HomeMy WebLinkAboutA009 - Receipt for Nomination Papers - Michael Miller y ' RECEIPT FOR NOMINATION PAPERS
FILED WITH THE CITY CLERI(
AMES, IOWA
Delivered by: KVO"1Re 1� Date Time: ;
AM
Received by: Title: 4.q
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For election to be held on: w -
The following nomination papers have been accepted for filing:
PAPERS FILED
OFFICE OF CANDIDATE'S NAME NOM. PETITION AFFIDAVIT
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n
STATE OF IOWA 0 L,
Affidavit of Candidacy
City Election AN 2 5 2uA
This Affidavit of Candidacy must be filed with your nomination petition or cc iven . P7 1 D:4 eb
IWEERK
CITY OF AMES,IOWA
For the Office of "e> fi- /ls�6n6m/y-d.District/Ward #
(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 �.1l'`a' 'E /, /� 14� A/-
(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) A-Z6XA EG
(This information is helpful during the recording of the audio ballots.Audio ballots are available for people with disabilities.)
Home Address S'�Z S 'ZA/� AIZE C"f ts"m,I-5 7/�
Street Address City State ZIP
County Date of Election 1113102
*E-mail T�� ,ef` (7a ht *Phone
*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 da ca idates can file
nomination papers, I cannot be a candidate for any office on the ballot at thi electio .
Candidate's Signature:
ndida a must sign affidavit in the presence of a Notary Public
State of (ow ON County of 5�aYy
Signed and sworn to (or affirmed) before me on &ffluS+
ate
by YYI ; c(iae,l YY\; 1 I e-y-
Print Candidate's Name
Commission Number 190936
My Commission Expires
ow July 1, 2012
�igniture of Notary Public
Prescribed by the Iowa Secretary of State
STATE OF IOWA 9 L
Nomination Petition
CITY OFFICE CANDIDATE
AUG 2 5 2009
To sign this petition you must : M 10,4 try v l
Be a resident of Iowa and the city of �[� and istricTe P E I
Be qualified to register to vote in Iowa; but you don't have to be register ctro €s l pplicable
We, the undersigned eligible electors of the State of Iowa and the above city (and district or ward, if
applicabl ) hereby make the following nomination for the City Election, to be held November?-, 20 97
For F ) 1L2 District/Ward (if applicable).
❑ Check this box if the office is To Fill AA Vacancy*
We nominate (Candidate's name) /!Z/ 4, -� ��T�G� who is a
resident of the city of , District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
2.
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An Affidavit of Candidacy must be filed with this petition. Last revised 2-9-07
)_Q *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 L
Nomination Petition
CITY OFFICE CANDIDATES AUG 25 20099
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To sign this petition you must : CITY CLERK
Be a resident of Iowa and the city of ��� and D o"ME IOWA
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
applicabl ) hereby make the following nomination for the City Election, to be held November, 20
For F 1 if DistrictlWard "(if applicable).
❑ Check this box if the office is To Fill A Vacancy* /
We nominate (Candidate's name) � 'jCi EG T�-G� who is a
resident of the city of d1'J S , 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 petitio . 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.
X Prescribed by the Iowa state Commissioner of Elections
STATE OF IOWA
Nomination Petition G 2 5 2009
CITY OFFICE CANDIDATEAUG
To sign this petition you must : CHY CLERK
Be a resident of Iowa and the ci �Cj CITY Of AMES,lown
ty of �[ � an lc ar (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
applicabl ) hereby make the following nomination for the City Election, to be held November, 20
For f 1 �VI__ District/Ward -(if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) i`G�4/ ] T G� who is a
resident of the city of 29J__C� , 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 Candida must be filed with this petition. Last revised 2-9-07
ap *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 9 L
Nomination Petition 1 CITY OFFICE CANDIDATES AUG 2 5 2009
i o : q a A(o
To sign this petition you must : U1I Y ULM
Be a resident of Iowa and the city of y���� and Di Ne),
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 E V District/Ward '--(if applicable).
❑ Check this box if the office is To Fill Vacancy* /
We nominate (Candidate's name) ,/—` -�,: ,6 — /yA1 T �� who is a
resident of the city of �dl�J��j , District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
i/2.
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An davit of Candidacy st be filed with this petition. Last revised 2-9-07
n*T III 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
I
t
STATE OF IOWA - ---
Nomination Petition
CITY OFFICE CANDIDATE Luc 2 5 , A
To sign this petition you must : CITY CLEPK
Be a resident of Iowa and the city of
and Alm, i a
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
applicabl ) hereby make the following nomination for the City Election, to be held November, 20
ql-
For ` V District/Ward -(if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) �� jC E/- who is a
resident of the city of z �J , District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
2.
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An Affida 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 L
Nomination Petition
CITY OFFICE CANDIDAT AUG 2 5 2009
(0 '40o WA
To sign this petition you must
Be a resident of Iowa and the city ��j CITY CLERK
of � an Distric W`�9�-10 )
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
applicabl ) hereby make the following nomination for the City Election, to be held November, 20
For F V District/Ward `--'(if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) eG E� AkT��� who is a
resident of the city of � � , 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 0 TUst 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.
boo Prescribed by the Iowa state Commissioner of Elections
a � �
STATE OF IOWA
1 ination Petition
Nomination �oo9
CITY OFFICE CANDIDATES Luc -.�eb am
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To sign this petition you must : CITY CLEM
CITY GF AMEN,I_C -----'
INA
Be a resident of Iowa and the city of _/���5 and Di t9"" (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
applicabl ) hereby make the following nomination for the City Election, to be held Novembers 20
For /��F I/ /�G1/1/�1� District/Ward (if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) � �E� �,-T�i�� who is a
resident of the city of 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 mu b iled 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 try the Iowa State Commissioner of Elections
STATE OF IOWA
Nomination Petition
CITY OFFICE CANDIDATE AUG 2 5 �''ag
AM
To sign this petition you must: CITY CLERK
Be a resident of Iowa and the city of , ems and icit/ F Acres, wa ,
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
applicab ) hereby make the following nomination for the City Election, to be held Novembers 20
For ) District/Ward 'of applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) G Eli T�,G-� who is a
resident of the city of �J��j , District/Ward (if applicable).
Address where you live in Iowa
Today's
Sign your name House number and street City Date
2.
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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 610 Iowa state commisakmw of Elecdom
STATE OF IOWA
Nomination Petition
CITY OFFICE CANDIDAT AUG 2 5 2009
I co L, A�
To sign this petition you must : & Cl1`I CLERK
Be a resident of Iowa and the city of �? an Distri F - ' Ica e),
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
applicabl ) hereby make the following nomination for the City Election, to be held November, 20
For F 1 GOLYCZZZ- - District/Ward —(if applicable).
❑ Check this box if the office is To Fill A Vacancy*
We nominate (Candidate's name) /G�4 E/— A �T 5G who is a
resident of the city of 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
I *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