Gina JohnsonR]Ec]EfvF,D
Declaration of Candidacy SEP 0 6 2019
T CITY lir
I, �T 1 ✓t 6h4 SoYl the undersigned, affirm that I am a qualified ele&T)6Cti> typF C1F E
of Meridian, State of Idaho, and that I have resided i the city for at least thirty (30) days. I hereby
declare myself to be a candidate for the office of !tet wy a r for a tertn of
L _ years, to be voted for at the election lobe held on the Vh day of November 2019, and
that I possess the legal qualifications to fillaid office, and that
1
IdI /An L ( 1 All Q_r,rA , , -10
is
Candidate's Signature
Subscribed and sworn to before me this ��, � day of S �r ,
Signed c___.
Notary Public in and for the State of Idaho
Residing at �
My Commission expires
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
X 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.
/1
This declaration was accepted by
t 2-' q 2- e� Na me, Title tate
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
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.