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HomeMy WebLinkAboutA011 - Receipt for Nomination Papers - Peter Orazem RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: z r� Date &Time: S 3 ( q 3 5 �.►�, f Received by: '��? ' �' �, Title: �( C► ��.r For election to be held on: IYCJV V. The following nomination papers have been accepted for filing: PAPERS FILED OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT A 1'Y5 'O Y1 f i ��"e C,�I'c? rY► 1u' ( % r'�-spa 1�)to Yr'S) V 0 L STATE OF IOWA Affidavit of Candidacy AUG 3 1 2Q09 City Election 3,4�� f>.m• CITY CLERK This Affidavit of Candidacy must be filed with your nomination petition In - A S, OWA For the Office of eir T y GDcLI')G i l DistrictMard # A t^Gf (If applicable) J ❑ 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 ���- p _ r (0 r Q Z(a.IM (EXACTLY as you want it to appear on the ballot.Do not include titles,parenthesizes or quotation marks.) Name of Political Organization, if any D (Required if nominated by non-party political organization convention) Name Pronunciation (sounds like) IeTe r 0 RA aura (This information is helpful during the recording of the audio ballots.Audio ballots are available for people with disabilities.) Home Address 4q1 l Vt'-ak Drive. A ote5 4A Street Address City State ZIP County S tor Si Date of Election Nam , .2opg *E-mail pporgz..evti P IMC6 k.COm *Phone (s!s) �g,1 SRO *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 o-a*Z-Faa-bbt at this electio Candidate's Signature: t �� Candidate must sign a fidavit in t presence of a Notary Public State of - Oho, County of Ztt(zr Signed and sworn to (or affirmed) before me on I -�A•('�� Date by �'`��-r ,� � DIAN,A Mc1t)GHUN Commtsston t�futntier°?11440 Print Candidate's Name My Comm Ion Expires or KA Signatu' of No Public Prescribed by the Iowa Secretary of State STATE OF IOWA 0 L Nomination Petition CITY OFFICE CANDIDATE AUG 3 1 2009 P3:4,r P.m" To sign this petition you must : CITY CLERK Be a resident of Iowa and the city of S an AMES,I 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 O 9 For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) ��p�- e_�r^ O ra-Z.e. M who is a resident of the city of_ P District/Ward (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date (731 V-� voocl Avy, � -7 1` �-1"1 2. Q gL 4. 7. P jof 150, W/ ,W V 27 10. 11. Z ><� 2 Ite 13 .2%-. s-- 2 7 oct 14. ILv V5 tr a: a Z710` 17. o�� Goo r Cv� . �►-vle S OF 12V0 1 IZ21. trti�� ( kAv Ah 132, 16111 S+ -2 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; rm. Prescribed by the Iowa State Commissioner of Elections nn n 2 u L� LS STATE OF IOWA Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATE To sign this petition you must: CITY CLERK IT( FAMES, WA Be a resident of Iowa and the city of I and '-9 nn � g , 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 nominat on:for the City Election, to be held November., 20 Q9 For pistrlctlWard (if applicable). ❑ Check L box if the office is To Fill A Vacancy*1 We nominate (Candidate's name) �� � P,_r 0 r'dZp— )oni who is a resident of the city of YAP 4q , District/Ward _ _ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date ,�- — 0 7 Coe' rl e rv� Ve<n / + 7 0 e• 3 q© 1 ppla h, '-ld � cd / tRD n, Ci, 6a e � - o 10. 3W lid,14. 4k�! 2 S � , c?114 ' -6 ��- 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. Prescrlbed by the lows 41tate Comndsslorw of Elections STATE OF IOWA Nomination Petition CITY OFFICE CANDIDATES AUG 3 1 2009 To sign this petition you must : :4, -P.r C;TYBe a resident of Iowa and the city of rn -ems S and Di ar CLERK nM 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 O 9 For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) �� ��_r o rd-.e, YYl who is a resident of the city of YAPS DistrictMard _ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date 9 d,4, r � - 7 �s 9 n - /�� ? �s o , 310s lv d% 3�f 10. 71� �JE.2�c 2r5 Z(A 15. d 7Z1 CQ— i 6 0 IL Q W 0 ELI L3 duo U 1eki --0-W 30.�7 Vg env 19 An Affidavit of Candidacy must be filed with this petition. ast 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 L E STATE OF IOWA ' Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATE @ a:4,s m. CITY CLERK To sign this petition you must: CITY OF AN,ES, IOWA Be a resident of Iowa and the city of Q g 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-Q9 p ) Y 9 tY For DistrictlWard (if applicable). ❑ Check(his box if the office is To Fill A Vacancy* We nominate (Candidate's name) t'.P_-�-e.r- 0 r2-7 2P— YY1 who is a resident of the city of YAP S , DistrictMard (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date ` '►1 J - a be pry_rlZ c�-v� c n � � , 7_Mf-4 10. 12. a a (, - iq- oci 17. 18. 19. 6 Ae S _G 20. -& )LI I I 4'a� , Q 5 err An Affidavit of Candidacy must be filed with this petiUo . Last r ised 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. Proscribed by too Iowa state Commissioner of Elections i L L5 STATE OF IOWA LAUG 3 1 2009 Nomination Petitio .M . CITY OFFICE CANDICITY CLERK To sign this petition you must CITY OF AME_S,iOWA Be a resident of Iowa and the city of 04 g 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! For District/Ward (if applicable). ❑ Check is box if the office is To Fill A Vacancy* We nominate (Candidate's name) ��_r� Ora ze �m who is a resident of the city of AM P S , DistricttWard _ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date ) - ( r t 6. 7. 7 ool 7 f b 2 az rat �� (�ti -20 / u& a( 'ev Z- 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$tab Commissloner of Elections 0 L E STATE OF IOWA Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDA E e 3,j4rP.m. CITY CLERK To sign this petition you must : ' CITY OF AMES,OVA Be a resident of Iowa and the city of 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 Novembers 20 C q For District/Ward (if applicable). ❑ Check is box if the office is To Fill A Vacancy* We nominate (Candidate's name) }-�=r 0 r'GLZ2. yM who is a resident of the city of �� S , District/Ward - (if applicable). Address where you live in Iowa Today'; Sign your name House number and street City Date 2. C�z..r sz 1q GZ �n / 05. 9 /19 It a 10. 1/ a 7 _b1Ko 14. A, 17. 18. 19 F .7 T/ G a An Affidavit o andidacy 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 AUG 3 1 2009 CITY OFFICE CANDIDAT 3 '�s__ m CiiY CLE=�iK To sign this petition you must : CITY OF AM-,`I,ICWA Be a resident of Iowa and the city of AM — 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 C 9 For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) �.Q��-�_r 0 r( Z2 Yn who is a resident of the city of m P S , District/Ward —_ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date Cc gia lCt 7 /(o tA A AM- N\)(? Not o 5. V / _.---. f 5la ull a 3 w Ames 7/zo o4.13. 1 S A 33 x AE 7 z3/03 15. 16. 92,0 1' aa�a Ci`r�l Avv /�,� cq z 3v 23 1b 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 Stab Commissioner of Elections 0 L E STATE OF IOWA Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATE C�� sP•m . CI-iY CLERK To sign this petition you must : CITY of AMA S, 10WA Be a resident of Iowa and the city of rn 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 O c For District/Ward (if applicable). ❑ Check his box if the office is To FIII A Vacancy* We nominate (Candidate's name) �� -� P,_r d ra z2. YYl who is a resident of the city of A M P S District/Ward (if applicable). Address where you live in Iowa Today'. Sign your name House number and street City Date iG�1aY �►`DUT 2C A � air /�► 4- a 1 34. .31YWe 7 -2 7. J. me llam f a 54', C MCs -7 a3 U ,2y 9. o 14. 15.1 � a , . 4, z5 l o 9,3 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 AUG 3 1 2009 CITY OFFICE CANDIDAT : s�,�,. CITY(,[ERK To sign this petition you must : CITY CF AN1rs,l0V%1A Be a resident of Iowa and the city of �^ VY1 _ g 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 9 9 For � District/Ward (if applicable). ❑ Check is box if the office is To Fill A Vacancy* We nominate (Candidate's name) who is a resident of the city of_ p S District/Ward _ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date 7f �.•o s sea l is /2 T,, n rv, e 7 5 12 Tj.-1,o A W-4--z, TWO-1 4. I lr\ r)h --Z Q'I W s. 7 U S G �yyl 171 d ✓�vv ��.�eS ���5�� 6. gl( �0 7 1 9. '0 L V--Zl- ei L, Z9 3,4 Movo-op. It 0 12. i o o Zd ZY�`f o 17. At 3 W rA 7N104 J0 ` i8 C1t - y -71i4 o An Affidavit df Candid cy must be filed with this petition. Last revised 2-9-07 'To F I cancy Mans e office is on the ballot because the elected official left before the end of the 7/,aF,,Prescribed b the Iowa Sta Commis oner of Elections - L LS STATE OF IOWA Nomination Petition AUG 3 1 2009 ` CITY OFFICE CANDIDATE �_q cirr a7< To sign this petition you must : CITY OF ANTS,IOINA _ . Be a resident of Iowa and the city of A M 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 O q For ; k 2, nit a4- aoia District/Ward (if applicable). ❑ Check this box if the office.is To Fill A Vacancy* We nominate (Candidate's name) �.���-� r` a ea-7—a m who is a resident of the city of YAP S District/Ward (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date 3 03-1 Ev-,-- 4. l�lCo of r. A 6. .7. p 8. 11. ' f of 12. 13. g �r � �_1df� C- 2L i �• 1 / Q 41 15. 4 J r51r Vjr'(11Aji._ ak-b Arv� kK 6iWe 01WA- 7—f`f-tea 1S' /, /T 17 7 Z 10 I ,r 1 Oci 18. S'.w $1� D�-F-F ANC es 7 l l oq 19. t- 1$Oq F"V1'.&0. 20. 1-c�0.bov, te AvK-e— 7 /4 0 L S v `�hL 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 L STATE OF IOWA I Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATE c? 3 sum. CITY ULM To sign this petition you must : CITY OF AIMESv10WA Bea resident of Iowa and the city ofAM !tsand District/Ward (if applicable), Be qualified to register to vote in Iowa; but youdon'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 C q For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) �� -�-e r- 0 r (a Ze. YYl who is a resident of the city of f S , District/Ward _ _ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date 2. LIN4 h Dr: A mes 7-16-Q 3. d--L, C-s �� 6 C� Lfq Zt, 17— 7 a s. I7/3 sl, ' -7 loj 17 VA 7•16 .6 I .)-06 -/c - o ,P vld e /11. /�fh s "O a -o G©e 1-)0 - t O Vo51e01 -7-1t,-0t 15. P.c�rri as A e-4! IWO c/eInc.rl r3ty) d~s 7-4-o9 17. S3� 4z) -7-ite-0 i 20. 7 An Affi!! v Candidacy t be filed with this petition. Last revised 2-9-07 *To Fill acancy means ie 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 AUG 3 1 2009 Nomination Petition CITY OFFICE CANDIDAT S CITY CLERK To sign this.petition you.must: CITY OF ANTES.IOWA--- Be a resident of Iowa and the city off, 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 O 9 For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) t- _r (D rQ ze who is a resident of the city of YAP S District/Ward (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date lt L —1q —O ( lx al fil✓.Q��Ca O � 6 Flo ��P � �' � q D ? 7. 1 /-14 t /D� Ve- a-7a 7 YvSS� hoc •O 12. a s 6 sIVA)14. 2 Qoo 9 15. 16. A18, �.�s o 2F, 5f 111210 ,,.r IZOG O►rc2cr LJ'I. o Ukt/ AvxcN&c A I ZOI S 7 t /Of 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 L I ' STATE OF IOWA Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATES L 3 ►� CITY CLERK To sign this petition you must: CITY OF AMES,014A Bea resident of Iowa and the city of IM _ g, 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 3, 20 C 4 For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name)- O C'dZC. yn who is a resident of the city of— Y�to S , District/Ward (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date ►� r� ate- y9 ; Ik) f�7�r i 6 A 5. � 7 r 6 v !10. Sal 3 d 4 D �, cs A�13. a 33 i5 a 7- Z- La/ Jl �,` /mvAv, 412izs "7-2-27-0 An A avit of Candidacy must b led with this petition.1. evised 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 1, STATE OF IOWA Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATES Ot> 3:ff •m . CITY CLERK To sign this petition you must : CITY OF AMES,IONA_ Be a resident of Iowa and the city of A m : 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< 9 For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) 7.�„+P-r O r(Lze YY1 who is a resident of the city ofY�P S , District/Ward _ _ (if applicable). Address where you live in Iowa Today%- Sign your name House number and street City Date 8 0S )Lem d 4. 76(0 091,-e� cum 6� / cr i7 Gn CS dG k rm� 3 1 iaQ tt � `l d7 b 701 �Q f/ eS Lz U 9. o 14. 16. Zo 3 � d 1 ��-,,^ i reJZ�WoO JA (v ` E-5 20. An A id 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 STATE OF IOWA Nomination Petition AUG 3 1 2039 CITY OFFICE CANDIDAT (� 3: m To sign this petition you must : CM CIA RK CITY OF AMES.MA, Be a resident of Iowa and the city of and Distrlct/vVard��'-'�"(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 O q For District/Ward (if applicable). ❑ Check his box if the office is To Fill A Vacancy* We nominate (Candidate's name) _r o r n--7—e. w-1 who is a resident of the city of A S , District/Ward _ (if applicable). Address where you live in Iowa Today'. ign o r name House number and street City Date 2. 14 � 1,� U Clip- 4. e- 19,E-,e shAl - WA kNp- 2 . Abu Ly- 0 An Ad44 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 L � STATE OF IOWA Nomination Petition AUG 3 1 2009 CITY OFFICE CANDIDATE (? CITY CLERK To sign this petition you.must CITY OF P,MES,IOWA Be a resident of Iowa and the city of �--� �� 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 C cj For District/Ward (if applicable). ❑ Check is box if the office is To Fill A Vacancy" We nominate (Candidate's name) :.a,,`-3-Q_r 0 t''aZe m who is a resident of the city of »CLP_ , District/Ward (if applicable). Address where you live in Iowa Today': Sign our name House number and street City Date ZSDS 4- 7-3- alb(/D`( #l8 8 d2 a� 0 ,9 �!0 2 c a? a orn�I10. 9. �""�` ,) �}",>gt• y<°.'t_—Y'—.. ,�Y.'�1"� r�''' .LG �",a�t..�3 �; ,IF.., .,p.,s�.,.,ei-�.v �.A � �� ' U I 11, - _ Y-O 14. f 2 17 7 on 3 7 d S dLc -c- 5 r S- 7 0 17. i . 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