HomeMy WebLinkAboutDeclaration of Candidacy HoseleyDeclaration of Candidacy
I, 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
` tcg'f S
Ker't It an C for a term of d years, to be voted for at the election to be held on the 5th clay of
November, 2013, and certify that I possess the legal qualifications to fill said office, and that my residence address
Is (0-7(9 iy CQSQ i0r1ACG I Mar n ltz)„ g3(oy
Subscribed and sworn to before me this __a_day of
,���. fO�. ., Signed V � �ro
p Q� , 1
+ypT AR I,Notat•y Public in and for the State of Idaho
a.•er e � �p
1!it.w4�G residing at _C mJ �wjk b
My Commission expires CN Ra (Do t
OFFICIAL USE ONLY
CITY CLE RIC
Before accepting this Declaration of Candidacy, the City Cleric (or designee) must verify;
This declaration is accompanled by:
The attached Petition of Candidacy signed by at least five qualified city electors with the attached verification
from the county clerk,
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 tint the residence address provided above matches the address on the individual's voter
registration. \ t
This declaration was accepted byI,T,LAT —�cwy2_S,Serhto✓U
'Pp,.t6A (ll�fcry--
Name, Title
on , mb at�i3 at d13®pn .
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 CL> RI{
Upon receipt of this Declaration of Candidacy, stamp the date and time ofreceipt 'oil the front of this document. This
document Is to be used for ballot preparation.
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 _�a signatures on this
petition are those of qualified electors.
m
Christopher D. Rich
Petition of Candidacy
State of Idaho
County of Ada ss.
City of Meridian PETITION OF CANDIDACY
OF J
Name of Cnndidate
FOR OFFICE OF Kms� G f\ Ct k` -j U WS \ 5 4 5 -
This
This petition must be filed in the office of the City Cleric not earlier than 8:00 a.m. on the eleventh Monday not- 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.
1, 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 heby J9n
in ht the petition
o candidate for the office of M&, k- "A' o k, (o "LL S to be voted at the election to be held on the Sth day of
November, 2013.
\\ Print`J-t ed Name Residence Address Date Signed
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Tom,j 33Ll 5, PfWyA,,7— R,0lnN 83647 8/54/3
bo lz C Sfe A G .S q 6 S GJ, 1;4er,Vt4,H R -01a g-30-1.
c.J a n je 913A A/.
STATE OF IDAHO
County of �ppltdG
I, �A-k'�, 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 (lint each has stated his or Ler name and residence address correctly, and that each signer is`a
qualified elector -of the Statglgf Who, and the City of Meridian.
Address icv(, 1U Ct.A L.", �1tf4,, it> 'B3b4e
Address orSignoture Collector
Signed
Qy�1
plo.A W4i�before me this day of a �jt ,X013
40wi666' 4 ••••• Signed Notary Public
�yOTgg)*6 A0t Residing at w SI'
+�� = Commission expires CD4 BVI '4D015
pIl B 0- (Notary Seai)