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A008 - Receipt of Nomination papers - Sarah Buck
F I I-F- C ) P� State of Iowa Receipt of Nomination Papers Receipt Number: f I _D Office Received In: l ,1 T 4 ac)rk Received By: avle-, Voss Delivered By: W� Date and Time Delivered: / C / Qp< < I � : 'Cam'/p.m. Candidate's Name: Office Sought: a ��SD,cvali Office District (if any): Election Type and Date: rr ❑ General on / / ❑ Primary on / / City on ❑ School on / I ❑ Special on / I Documents Received: (check all that apply) Affidavit of Candidacy Faxed? ❑ Yes No Nomination Petition Number of pages (approx): _"�� C� ❑ Certificate of Nomination by Convention for Non-Party Political Organization ❑ Certificate of Nomination by Convention for Political Parties Person to contact if there are quest ions about this filing: I J`� A Name: VW ©cjnj Phone: p��� �b Nomination papers are available for public inspection. Objections to the qualificjtions of candidates and the legal sufficiency of nomination papers may be filed until: This receipt acknowledges the date and time the nomination papers were received. It does not necessarily mean the papers will be accepted for filing. Nomination papers will be carefully checked to be sure they meet basic requirements. The papers will be returned to the candidate if they are rejected. Give original to the candidate and keep a copy for the office. Prepared by the Iowa Secretary of State's Office Revised 7109 r ` 0 L5. State of Iowa Affidavit of Candidacy SEP - Z 2Q11 Candidate's Name (exactly as it should appear on the ballot): lq2)qq 13 oe k Candidate's Name Sounds Like (phonetic spelling): tSer 4 Li CITY CLERK cm OF AMES,IOWA_ Type and Date of Election: ❑ Primary on / / ❑ General on / / � City on ❑ School on / / ❑II Special on Office Sought: RuhleLpf0 U662- District or Ward (if any): Vacancy- Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes No removal, or temporary appointment of an office holder? Candidate's Affiliation (only complete for partisan offices or Ch.44 city nominations): ❑ Democratic ❑ Republican Not affiliated with any organization ("Nominated by Petition"will be listed with the candidate's name on the ballot.) ❑ Name of Non-Party Political Organization: No more than 5 words and exactly as it should appear on the ballot. Candidate's Home Address: aa6 ,2, R n,_kuu -5� Dig Ain(., TA 560)o S Street(no P.O.boxes) City State Zip Countyl y Candidate's Mailing Address (if different than above): Street City State Zip County Candidate's Phone: Email: S .0 Uk 6 b uC� Ct h00,com Candidate's Affirmation I swear(or affirm) that the information provided on this form is correct. I will be qualified to hold this office and if I am elected, I will qualify by taking the oath of office. I know that I cannot hold public office if/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 l(or my committee)receive contributions, make expenditures, or incur indebtedness in excess of$750 in a calendar year for the purpose of supporting my candidacy for public office. (This does not apply to candidates for federal office.) l know that/cannot be a candidate for more than one office to be filled at this election(except in the case of county agricultural extension council or soil and water onservation distri t commission). Candidate's Signature: Must be signed in the presence of a notary. State of:-Lh- County of: S Signed and sworn (or affirmed)before me on date of: ao (Seal) By: ��a1 3 ec DIANE R.VOSS Print candidates Nam - COMMISSION#134019 MY COMMIISS N Notary Signature. tawP Prescribed by the Office of the Iowa Secretary of State Revised 412011 State of Iowa Nomination Petition for Non-Partisan Office Candidate Information- r office Sought: ?u>7)Cl pry 19a5► l T t, 5 ee✓ Name of Candidate: �t`�r Q� 15 isC— /� rn� Candidate's County of Residence: 3-�,� Candidate's City of Residence: rT Type and Date of Election: Special on /_/ []School on �l_f [�City on [`General on / / ❑ P Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ® No Yes For School Elections Only District: School Director District(if any): School For City Elections Only_747�= For Other Elections Only Office Ward(if any): Office District(if any): We,the undersigned eligible electors of the appropriate county,city,school district school or community college director district,or other district as established bylaw,and the state of Iowa hereby make the nomination outlined above. if the candidate named above accepts the nomination, we believe the candidate is or will be a resident of he appropriate county,city, bylaw s ch 'red by t,school or community college director district,or dis establis Address where you live in Iowa Today's Sign your name City House number and street Y Date 1. ,--4 J8 &-,4, t ri 3' a u< o 4. 5. -av / 4 xy�� 3 I v Wj2,A c} t 7. Z Maarrn4-tin 9. �,, yc 6 I�,�Jri t��f vr: �4 I/ 10. 11. a�o3 '� rtv S f! 12. j �. z 9 �( 13. A-t3 d,Zr/ Y+ -� 14. i 16-1 15 c �iCdtiti //,2� �0a5eve/ jateS WF " Q L SEP - 2 2011 Prescribed by the Iowa Secretary of State r I �I A& A CITY CLERK CITY OF APIES,IOWA State of Iowa Nomination Petition for Non-Partisan Office Candidate Information 1 f' Office Sought: �u n 1 Cl�OLt� }�OSQ►t li) 11 (pS�e� FName of Candidate: �Resi7dee r Q LACK- n m� didate's County once: ' Candidate's City of Residence: /f Type and Date of Election: 0 General on !_I ❑Special on I 1 F✓I School on !_I LScI City on j Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ® No El Yes For School Elections only Fs chool District: School Director District Cif any): EFor City Elections Only For Other Elections Only ce Ward(if any): / p Office District(if any): We, the undersigned eligible electors of the appropriate county,city,school district,school or community college director district,or other district as established bylaw, and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resident of he appropnate otherestablishedcounty,city,school district, by law as required by law.hool or community college director district,or Address where you live in Iowa Today's Sign yo am City House number and street Y Date ben 2. s- 3. �f zb S�- - 4. DiXVn g� wry 6 r/� j0}� 11. Ct e B �Z�_( 12 A/,9,7 C 13. L SEP - 2 2011 Prescribed by the Iowa Secretary of Sta 11 '.-J I AA CITY CLERK CITY OF AMES,10WA n State of Iowa Nomination Petition for Non-Partisan Office 11__ Candidate Information ih Name of Candidate: a rQ.YI b fA yk Office Sought: 11 I t11r11Cl�D(A ;�,(b� t�(tl 1 f (1sTeP� Candidate's County of Residence: Candidate's City of Residence: I m� Type and Date of Election: � General on I_I Special on School on �l_I ®City on ILL Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? IN No Yes For School Elections Only School Director District(if any): School District: EFor City Elections Only For Other Elections Only ce Ward(if any): p Office District(if any): We, the undersigned eligible electors of the appropriate county,city,school district,school or community college director district,or other district as established by law,and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resident of appropriate county,city, by taw as school 'red by district,school or community college director district,or otherd Address where you live in Iowa Today's Sign your name city House number and street Y Date Y ptt� 2. 3. - 3% �i rs / 4. 3So-7 5. s 23 o V&,'-1 S� ►n.e �� Z - 6. Pu�ty cIs � 7 U tALI eL$ / A land 9 arnf '� 12. �� 2023/ �t/ot'l�t/dad� C1- z /J 13 r d.4 14. ULZ 15 Q SEP - 2 2011 Prescribed by the Iowa Secretary of State It ,, 3 I 4A CITY CLERK CITY OF AIMES,IOWA State of Iowa Nomination Petition for Non-Partisan Office Candidate Information 1�)" /� Office Sought: U n 1 C l P6L 140 t�e� I r U5+e� Name of Candidate: ��Y'Qr1 Candidate's County of Residence: S j Candidate's City of Residence: 1 rn� Type and Date of Election: �] [3 General on /_/ C1 Special on School on �l_I ®City on ��/ g / � Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ® No Yes For school Elections Only School District: School Director District��any): Fo For City Elections Only For Other Elections Only ffice Ward(if any): p Office District(if any): ................. We,the undersigned eligible electors of the appropriate county,city,school district,school or community college director district,or other district as established by law,and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a residentappropriate fished by law as required by t,school or community college director district,or they district Address where you live in Iowa Today's Sign your name City House number nd street Y D i, 4 `-^��-C 7-✓ rit 41 K I( Otek� 4- l VQ Ii ,' f2,) Uya 7 Z 1 �[ /Ci7�,IA x.JdQ_ AI1/l. U 7. 9. t d"f ,AV vr�lL/J 1 U. _ C 11. 4 /�� i! 'IX of[� 12. o 1*1 C(�..� 513. o oao� a a=y �l 15. SEP - 2 2011 Prescribed by the Iowa Secretary of State " 3 1 Tom'- 1 CITY CLERK l CITY OF AMES,IOWA \, State of Iowa Nomination Petition for Non-Partisan Office Candidate Information ( 1- Office Sought: U 1Zlcl�tA lbSQ ttQl[Zarne7ofcandidate: ��Y'Q h AimCandounty of Residence: S-6c Candidate's City of Residence: rneS Type and Date of Election: School on I / ®City on [�General on_/� Special on � Is the candidate running to fill a vacancy due to the death,resignatlon,removal,or temporary appointment of an office holder? ® No Yes For School Elections Only School Director District(if any): School District: aFor City Elections Only For Other Elections Only e Ward(if any): =ff yq=== Office District(if any): We,the undersigned eligible electors of the appropriate county,city,school district,school or community college director district,or other district as established by law,and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resident of the appropriate county,city,school district,school or community college director district,or other district established by law as required by law. Address where you live in Iowa Today's Sign your name - House number and street cit Y Date 1. 0, 2 ..� S�r ,,( I T 2. IL_ 721, �- , 3. 4. 5. a �© 30� 7. Vk 10. 11. 12 ... 8 1 13. 14. 15. Q [� USEIP - 2011 Prescribed by the Iowa Secretary of State CITY"E"ri'K CITY OF AMES,IONA State of Iowa Nomination Petition for Non-Partisan Office Candidate Information OficeSou ght:�a rl l Ct pa I }05 &l Tr R Name of Candidate: �arQh U LAf Candidate's County of Residence: ' Candidate's City of Residence: Me5 Type and Date of Election: ecial on /_/ School on �/ / ®City on 1 L l$/ )I General on_/_/ n Sp ❑ Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? ® No Yes For School Elections Only [School District: School Director District(if any): LFor City Elections Only For Other Elections Only ce Ward(if any): p Office District(if any): We,the undersigned eligible electors of the appropriate county,city,school district,school or community college director district,or other district as established by law,and the state of Iowa hereby make the nomination outlined above. If the candidate named above accepts the nomination, we believe the candidate is or will be a resident of the appropriate county,city,school district,school or community college director district,or other district established by law as required by law. Address where you live in Iowa Today's Sign your name House number and street City Date ct x 2. 102 yn� 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. S EP - 2 2011 Prescribed by the Iowa Secretary of State (t '31 W CITY CLERK CITY OF AMES,IOVIA