2. 4 oo led /9iYtt s f Z7— 4 56. b a l 8. .- � _© 9. 2� 4, 7-6 �f 12. - 13. - - oZ / � O 6 16. �a (J oa Ld Y[J� 18. 19. 1 r 0177 v An affidavit of Candid cy m be file 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