Jeffrey Miller9-
State of Idaho
County of Ada
City of Meridian
Petition of Candidacy
t i9 -5 M 10: 18
PETITION OF CAN DIDACYOF e i IPS
J Name of
C didate
FOR OFFICE OF /' ' yJ� eY l `U f ` / t t 0 A C/ 1
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.
m �
I, the undersigned, being a qualified elector of the City of /t l P% t �+✓1 , in the State of Idaho, do hereby
certify, and declare that I reside at the place set opposite my namgg,, and that I do hereby j n in the petition of
Yep rt 1 e✓ , a candidate for the office of Cj V C-47144 C� � tobevoted atthe
e
election to held on the 5"' day of November, 2019.
Signature
Petitioner
_
STATE OF IDAHO
COUNTY OF ADA /
I, P� / �'✓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 n ame
thereto in my presence; I believe that each has stated his or her name and residence address correctly, and that each
signer is a qualified
ector of tate of Idaho, and the City of Meridian.
Signed Address JS6 / �V /T� �i �/ /��t'-���; -o
ignature Collector Address of Signature Collector
Subscribed and sworn to before me this Elt, day of-5eC{U' bey, '2-0 t
Signed Notary Public ei 1akOU
CHARLENE WAY Residing at
COMMISSION 067390 n -1
NOTARY PUBLIC
STATE OF IDAHO P Commission expires - 3 'a0
MY COMMISSION EXPIRES RE C E TV Er (Notary Seal)
SEP 0 5 2019
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Declaration of Candidacy
I, the undersigned, affirm that I am a qualified elector of the City of Meridian, State yy of Idaho, and
that I have resided in the city for at least thirt (30) days. I hereby;de lace myself ifii A ndidate
for the office of Uy Coed G%� SPq 5 -for a term of r' years, to be voted for at
the election to be held on 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 3 Jr( V eN (.1/ (/ n
jvllx�a
andidate's Signature
Subscribed and sworn to before me this
5'
Signed waiwxt W a�
Notary Public in and
for the State Idaho �I
Residing at
My Commission expires
OFFICIAL USE ONLY
CITY CLERK
CHARLENE WAY
COMMISSION 0673W
NOTARY PUBLIC
STATE OF IDAHO
MY,COM,APSJA( EXPIRES 3/28/22
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 snatches the address on the
individual's voter registration. �1 1
This declaration was accepted by CA 1 S �+7-S G� l� , (� � r �e���� on " 5
G Name, Title Date
at I (Ay►'1
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.
REC-ETVED
SEP 0 5 2019
CITY ur
CITY CLERKS 0M."