HomeMy WebLinkAboutA008 - Receipt for Nomination Papers - Brian McLain 9
RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERK
AMES, IOWA
Delivered by: ��n, ori-r� Date &.Time:
� �
Received by: � Title:
For election to be held on:
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
FBARD
i
a STATE OF IOWA 0 L
Affidavit of Candidacy
City Election AUG 2 4 2009
This Affidavit of Candidacy must be filed with your nomination petition or con ntio a.yg
CLERK
.
For the Office of C�, rrunc.� Distric Pl S,IOWA
ar GI
(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 Bri acN IM 4 e LI n
(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) (Y)ac Can e
(This information is helpful during the recording of the audio ballots.Audio ballots are available for people with disabilities.)
Home Address 319, T-GLekk Aveatke Ames T-0u)rl- SoA
Street Address City State ZIP
County Date of Election
*E-mail ,� t' lain 4 ecunc<< d' Phone (s/s) JW 5574p` 7101
*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 1 am elected I will qualify by taking the oath of office. I know
that 1 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 ($750) in a calendar year for the purpose of supporting my candidacy for public office.
I know that I cannot be a candidate for more than one office to be filled at this election. If I have filed nomination papers
for more than one office I must file with the officer who accepted my nomination papers an affidavit indicating for which
office I choose to be a candidate. I understand that if the affidavit is not filed by the last day candidates can file
nomination papers, I cannot be a candidate for any office on the ballot at this election.
Candidate's Signature:
andicfate must sign this affidavit in the presence of a Notary Public
State of ,C{�'GL County of&bY�
Signed and sworn to (or affirmed) before me on aq `C 9
Date
b 1 /YC 1 ' A?IT
Print Candidate's Name Z COMMISSION NO. 704811
My COMMISSION EXPIRES
Town
Signature of Notary Public
Prescribed by the Iowa Secretary of State
a
STATE OF IOWA 0 Lu, F,-
Nomination Petition
CITY OFFICE CANDIDATES AUG 2 4 2009
To sign this petition you must : @ 0?
Be a resident of Iowa and the city of A M e S and Dist ct/Ward n�', � ble),
Be qualified to register to vote in Iowa; but you don't have to be registered.
We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if
applicable) hereby make the following nomination for the City Election, to be held November 3 , 20-jo-04
For District/Ward .3 (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) "'jr;an (Yl r La I r) who is a
resident of the city of A mt-s , District/Ward 54— (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
N L JFOC K " .-7.
u Ave, / '
3.
4
33b
- DRviD MEL6al 31 460J
" Prl Ar, o
�ezA- o M
j 09k)kr—i
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J
12. IV I V ers
13. �
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14.
15.
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16. L/w QS$
u IR_ [Oct
17
19. e-
23 o q12,>1
r
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.
PPrescribed by the Iowa State Commissioner of Elections
STATE OF IOWA Q L
Nomination Petition
CITY OFFICE CANDIDATES AUG 2 4 2009
To sign this petition you must : PM
Be a resident of Iowa and the city of Ames and Dist ct/Ward Wle),
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 Ele tion, to be held November 3 20 oq
For District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) J'3, r;cin I')�Jc �q,'� who is a
resident of the city of _Ames District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
alfew) �r dr4chwgl
-- an e 330 4;-� S 2�—
�
v
6. ,
22
54
10.
11. — usa.
12.
Was SIM D
13. /
15. e,
,6
17. ,, ,
18. �ZL -
19.
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 term.
Prescribed by the Iowa State Commissioner of Elections