HomeMy WebLinkAboutHoman, KalebI, Kct let Noma h 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 /4 G U/0 , for a term of �'� 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
6150 fV. b .Mef�d;��h
;—
�,�;�,
C
Candidate's Signature
Subscribed and sworn to before me this day of o 2 7�- Vyr
Signed
KRISTI R. HENDRICKSON Notary Public in and for the State of Idaho
Notary Public
State of Idaho residing at..
My Commission expires
f
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,
7/
A nonrefundable filing fee of $40.
The City Cleric (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 byIJ ,(/� �L
Name, Title
on % at Ix --31 e A4
D to Time
After the close of the candidate filing period, a copy of this form must be transmitted immediately to the County Clerk to
j i 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.