HomeMy WebLinkAboutTracy, MikeDeclaration 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) clays. I hereby declare myself to
be a candidate for the office of �t ri co,-;o eu_ , 5uAr S r a term of q 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
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Candidate's Signature
Subscribed and swa�h'}po,b�"*-We this .Z-i"Iay of
i a.TAAp Z L Signed C _..®._....
Notary Public in and for the State of Idaho
4,1 P �Q►Q residing at `!,f (per C1/ aAli.
1yt4�.�to �� M Commission expires
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OFFICIAL USE ONLY
CITY CLERIC
Before accepting this Declaration of Candidacy, the City Cleric (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 clerly
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 matches the address on the individual's voter
registration; ))�Y�
This declaration was accepted by. <_J K1 CR1 $�0 I tuna-✓1 � �T
Name, Title
mn > i�.1t 2--�r a-0f5 at(5,VA
Date Time
After the close of tine candidate filing period, a copy of this form must be transmitted immediately to the County Clerk to
assist in ballot preparation.
COUNTY CLRI2IC
Upon receipt of this Declaration of:Caudidacy, stamp the date and time of receipt on the front of this document. This
docnineut is to be used for ballot preparation.