HomeMy WebLinkAboutA009 - Receipt for Nomination papers - Matthew Goodman RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERIC
AMES, IOWA
Delivered by: l�11 f� �i t7 �?�r� F Date Time: "�,u-, �71 ,° ���-'
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Received by: �L Title: r
For election to be held on: IVO
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The following nomination papers have been accepted for filing:
PAPERS FILED
��11 OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
STATE OF IOWA 0 L
Affidavit of Candidacy
CITY ELECTION sEP 1 s 200�
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This Affidavit of Candidacy must be filed with your nominati n petitioQ, CITY CLERK
For the Office of N / Q w OF AMES,IOWA
I , District#
❑ 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 M 0 ham(() G 00e vv,of v1
(EXACTLY as you want it to appear on the ballot.Do not include titles,parenthesizes or quotation marks.)
Name Pronunciation (sounds like)
(This information is helpful during the recording of the audio ballots.Audio ballots are available for people with disabilities.)
Home Address aD I q �v A � �a �M 1� sA Scbo/y
Street Address City State ZIP
Count Date of Election 11 l o& ((�
*E-mail m c14 C )nQ A ,L,,,F ryx�S I' o t--\ *Phone(S I S )_ oZCl Z
*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 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.
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 paper , I cann e a candidate for any office
on the ballot at this election.
Candidate's Signature:
ndi ate m t sign this affidavit in the presence of a Notary Public
State of °ZOLvl1 County of OMV
Signed and sworn to (or affirmed) before me onL 206r-7
Date
by Aq-1THE h/ /n
Print Can 'date's Name n�s JILL L. RIPPERGER
COMMISSION# 145549
'r YCOMMISSIONEXPIRES
Signature ofrr Public
Prescribed by the Iowa Secretary of State
STATE OF IOWA 0 1 Print HE
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 8 2007
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To sign this petition you must : CITY CLERK
Bea resident of Iowa and the city of kftl-eS and Diskicm2rr OF AP
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 L C,I ( o,�-c, DistrictNVard (if applicable).
Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) l w G
t�oc�l►^��=� who is a
resident of the city of A sae S , District/Ward (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 Vacancv means the office is on the ballot because the elected official left before the end of the regular term.
STATE OF IOWA 0 L IE
Nomination Petition
CITY OFFICE CANDIDATES SEP 18 2007
To sign this petition you must : S:16an,CITY CLERK
Be a resident of Iowa and the city of Avil't > and Dist ' ITY or A F I a
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
For GL) j AL.An c ` District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) .2+}- w 9.,,46�,av\ who is a
resident of the city of ,6V-C71 , District/Ward (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 0 L IE
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 8 2007
To sign this petition you must : K: /S al,
CITY CLERK
Be a resident of Iowa and the city of AIAA and Distr CITY OF
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 Novemberf..L. 20�'�
For �&�Ad- L je Coj mdy,�c% District/Ward (if applicable). (_
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Ala-wie—iV 6joco(mc- n who is a
resident of the city of -74_ __e District/Ward (if applicable).
Address vita you live in Iowa
Today's
Sign your name House number qO 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 Q Print
Fo
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 8 2007
8��/dam
To sign this petition you must : IP CI7YCLL
Bea resident of Iowa and the city of and Di �able),
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) reb ake the following nomination for the City Election, to be held Novemberou , 20 )
For �t Lt�.,� G V'4 I �-t f Aft District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's ame) a ftm M q h who is a
resident of the city ofW , District/Ward _ (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 Q L IE
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 8 2CO7
To sign this petition you must : �'150f n
CITY CLERK
Be a resident of Iowa and the city of VVA-et S and Dist ict/Warll OF ofj3 able),
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) heret—S,(
make the following nomination for the City Election, to be held Novembers 20 v�
For ( District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
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We nominate (Candidate's name) 0 a ,,,< �c)o d"1a�n who is a
resident of the city of District/Ward _ (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
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AniGilax/it 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 0 L E
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 8 2007
To sign this petition you must : ITY ERK
Be a resident of Iowa and the city of �vti-�S and Dist ct/Wart OF vpwble),
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 0-7
For C-1*��, I AV- District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) M �.kkh� �,,, �o���wt�ti who is a
resident of the city of N mt S , District/Ward (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 0 L IE
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 s 2007
T sign this petition you must : F-1
C11Y CLERK
a resident of Iowa and the city of wV.-c S and Distrk,tAXacdITY OF '
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 Novembers 206
For AA rw. z-"District/Ward (if applicable).
❑ Check this box if the office is To Fill A VAcancy*
We nominate (Candidate's name) +y�� ��e ,� „����,U, who is a
resident of the city of vests DistrictNVard _ (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 C must be filed with this petition. Last revised 2-9-07
*To Fill A Vacancy m s 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
r
STATE OF IOWA Q L L
Nomination Petition
CITY OFFICE CANDIDATES SEP 1 8 2007
To sign this petition you must : ? 15an1
CITY CLERK
Be a resident of Iowa and the city of VI-ve.s and Dis ict/Wardln of a VSa
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 4 , 20,12
For. C ���, C���.� i } [_��,y� District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) who is a
resident of the city of A h„-es District/Ward (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