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HomeMy WebLinkAboutA014 - Receipt for Nomination Papers - Brad Heemstra RECEIPT FOR NOMINATION PAPERS FILED WITH THE CITY CLERK AMES, IOWA Delivered by: lcd H C t.-yY'1"A V ` Date &Time: Received by: 7 l 0,V1-u � ` � V �'�� Title: For election to be held on: ��G yt-VVA Y:its_.w^ L'C The following nomination papers have been accepted for filing: PAPERS FILED OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT STATE OF IOWA 2 E Affidavit of Candidacy 0 L City Election V1 EP = 9 20 9 This Affidavit of Candidacy must be filed with your nomination petitio or c n en �c; i4cat�'y , CITY CLERK I For the Office of 5` t i t�C- t 12,� T�Z D AMES QWA Check if election is to fill a vacancy. (If applicable) [This means the office is 46-c-Z.4 on the ballot before the end of the regular term; because of a death or resignation.]Name kJ gAD 5'7i2A (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 2O 7 e /ilk, , c. Street Address City State ZIP County �S 1�V, Date of Election /\ d,,'- 3 J 2-oo� *E-mail 1,,ra� ��e�s�'r'� � �-- fJ �' �� (�cc s' � TP�tY TY �c �*Phone (S�1 ) 2(^ -3 3Y *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 file by the las ay candidates can file nomination papers, I cannot be a candidate for any office on t t at this ele ion. Candidate's Signature: Cand date must sig4this affidavit in the presence of a Notary Public State of 11) Lu 0, County of 1�j_l U If Signed and sworn to (or affirmed) before me on Se , 0 09 D to by 2)r UVV1S+Va, L oIANE Print Candidate's Name MIS.5ION' ' 3tN9 « ICY SSION oweD •4 Signature of Notary Public Prescribed by the Iowa Secretary of State L STATE OF IOWA Nomination Petition SEP - 9 2009 CITY OFFICE CANDIDA a'.so PM To sign this petition you must : CITY CLERK Be a resident of Iowa and the cityof rvl t�s CITY OF�+MFS,low an Is ric 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 applicAPmAL- hereby make the following nomination for the City Election, to be held November 3 2009 For TizvS tie District/Ward PA (if applicable). Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name) � pF ,,,`�� , who is a resident of-the- t of_ Sro p-Y District/Ward /J _ 11&� (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date 2. 8. r Zln 3 r e_ to.TA.per �2.' " - 0-4Z7 T3 �Ch'ICeY� 1. ,2. oll , 5. 19. 20. tnn An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07 Ivl *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 Nomination Petition CITY OFFICE CAN DIDA SEP - 9 2009 To sign this petition you must : PU VjC? OM Be a resident of Iowa and the city of _Am G-S and Dis G���IERK Be qualified to register to vote in Iowa; but you don't have to be registered. bft��p1��E� (if appli able), We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if applic40SPrrAc le) hereby make the following nomination for the City Election, to be held November 3 2069 For v-s District/Ward N/A (if applicable). VV Check this box if the office is To Fill A Vacancy" We nominate (Candidate's name) f �.fi A who is a resident of the of� �wN� District/Ward /J lt*� (if applicable). Address where you live in Iowa Sign your name Today's House number and street City Date 2. 3. r - � � Z�Zi Chi' �� � 5 Z? 6 Aspe PS 0--27-011 8. I 1214.� i 13. / /0 15. E o 2(` � seoi 7Qk- ?G� i✓ �Z y/� 37 -Z4 bo 18. / 20. An Affi it of Candid y 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 I� Nomination Petition CITY OFFICE CANDIDA - 9 2009 To sign this petition you must e� � ti1 Be a resident of Iowa and the city of _A t ry s nd Distin' Ards if li ble), Be qualified to register to vote in Iowa; but you don't have to be regis ere . We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if applica le) hereby make the following nomination for the City Election, to be held November 3 2009 For oSQ rrAL_ ( VS ncr District/Ward P/A (if applicable). A Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name) who is a resident of-the-s+ty Lf_ S-to Ry� District/Ward /4/l�\ (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date 2. 3. 163 lkmi v 12,55 Z4 - rr ,_� 8 29 bs, 5. 3Q 5 J y a9 8. �( A-iz d>N , a 9. 10. Al 11. 1 3 13 7 N ejP--rK i4. © L . Lam! 25 Z p' 15. 16.. 1 fir. itr es :g 2q b 18. 19. 1�� CIO C 2 2�to�F � rC-ss -S An Affidavit of Candi acy ust be fi ith this petition. L 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 CANDID - jog To sign this petition you must Be a resident of Iowa and the city of Ay"t�s cir c�Ei� Be qualified to register to vote in Iowa; but you don't have to be registered. w iicable), We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if applicAPrrAL- hereby make the following nomination for the City Election, to be held November 3 2009 For TABS-t- Dis`rict/Ward N/A (if applicable). Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name), Rgro s who is a resident of-the-s+t of R�r � District/Ward N r r (if applicable). Address where you live in Iowa Sign your name Today's House number and street City Date 2., �3 q d3rD0�n U Hpick rcxr`ceJ�au SC+ e �S� �i � v s ---�-- 303 9 L �2/i 5v Arm SAW a. 1 S/ crro l IrICC & zq 12. / l 16 `f83 / z a 14. o? S" f - 2" 0 16. 17. 0 lip Ci v`c L C —o 20. An Affid vit of C didacy must be filed with this petition. Last revised 2-9-07 O *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 LSHP STATE OF IOWA310� Nomination PetitioCITY OFFICE CANDIDTo sign this petition you must:Be a resident of Iowa and the city of Am 6-5 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 applica¢le) hereby make the following nomination for the City Election, to be held November 3 2009 For tiosp tr 1 t2vS tc7.e DistrictNVard N/A (if applicable). Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name) who is a resident of-t#e-sity of Sta Ry (_ c+��n,-I�y District/Ward IJIft (if applicable). Address where you live in Iowa Today's Sign your name House number and street City Date ,. `-4i (Lk t�-f.�. T-A 8 3 1 Ocl T93. lc� 5_ e n O �i �r fcm <�7 f f'C�U��h5t�4 C-t 14 j/ /D 9. WL3u Fl d aJc� p� G p 1 I �n2 S 4 t *i(AI'/ l 12 c -G_ 3_ 4. 15. 1 . 1 . 18, 19, 20, An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07 1` *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 CANDID To sign this petition you must : Lax go 011A Be a resident of Iowa and the city of 01�5 and ti 'CLERK Be qualified to register to vote in Iowa,- but you don't have to be registe edd �tl able). We, the undersigned eligible electors of the State of Iowa and the above city applica le) hereby make the following nomination for the City Election, to be held November 3rd2009 For )5# MAC_ J_(,vsjEe _ _ District/Ward N/q — VXJ (if applicable). Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name) f, resident of-g-ie-sits+ of 'jam PLY Q/VTY District/Ward /�!/ who is a Distri eft (if applicable). Address where you live in Iowa Sign your name Today's House number and street City Date 1. 05� �rJi cost p� s a�/a D ^ 2. 4. f 5 0 1 2 wt•1c �G�oS'-Z /siC�j cys7`�� ✓1�lcS 9.12 14 16. 3. 4. 1 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 STATE OF.10W. A Nomination Petition SEP - 9 2009 CITY OFFICE CANDIDAT 0� a',-50 P/A TO sign this petition you must: Q;Qto; CITY CLERK WA Be 8 resident of Iowa and the city of A ty,r-f;L- V W() - F Be qualified to register to.vote in Iowa; 6ut you don't.h.ave to be registered. We,thevndersigned eligible electors.of the State of Iowa and the above+.clty (and district or ward, if applic ley hereby make the following nomination for the City Election, to be held November-3 iqq Fora ef.AL, vS Tcr6 District!Wzird (f applicable). ChecK this box if.the.office is.To Fill A,Vacancy* We nominate (Candidate's name): who is a res!.dent-of4h,9-.rAy,of toe -Xry District(Ward. if applicable). Address where you live in.Iowa Today' Sign your name House number and street City. Date frla 7,4 10. 72- 13 —-----------------—------------ 20. An Aff davit-cif Candidacy must be filed Mth this+:petitiom I"revised 2407 *To Fin A Vaicabey rheans the office is on the.ballot because the elected off6al feft before.the':end of the regular term. Omscribed by the Iowa stati aammissionar,6f twcadne STATE OF IOWA Nomination Petitior—cj'fY - 9 L�'L'3 CITY OFFICE CANDIDa' 5o PO To sign this petition you must : CLERK CI?y OF AMES,IOWA Bea resident of Iowa and the city of�M rS Be qualified to register to vote in Iowa; but you don't have to be registered and istrict/Ward-PA(if applicable), We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if applica le) hereby make the following nomination for the City Election, to be held November 3 2069 For o5E AL- vs'f District/Ward LIA — (if applicable). Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name) who is a resident of4he-s4ty of District/Ward 1`! --� _/ (if applicable). Address where you live in Iowa Sign your name Today's House number and street City Date A" 124 4. 90 i(/.o✓ v 7/Z/ 5. � Ms z v �s 1 8. 9. 1 . 1 . 12 3. 4. 1 . 17. a. 19. 2G. 5 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 bec se the elected official left before the end of the regular term. Prescribed by the Iowa State Commissioner of Elections STATE OF IOWA Nomination Petition JNA CITY OFFICE CANDIDATETo sign this petition you must Be a resident of Iowa and the city of A m S and District/Ward N (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 applica le) hereby make the following nomination for the City Election, to be held November , 200q For_,_f4osPtl-AL._T(Z-VS7,r District/Ward PA (if applicable). IV Check this box if the office is To Fill A Vacancy* We nominate (Candidate's name)__ who is a resident of-44e-G-4y of `jam CO)UPiTy _ District/Ward I"J/t\ (if applicable). Address where you live in Iowa — Today's Sign your name House number and street City Date l ` Bib 2 _ 3. - vG ' 4. A O _ '- O IAIWu l CA V-Cjt # OZ S CAI s►a� y- 8. 9. o 12 - 13, --- - �a _ 15. t . t 18. 19 20. `— An Affidavit of Candidacy must be filed with this petition. last revised 2-9-07 10 `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