HomeMy WebLinkAboutA006 - Receipt for Nomination Papers - Dan Rice S� RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Date &Time:
Delivered by:
' Title:
Received by:
For election to be held on:
The following nomination papers have been accepted for filing:
PAPERS FILED
LECCE OF ANDIDATE'S NAME NOM. PETITION AFFIDAVIT
L LS
STATE OF IOWA
Affidavit of Candidacy AUG 24 2009
CITY ELECTION S ogam
CITY CLERK
This Affidavit of Candidacy must be filed with your nomina ' of AMES,IOWA
5'
For the Office of 4,n s.t CC X cou&v Cd Director District # /i IAIR"d
(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 0rkV) � I'L 6
(EXACTLY as you want it to appear on the ballot.Do not include titles,parenthesizes or quotation marks.)
Name Pronunciation (sounds like) 0�h A I'(- e
(This information is helpful during the recording of the audio ballots.Audio ballots are available for people with disabilities.)
Home Address 8 Z 7 8 Lr h 6 f t- VIA. 1�k- 61 140
Street Address City State ZIP
County Date of Election /Vow. 3 ,J 2-aJq
*E-mail Qt4xper d�� `E �J-7 �'� i'ASN , *Phone(s r s z f 2-4
*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
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.
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 paper", cannot be a candidate for any office
on the ballot at this election.
Candidate's Signature:
Candidate must sign this affidavit in the presence of a Notary Public
State of 5U)A County of 7DR l
Signed and sworn to (or affirmed) before me on q/)I
Date
by AAn1 l j
Print C idate's Name
° owJILL L RIPPER1-
Oo-mmission
�Number
Si natureof Not yPublic Expires
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Prescribed by the Iowa Secretary of State
0 L IE
STATE OF IOWA
Nomination Petition AUG 2 4 2009
CITY OFFICE CANDIDATES 8:6a Rm
K Y IT CLERK To sign this petition you must: CI?Y CITY
CLER IOWA
Be a resident of Iowa and the city of w, Es 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 P applicable) hereby make the following nomination for the City Election, to be held November 3 ,
20_For An es C;tv [ o t ,'� District/Ward 1 (if applicable).
Check this box if the office is To Fill a Vacancy*
We nominate (Candidate's name) Q r e who is a
resident of the city of An es , District/Ward 1 (if applicable).
Address where you live in Iowa Today's
Sign you name House number and street City Date
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An affidavit of Candidacy must be filed with th' tition. Last revised 2/9/ 7 �C
*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 Secretary of State
STATE OF IOWA
Nomination Petition AUG 2 4 2009
CITY OFFICE CANDIDATE ?:6ga1-1
CITY CLERK
To sign this petition you must: CITY of AMFS,IOWA
Be a resident of Iowa and the city of w, C1,5 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 q
For k1l es ;! v o h District/Ward (if applicable).
Check this box if the office is To Fill a Vacancy*
We nominate (Candidate's name) M h C e who is a
resident of the city of A CA , 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 pet' i n. Last revise
*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 Secretary of State
Q L� l
STATE OF IOWA
Nomination Petition AUG 2 4 2009
CITY OFFICE CANDIDATES ,7:vgR,,
CITY CLERK
To sign this petition you must: CITY OF AMES,IowA
Be a resident of Iowa and the city of A w, e 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 3 ,
20_!�j
For Am C;Fy (- 0Avk District/Ward (if applicable).
❑ Check this box if the office is To Fill a Vacancy*
We nominate (Candidate's name) c, Y C rr who is a
resident of the city of 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 Secretary of State