Robert SimisonA
P 4idac
State of Idaho AUG 2
County of Ada
8 2019
City of Meridian C11 201 o i' _ PM : 15
CITY CL.'
PETITION OF CANDIDACYOF
Name of Candidate
FOR OFFICE OF 0ic� �4N
This petition must be filed in the office of the City Clerk not earlier than 8:00 a.m. on the eleventh Monday nor later
than 5:00p.m. on the ninth Friday immediately preceding election day. The submitted petition musthave affixed thereto
the names of at least five (5) qualified electors who reside within the appropriate city.
I, the undersigned, being a qualified elector of the City of 1y?C1'i6i AJ , in the State of Idaho, do hereby
ce 'tifyp and dlace that I reside at the place set opposite my name and that I do hereby join in the petition of
D►a�ri' cSisu-j , a candidate for the office of '%'✓10.vnr to be voted at the
election to be held on the 5' day of November, 2019.
Signature of . Name
Petitioner
ResidenceAddress
Date
/!����. _ ii'_:�WIMAM F-14",7��_/�ZZ�
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STATE OF IDAHO
COUNTY OF ADA
I, &J&C i si rh&o being fust duly sworn, say: That I am a resident of the State of Idaho and at least
eighteen (18) years of age; that every person who signed this sheet of the foregoing petition signed his or her name
thereto in my presence; I b elieve that each has stated his or her name and residence address correctly, and that each
signer is a u lif' ele o of the State of Idaho, and the City of Meridian.
Signed Address yaly 3
Signatur Co11 for Address of Signature Collector
Subscribed and sworn to before me this J Y� day of Aueli. , Zo/ 9
Signed Notary Pu / -
Residing at��'�'d ce-vt,� A4C Cl)
Commission expires O 2 - 2(D ` 20 2 D
LEASH LYN STRICKL M
NOTARY PUBLIC- STATE OF IDAHO (Notary Seal)
COMMISSION NUMBER 51816
MY COMMISSION EXPIRES 2-26-2020
ADA COUNTY AFFIDAVIT OF
CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION
State of Idaho, )
ss.
County of ADA)
To the Clerk of Meridian City, for the State of Idaho:
I, Phil McGrane, County Clerk of Ada County hereby
certify that signatures on this petition
are those of qualified electo
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.CETVED
AUG Z 8 2019
Declaration of Candidacy - -
C1'1', t%FttndKetsigne effirm that I am a qualified elector of the City of Meridian, State of Idaho, and
that I have resided in the city for at least thirty (30) days. I hereby declare myself to ;be a candidate ( 5
for the office of .M -, ve C�OF Vj=&ZrS for a term of y years, to be voted for at
the election to be heldon n the 5`h day of November 2019, and certify that I possess the legal
qualifications to fill said office, and that my residence address is 41'90 1 Mo rs,, (a. ALB
Subscribed and sworn to before me
Notaryub ' 'n2Af pp
e State of Idaho
Residing at. Er, el i a �-, . :z7n
Q5i) ��7
Candi te' Signature
day of 6t D/
E:NOCTA
A LYN STRICKLIN
BLIC - STATE OF IDAHO
SION NUMBER 51816
SION EXPIRES 2-26-2020
My Commission expires b 2 - 2- b— 2 020
OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify:
This declaration is accompanied by:
The attached Petition of Candidacy signed by at least five qualified city electors with the attached verification
from the county clerk,
OR
A nonrefundable filing fee of $40.
The City Clerk (or designee) must verify that the person submitting this declaration is a qualified city elector
as defined in Idaho Code 50-402(c) and that the residence address provided above matches the address on the
individual's voter registration.
This declaration was accepted by (- f S C, , /�� �� > on 4 —2 F
`j
at Name, Title Date
� � —�P /"�
Time
After the close of the candidate filing period, a copy of this form must be transmitted immediately to the
County Clerk to assist in ballot preparation.
COUNTY CLERK
Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on the front of this
document. This document is to be used for ballot preparation.