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HomeMy WebLinkAboutA014 - Receipt for Nomination Papers - Erwin Klaas RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERIC AMES, IOWA Delivered by: �-- r'� tllr� � Date &--Time: A( cl 10 A OA ) Title: �.ca� �. Received by: d� For election to be held on: The following nomination papers have been accepted for filing: PAPERS FILED ffit%JFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT j LA-A S '55 4�j"- 1,1,4-,p(I-AE-5)) If you fax your nomination State of Iowa papers,you must also mail the originals by the filing deadline. La AUG 2 8 2006 Affidavit of Candidacy q' 11 10 Wk City Elections K��1^Y F&fy !%W41f: �D aC n C; l�e res i ve— 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 /S/D t/ -n he r 7, 2_6 o 6 Name: �/C l r9�r, �� (exactly as you want it to appear on the ballot) Home address: City, State and Zip Code: _Ames 10 County: SA©r Optional (will be published)E-mail: CrV1<1naS . a0/0,6 Ya�rot9 C6Tele hone: 5/ L_ 3,�7 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 _( D WrASigned: a County of S`�o tr This instrument w s subscribed and sworn or affirrned before me on by. a", , Date Name of e sor Signature of Notary Public Notai y public or other Title: F ; ^ PENNY A. T ena v p CC::iv71SSION No 58�59 ThisAffidavit must beriled hry'coMM�sSION ��irLs �JWA with your nomination papers Notary seal i State of Iowa Nomination Petition for City ' Offices To sign this petition you must: Be a resident of Iowa and the city of DES Be qualified to register to vote in Iowa; but you don't have to be registered.and ,Z (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--7F , 20g: Check this box if the office is For , Ward —(if any), FV To FILL A VACANCY* We nominate (Candidate's name) ��s resident of the City of who is a Ward (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. 2. 3. 4. Marva rive 5. YttY, r—S gIC1161n 6. w Ue� DLO wes�e. 411 y 7 P I 8.' � l 9. 23 J S 3 v GUi,,--o 13 14. 15. to 16. 0 6 1 /71&4e 8 21 06 7. 18. 19. 20. L� 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 the end of the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa Nomination Petition for City offices To sign this petition you must.- Be a resident of Iowa and the city of DES Be qualified to register to vote in Iowa; but you don't have to be registered. and ,Z (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 C: C014 .� Check this box if the office is For , Ward , (if any), rq�Oor To FILL A VACANCY* We nominate (Candidate's name) resident of the City of Awho is a Ward AW (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if any CITY SIGNED 1. 2. } 3. 4. 5. 6. .8 38 6 Q . 9. 1 12. �81 s P k 13. rOc ► -a g�6 0 6 14. 15. 16. 18. 19. An affidavit of Candidacy must be filed with this petition. IOU 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 Nomination Petition for CRY • Offices To sign this petition you must• Be a resident of Iowa and the it of_� CS Be qualified to register to vote in Iowa; but you don't have to be registe ed.nd and i' (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 20d : e ' o .I For �/ Check this box if the office is Ward,�(jf any) To FILL A VACANCY' We nominate (Candidate's name) x4ms , resident of the City of_— > t who is a War d.� (if applicable). RESIDENCE DATE SIGNATURE STREET & NUMBER, if an Y CITY SIGNED 1. 2. I al f A"-,w e 9 06 3. Z �" vans y�2 4. , 013OLSi 0 5. o 6. ,- ,n� ey d Y' 9. 1 6 O 3811 r< 8 -/Fs -o� A v '�!r Q Y'vt V ►'11 Q U o2 d �o 14. � o 15'. 16. 17. 18. 19. 20. An affidavit of Candidacy must be filed with this petition. Last revise 'To 05. Fill A vacancy means the office is on the ballot because the elected official left before he end oft the regular term. Prescribed by the Iowa State Commissioner of Elections State of Iowa Nomination Petition for • City Offices To sign this aetition you must Be a resident of Iowa and the city of —�-wcS and Be qualified to register to vote in Iowa, but you don't have to be registe ed and .Z (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 42 ,014A6a---2W �, 20 C. For Check this box if the office Ward�(if any), ce Is TO FILL A VACANCY* We nominate (Candidate's name) S resident of the City of who is a Ward (if applicable). RESIDENCE DATE SIGNATURE. STREET & NUMBER, if any CITY fur SIGNED 3. �c� bob 06 4. CJ v� 5. 6. fo l �13 e o T - 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. An affidavit of Candidacy must be filed with this petition. Last 24, 'To Fill A Vacancy means the office is on the ballot because the elected official left before he end oft ea egularO05.term. Prescribed by the Iowa State Commissioner of Elections