Jessica PerraultADA 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 7 signatures on this petition
are those of qualified electors.
Phil McGr4vo►r►®ears,®#
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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 7 signatures on this petition
are those of qualified electors.
Phil McGr4voIIIIII�®®®®
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By
E)gu=y Clerk Of - z
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State of Idaho
County of Ada
City of Meridian
PETITION OF CAN DIDACYOF
Name of Candidate
FOR OFFICE OF
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 must have affixed thereto
the names of at least five (5) qualified electors who reside within the appropriate city.
1, the undersigned, being a qualified elector of the City of i �q ;1 12 in the State of Idaho, do hereby
certify and declare ntth
deoe my name and that I dhereby join in thepetitio-e� /ti-/ /-�—a candidate for the office of -IjL' / i�Le I - —t to be voted at the
electionto be held e 5" day of November, 2019.
Signature of
Petitioner
Printed Name
Residence Address
Date
Signed
5
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punk'z &C611Lia A
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STATE OF IDAHO
COUNTY OF ADA
LF,)Si eing first 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 orher narae
thereto in my presence; I believe that each has stated his orher name and residence address correctly, and that each
signer �� a ualifi for of the State of Idaho, and the City of Meridian.
r 1 -,1--7
Signe, Address /vV
inature Collector Address of Si. -nature Collector -7b
Subscribed and sworn to before me this day of SgW , 21) 1 ci
Signed Notary Public Aiia2
010
Residinc, at Avlla V"7 4t,
Commission expires F//4 Z3
B L I
T, '0486f;trt6-�P` 0 (Notary Sea])
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OF
Declaration
f I o Candidacy
the undersigned, affirm 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 for the office of i jr 1�' / P"��- for a term of
years, to be voted for at the election to he held on the 5`a day of
certify that I possess the legal qualifications to fill said office, and that my residence address is
Subscribed and sworn to before me this �r
Signed _
otary Public in and for the State of Idaho
Residing at Agc 6c, i, 1/9
My Commission expires
OFFICIAL USE ONLY
CITY CLERK
of
19
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A ®®. 'PUBL1{ n�® e
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 on�1�
Name, Title Date
at
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 bac poR�rFd
9
Upon receipt of this Declaration of Candidacy, stamp the date and time of receipt on the front of i
document. This document is to be used for ballot preparation. �; Q
RECETVhD
d
s'
�,�9SGRH
SEP 0 4 2019
CIT' ur-
CITY CLERKS OFFICE