HomeMy WebLinkAboutA014 - Receipt of Nomination papers - Timothy Gartin `J
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State of Iowa
Receipt of Nomination Papers
Receipt Number: Office Received In: vi, i
Received By: LJ�'1//t/ :5,irf n
Delivered By: 1? '1ElLi� 66h O
Date and Time Delivered: a.m./C
Candidate's Name: 11)TC+7 U L ( a )']
Office Sought: Are5 Col 'I C" Office District (it any):
Election Type and Date.-
El General on / / ❑ Primary on / / Ycity on I / h /
❑ School on / / ❑ Special on
Documents Received: (check all that apply)
[� Affidavit of Candidacy Faxed? ❑ Yes ❑ No
[V Nomination Petition Number of pages (approx): i'1a-h&f -P5)
❑ Certificate of Nomination by Convention for Non-Party Political Organization
❑ Certificate of Nomination by Convention for Political Parties
Person to contact if there are questions about this filing:
Name: �1'I C,' I'1 Phone: (� 2q/-2
Nomination papers are available for public inspection. Objections to the qualifications of candidates and the
legal sufficiency of nomination papers may be filed until: _9 / ' /
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
L� L5
State of Iowa SEP 1 G 2013
Affidavit of Candidacy
Cr-�-[c lit
Candidate's Name (exactly as it should appear on the ballot-no titles,parentheses,or quotation marks): -- - _ -
1 M h ►r!y L. G,AtZT 1 N (r / r,".A/A
Candidate's Name Sounds Like (phonetic spelling):
Office Sought: 14 ME.S C 1 i'1 i L District or Ward (if any): Z
Vacancy—Is the candidate running to fill a vacancy due to the death, resignation, ❑ Yes � No
removal, or temporary appointment of an office holder?
Type and Date of Election:
❑ Primary on / / ❑ General on / / City on i 1 / S / 1 3
❑ School on / / ❑ Special on
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:
29tiY t IS C r-4H LYZ CIRccC A 50vic 17-P,Zy
Street(no P.O.boxes) City State Zip County
Candidate's Mailing Address (if different than above):
Street City State Zip County
Candidate's Phone: S1 S - Z.9 2 S Email: mes
Candidate's Affirmation
1 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. 1 know that 1 cannot hold public office if 1 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.
1 know that I am required to organize a candidate's committee, which shall file an organization statement and disclosure reports
if 1(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.)
I know that l 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 conservation district ssion).
Candidate's Signature:
Must be si ed in the presence of a notary.
State of: 111-4 County of: S .1
(Stamp)
Signed and sworn (or affirmed)before me on date of: S t_`r T +6, 2c,� 3 yin[ -FAudrey
—
y: T, ti * �* umbeE. lr 758421
g L. �1a�k�r.Print Candidate's Name I mmission Expires
y 22, 2015
Notary Signature: ��tw�C
Prescribed by the Office of the Iowa Secretary of State Revised 112013
State of Iowa SEP 1 6 2013
Nomination Petition for Non-Partisan Off e L(i_.
a:,c P4,t
Candidate Information ,
Name of Candidate: ;1 M o i H y L. 6 A r t Office Sought: A/hc5 4c Tl <<,,'(j L, -Iov pQ' Z �
Candidate's County of Residence: S i 01z 4 Candidate's City of Residence: A Mc S
Type and Date of Election:
General on / / EDSpecial on / / School on CRCity on Ill / OS/ 13
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
F
chool District: School Director District(if any):
F For City Elections Only For Other Elections Only
Office Ward(if any): T PV C (2
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
Sign your name Today's
House number and street City Date
Z_P1 I
2.
3. qn
►909 B,-t A;r C;r �w�eS Q /r5/ts
�S 9 •S' l
5.
6. i �3
- 1 S 13
7.�►�fn
Iq Zo
9.
10. - l�lc3 C�ul� d.� �M s
5 /3
11. �� 3l-J ('da1•� i-�..�-c �^�e5 q is f3
11
13. IS
15.
L4 Dill.
Prescribed by the Iowa Secretary of State
FsrP
State of Iowallomination Petition for Non-Partisan Office 16 2013
C� lc ('ti
Candidate Information
Name of Candidate: 1-1 IM o-rH y L. G A P.T,r
Office Sought: AMPS c,ry ---
Candidate's County of Residence: Sit%k y
Candidate's City of Residence: /?I Nit S
Type and Date of Election:
General on_/ / Special on /_/ []School on / /
(City on f I / OS/ 13
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? �<No 0 Yes
For School Elections Only
F
chool District: School Director District(if any);
�7_
For City Elections Only For Other Elections Only
Office Ward(if any): I IW 2 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.
Sign your name Address where you live in Iowa
House number and street Today's
City Date
2. rrtzS /,3-Q0 i3
ri
3.
4. �� `rn � �✓' l
5.
6.
7.
8.
Z� S—I I
1 ID- CL.Yfi'ss Ave. S 91 t4-113
11:
r
2QQ0� Mars �o, AL)e, tine �Jfl�r I
13. U I ) e J V_
14. Da `I 36<- 4, R ��
15. Es s iy i3
L
Prescribed by the Iowa Secretary of State
i
State of Iowa i U 7° i 6 20
Nomination Petition for Non-Partisan Off' 13 '-
Candidate Information
Name of Candidate: 71 M a i H y L. C A x-r,,.j
Office Sought: A me S c,fy
Candidate's County of Residence: S 7-0►2 4Candidate's City of Residence: �tNlt;S
Type and Date of Election:
7 General on_/_/ 0 Special on_/_/ �School on / / City on I 1 / OS/ 13
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
F
chool District: School Director District(if any):
F For City Elections Only For Other Elections Only
Office Ward(if any): Tw C (Z) 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
Sign your name Today's
House number and street City
te
S
y� a
) .
2,
4.
35 i,3k o33n D., !
5. 3
6.
s. -e, Cl�
�'�2�'ll r"�,r,C�>�r2. l�G�t-ems— `� - l 3• !�
9.
10. / c
11 .12. f
2-9 17 /M `K
13.
/tn rtnrto /Z�4 � ,%�� Dr,
14. -I3"t3
1 Z4 oo° ,j 7--
15. r._z/ 1
Prescribed by the Iowa Secretary of State
State of Iowa
LE
Nomination Petition for Non-Partisan Off P 6 2013 Lj
-IL PA,I
Candidate Information
Name of Candidate: —i►I M(,—, H'I L G 4 AT I rj Office Sought: A&ics C-#T'l r_QUPjt,1_
Candidate's County of Residence: Sic�4 Candidate's City of Residence: A Mc
Type and Date of Election:
[—I General on E]Special on School on / / City on 1 05'/ 13
Is the candidate running to fill a vacancy due to the death,resignation,removal,or temporary appointment of an office holder? �No [] Yes
FFor School Elections Only
School District: School Director District(if any):
FFor City Elections Only T VV 0 (2-) 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 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.
in Iowa Today's
Sign your name Address where you live
Ouse number and street City Date
A
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2.
3.
4.
5.
6.
7.
8.
9.
10,
11.
12.
13.
14.
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Prescribed by the Iowa Secretary of State