HomeMy WebLinkAboutPalmer, TyDeclaration of 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
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be a candidate for the office of t ! C, , , for a term of years, to be voted for at the
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election to be held on the 3rd day of November, 2015, and certify that I possess the legal qualifications to fill said
otiice, and that my residence address is
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Subscribed and sworn t��tte this ay day of i'rU.�1�,4-t , ZOOS
Signed, A.
y ' 4 Y Notary Public in and for the State of Idaho
Atjc residing at
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OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify:
This declaration is accompanied by:
V The attached Petition of Candidacy signed by at least rive qualified city electors with the attached verification
from the county clerk,
OR
A nonrefundable Oiling 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 individ'-
ulal's voter
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registration. A- C � Q. L. it This declaration was accepted by O ✓K-�'�
Name, Title
on g— ay'/S at
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.
Petition of Candidacy
State of Idaho
County of Ada ss.
City of Meridian PETITION OF CANDIDACY
OF F Pal r 8, r'
Name of Candidate
FOR OFFICE OF M2 P i k o. n G 1 4 Lo wAG M
This petition must be filed in the office of the City Clerk not earlier than 5:00 a.m. on the eleventh Monday nor later than
5:00 p.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.
I, the undersigned, being a qualified elector of the City of Meridian, in the State of Idaho, do hereby certify and declare
that I reside at the place set opposite my name and that I do hereby join in the petition of J-f—'-" i 1 e / ,
a candidate for the office of _I 4 Erir� n t i 4 C oti c (i to be voted at the election to be held on the 3rd day of
November, 2015.
Signature of Petitioner Printed Name , Residence Address Date Signed
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STATE OF IDAHO
County of AAr,
I, El H" I M z / , being 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 or her name 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 elector of the Stat of Idaho, and the City of Meridian.
Signed Address 7 J l� l fn�( LE i ! 12�t1 `r ( o �3Ca i
Signature Collector Address of Signature Collector
Subscribed and
day of� Z0/S-
Lary Public
Usiding at C24/� y
Commission expires % % Z 7-0
(Notary Seal)
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, Christopher D. Rich County Clerk of Ada County hereby
certify that ( signatures on this
petition are those of qualified'electors.
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