HomeMy WebLinkAboutA010 - Receipt for Nomination Papers - Louis Banitt RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERIC
AMES, IOWA
Delivered by: Date & Time: ILL
Received by: ��- !� Title: ( S�
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For election to be held on: Z)() Qi
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
aka �t�Zf,�J �'✓ ���� / /% �.
STATE OF IOWA 0 L E
k Affidavit of Candidacy
City Election AUG 2 6 2009
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This Affidavit of Candidacy must be filed with your nomination petition or conv ntion certifica%TY CLERK
AM ES,10WA
For the Office of fT via ,' YA l H U ICTe e. District/Ward #
(If applicable)
❑ Check if election is to fill a vacancy.
[This means the office is on the ballot before the end of the regular term;because of a death or resignation.]
Name /_Cr L" is L,/• /9,4 y, ; f f
(EXACTLY as you want it to appear on the ballot.Do not include titles,parenthesizes or quotation marks.)
Name of Political Organization, if any
(Required if nominated by non-party political organization convention)
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/y kle //1 r c Ave, W,_j 7�/� f 0/0-YY-/3
Street Address City State ZIP
County S/ (0 V Date of Election 3 AlOv, -Z 0 ,9 7
*E-mail L C o fs,e A 7_�.t- ki C-T *Phone ( - -) ,?3 .Z-/i z 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
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 on the ballot at this election.
Candidate's Signature:
Candi to must sign this affidavit fn the presence of a Notary Public
State of ZA4 Lj/i County of STdfy
Signed and sworn to (or affirmed) before me on S- a� -Q q
Date
by L6U15 Pastry
Print Candidate's Name JILL L. RIPPERG -81
Commission Number 146549
MY F.xptres
Signature of Notary Public
Prescribed by the Iowa Secretary of State
STATE OF IOWA FAUG
L�Nomination Petition
CITY OFFICE CANDIDATES2 6 2009
To sign this petition you must :
C11Y�i_ERK
Be a resident of Iowa and the city of and Dist ct/Wardcl?YGF�,tlap,pno*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 Novemberl- 20 q7
For .v,Jm 1 '7h Lfs7c District/Ward (if applicable).
�J
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) �p L4 a A 13 ,4 o ; who is a
resident of the city of A w,s , District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
3.
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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.
!7 r) Prescribed by the Iowa State Commissioner of Elections
L
STATE OF IOWA
Nomination Petition
AUG 2 6 2009
CITY OFFICE
CANDIDATES 100 / &P
MI
To sign this petition you must : CITY CLERK
CITY OF AMES,IOWA
Be a resident of Iowa and the city of Wi c-s and District/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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November, 20
Forr7°P District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) /-a..LA ;-f (w . e A ,' who is a
resident of the city of ,G� P t 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.
a(, Prescribed by the Iowa State commissioner of Elections
STATE OF IOWA �. .._
Nomination Petition
CITY OFFICE CANDIDATES AUG 2 6 2009
To sign this petition you must : 3D AIM
CI7YCI_rRK
Be a resident of Iowa and the city of A WAe-,. and Distric _CIT't'A.r
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 3 20 0 9
For q osp, �A —T� vj7e e District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) W who is a
resident of the city of A vwP- District/Ward (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 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
Ig
STATE OF IOWA
• Nomination Petition AUG 2 6 2009
CITY OFFICE CANDIDATES //�ari
To sign this petition you must : Ci_Y CLERK
Be a resident of Iowa and the cityofA CITY OF AMES,IOWA
lM eJ and Dis rlc ar (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 3 20 2j
For io �,� / �y rTe e District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) /o L4 U lam. /_? A �, 1, 2"( who is a
resident of the city of "lP1 , 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 lied 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.
;V Prescribed by the Iowa State commissioner of Elections
STATE OF IOWA j1
Nomination Petition —
CITY OFFICE CANDIDATES
AUG 2 6 2009
To sign this petition you must : @ll 3(jgy�,
Be a resident of Iowa and the city of r and Dist ict/ rirr" R ica e ,
Be qualified to register to vote in Iowa-, but you don't have to be registered. CITY OFAMES,IM A
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 3 20 9j
For/ O�c n ' �� / `T r s 7 r-c- District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) L o u `�� L✓ h I` who is a
resident of the city of ,,L� -�1 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 A-
Nomination Petition AUG 2 6 2009
CITY OFFICE CANDIDATE Q IT3oalr�-,
To sign this petition you must : CITY CLERK
CITY D"'"
r, ,rS, I0WA
Be a resident of Iowa and the city of w4e
Be qualified to register to vote in Iowa; but you don't have to be registered.istrict/1/Vard (if applicable),
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 November3, 20
For LL r . ,rt `a j ` (r (rime- District/Ward
-� �-` (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) tj , 13 A K ; -- who is a
resident of the city of ,� ts District/Ward
—� (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
1.
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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.
0 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 `-� � e 1 and District/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 district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November3, 20
For District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name)❑ �� G./ � ; who is a
��
resident of the city of A Wei District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
2.
3.
4.
7.
8.
9.
12.
13,
14.
15.
1 .
17.
18.
19.
20.
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