HomeMy WebLinkAboutA012 - Receipt for Nomination papers - Andrew Bock RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERI(
AMES, IOWA
Delivered by: kJ—7') ,/ T. 1_'Lt Date &Time: (_
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Received by: �� `
For election to be held on:
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
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STATE OF IOWA 0 L E
Affidavit of Candidac
CITY ELECTION SEP 2 0 20u?
3A 3 PM
This Affidavit of Candidacymust be filed with our omi K
CITY OFAMES,IOWA
For the Office of Ames District/Ward # 4th
Check if election is to fill a vacancy. (If applicable)
(This means the office is on the ballot before the end of the regular term;because of a death or resignation.)
Name Andy Bock
(EXACTLY as you want it to appear on the ballot.Do not include titles,parentheses or quotation marks.)
Name Pronunciation (sounds like) Andy Bok
(This information is helpful during the recording of audio ballots.Audio ballots are available for people with disabilities.)
Home Address 2818 Oakland St Ames IA 50014
Street Address City State ZIP
County Story Date of Election November 6,2007
*E-mail AndyBock@gmail.com *Phone 515-291-3487
*NOTE: This information is optional and WILL be published if it is provided.
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. 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.
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 and fifty 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 one fthe ballot at this election.
Candidate's Signature r i
Candidate must sign this affidavit in the presence of a Notary Public
State of b cii County of
Signed and sworn to (or affirmed) before me on SEFt. C� a co
/} f D e Date o�PQIpI DIAN R"WOSS
by ?'� R COMMI�SI044`134019
* "P MY CUSS= IRESint Candidate's Name IOWA — —
Signature of Notary Public
Prescribed by the Iowa Secretary of State
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STATE OF IOWA
Nomination Petition CITY OFFICE CANDIDAT To sign this petition you must :Be a resident of Iowa and the city of Ames a e),
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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Tod ay's
Sign your name House number and street City Date
2.
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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
0 L I
STATE OF IOWA
Nomination Petition P 2 0 20
CITY OFFICE CANDIDA �N�
To sign this petition you must : CITY CLERK WA
Be a resident of Iowa and the city of Ames AM (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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
2.
3.
4.
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15,
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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
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STATE OF IOWA L LE
Nomination Petition
CITY OFFICE CANDIDAT EP 2 0 2007
3'o 4— p�
To sign this petition you must : CITY CLERK
Be a resident of Iowa and the city of Ames an District ME IO&Iapp4eam )
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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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 'n
V
STATE OF IOWA L
Nomination Petition
CITY OFFICE CANDIDAT14 SEP 2 0 2007
To sign this petition you must : � 4 (A I
Be a resident of Iowa and the city of Ames Jnd Distr C E Of applic le),
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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th
(if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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
�. n
L� E
STATE OF IOWA
Nomination Petition
CITY OFFICE CANDIDAT P 2 0 2007
345 PM
To sign this petition you must : CITY CLERK
Be a resident of Iowa and the city of Ames a W le),
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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 , 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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 '
0 [1
STATE OF IOWA
Nomination Petition p 2 0 2007
CITY OFFICE CANDIDATES ��,45 PM
To sign this petition you must : CITY CLERK
CITY OF AMES,IOWA
Be a resident of Iowa and the city of Ames and Dis nc and (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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 , 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
-Sign your name House number and street City Date
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An Affidavit of Candi cy must be filed with this petition. Last revised 2-9-07
*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
�1O
L
STATE OF IOWA
Nomination Petition SEP 2 0 2007
CITY OFFICE CANDIDATE 343 PM
CITY CLERK
To sign this petition you must : CITY OF AMES,IOWA
Be a resident of Iowa and the city of Ames and District/Ward 4th (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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 , 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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
CITY OFFICE CANDIDATEDistri
0 200
`f�
To sign this petition you must : CITY CLERK
Be a resident of Iowa and the city of Ames a e),
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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 , 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
2.
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An Affidavi of Candidac ust be filed with this petition. Last revised 2-9-07
*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
aO
STATE OF IOWA L 15
Nomination Petition
CITY OFFICE CANDIDATE SEP 2 0 2007
To sign this petition you must : PlV
Be a resident of Iowa and the city of Ames and istrlc a R�G f applicable),
Be qualified to register to vote in Iowa; but you don't have to be registere CITY OF AME ,IOWA
We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Andy Bock who is a
resident of the city of Ames District/Ward 4th
(if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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
CITY OFFICE CANDIDATES
To sign this petition you must :
Be a resident of Iowa and the city of Ames and District/Ward 4th (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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 6 20 07
For Ames City Council District/Ward 4th (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidates name) Andy Bock who is a
resident of the city of Ames District/Ward 4th (if applicable).
Address where you live in Iowa
Today's
Simi yo r name House number and street City Date
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15.
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18.
19.
0.
An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
*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