HomeMy WebLinkAboutMilam, GenesisRECEIVED
Declaration of Candidac
y AUG 2 6 2015 ,p%
CITY OF
CirYCIF QKS� EEt
I, P ne sS- 5 � 110. affirm
v✓l the undersigned, arm that I am a qualified elector of the (rW of
Meridian, State of Idaho, and that Ii have resided in the city for at least thirty (30) days. I hereby declare myself to
be a candidate for the office of C r r1 cat ex C, t_ for a term of 1/ years, to be voted for at the
election to be held on the 3rd day of November, 2015, and certify that I possess the legal qualifications to fill said
office, and that my residence address is
E ` 4t ( r i /\ l)Y . Wk Q rt Gt l'L h --:r-D 93 (V Yb
Subscribec
e this :�day of
Signed w� w
Notary Public in and for the State of Idaho
residing at C0J j.Ak rt
�I
My Commission expires �) `( o plr's 'Do
OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify:
This declaration is accompanied by:
iKa
The attached Petition of Candidacy signed by at least five qualified city electors with the attached verification
from the county clerk,
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 reddence address provided above matches the address on the i ndivi dual's voter
registration. /I LC (� � c , � /, a ^ ��
This declaration was accepted by I �/( ,�' (�(, `��("I
Name; ,S�,, '�
on — -6/> a5
t 5
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.
9
Petition of Candidacy
State of Idaho
County of Ada ss.
City of Meridian PETITION OF CANDIDACY
OF Cr 2112 IS M i La kyl
Name of Candidate
FOR OFFICE OF _ 6 C O✓i trh � F 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
5:00 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 6-1 en eS'r s L4 d I a ,
a candidate for the office of ¢ter- �7yy -�? to be voted at the election to be held on the 3rd day of
November, 2015.
gna are of Petiti ne Printed Name , Residence Address Date Signed
U
G
ct
STATE OF ID�AHO
County of C6 fi,
I, L-E P. ft -e 5 VY Cll `• , I— being first duly sworn, say: That I am a resident of the State of Idaho and at
least eighteen (18) years
in my presence; I belie}/y,
qualified elector* dolif,�
that every person who signed this sheet of the foregoing petition signed his or her name thereto
each has stated his
Signed It
Signatm•e
name and residence address correctly, and that each signer is a
Address �7 I°l J,\ Ty
Address of Signature Collector
i�o S � I Subscribed and sworn to before me this 4 da yof ol, ,`� _
Signed Notary Public 0' n�pC—
Residingat_
Commission expires 04 a(zLl
(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 10 signatures on this
petition are those of qualified electors.
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