HomeMy WebLinkAboutA017 - Receipt for Nomination Papers - Ryan Doll RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: Date & Time: G'
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Received by: I���� �1�� � �-
For election to be held on: Y. ' C
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
OF T
r r c
STATE OF IOWA 0 L E
Affidavit of Candidacy
City Election SEP 14 2009
This Affidavit of CandidacV must be filed with Vour nomination petition OM
convention (9ftfWt?X
CITY OF AMES, OWA
For the Office of city council District/Ward # 3
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 Ryan F. Doll
(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 3218 Lettie Street ,Ames, IA 50014
Street Address City State ZIP
County Story Date of Election 11/03/2009
*E-mail 1dollr@gmail.com *Phone (51�y) 4-(ro --Kg9�
*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($750)in a calendar year for the purpose of supporting my candidacy for public office.
I know that I cannot be a candidate for more than one office to be filled at this election. If I have filed nomination papers
for more than one office I must file with the officer who accepted my nomination papers an affidavit indicating for which
office I choose to be a candidate. I understand that if the affi it is not filed by the last day candidates can file
nomination papers, I cannot be a candidate for any office on the at thi ele 'o
Candidate's Signature:
Can 'd must sign this affidavit in the presence of a Notary Public
State of ( �) County of 2
Signed and sworn to (or affirmed) before me on " �q— Iallo
Date
byL (�,vl >� , Doll
rint Candidate's Name EDAL E"I V _$SMISSION'#134019
owe
Signature of Notary Public
Prescribed by the Iowa Secretary of State
STATE OF IOWA 0 L h
Nomination Petition
CITY OFFICE CANDIDATE SEP 14 2009
To sign this petition you must: ( a 13� 0M
Be a resident of Iowa and the city of Ames and istric aI �F� �Rplicable),
Be qualified to register to vote in Iowa; but you don't have to be register 11Y
ES
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 09
For City Council DistrictNVard 3 (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name)Bran F.Doll who is a
resident of the city of Ames , DistrictMard 3 (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
3.7.
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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 :
SEP 1 4 2009
Be a resident of Iowa and the city of Amesand
Be qualified to register to vote in Iowa; but you don't have to be registered.1 tric CITY OFAMFS,IOWA a e),
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 09
For City Council District/Ward 3
(if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Ryan F.Doll
who is a
resident of the city of Ames , District/Ward 3
(if applicable).
Address where you live in Iowa
Sign your name Today's
House number and street City Date
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An Affidavit of Candi 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.
�e Prescribed by the Iowa State Commissioner of Elections
STATE OF IOWA 9 L
Nomination Petition -----
CITY OFFICE CANDIDATES SEP 1 4 2009
To sign this petition you must : PM
Be a resident of Iowa and the city of Ames and stri }-pp ice e),
Be qualified to register to vote in Iowa; but you don't have to be registered CITY OF AMFS,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 09
For City Council District/Ward 3 (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name)man F.Doll who is a
resident of the city of Ames , DistrictMard 3 (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 0 L IE
CITY OFFICE CANDIDATES
To sign this petition you must : SEP 14 2009
Be a resident of Iowa and the city of Ames 2 f-� , ;-3;0 (
Be qualified to register to vote in Iowa; but you don't have to be registered.and Itt
CtF AMITY OF APJIES,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 3 , 20 09
For City Council District/Ward 3
(if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) Ryan F. Doll
who is a
resident of the city of Ames , District/Ward 3 (if applicable).
Address where you live in Iowa
Sign your name Today's
House number and street City Date
1
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5.
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7.
8.
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11.
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13.
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19.
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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