Rudolf (Rudy) L. PatrickREcEtvr.
SEP 0 6 2019
Declaration of Candidacy CITY
CITY CLERKS OFFICE
ii
I, _Rudolf (Rudy) L. Patrick_ 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 _City Council Position 1, for a term of two years, to be voted for at the election to be held on the
5th day of November, 2019, and certify that I possess the legal qualifications to fill said office, and that my
residence address is 273 E Kaibab Trail Street, Meridian, Idaho 6_�6 `/
Subscribed and sworn to before me this 6th -4
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Notary
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s Signature
her, a0"," . Signed
for the State of Idaho
•••• SjA,j,E OF ,4•'• My Commission expires ?d 'P- 6 o-z>0--�. 7
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
rA 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 0_1101-" S k27 O S C.1 0, �jF—
on %// I /� Name, Title
b �/ ; / at 3
Date 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.