Declaration of Candidacy Malloy1 Declaration of Candidacy
I, Pkil C k 41 ca I C/ �l 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 C.fy CcmeiCJ Seaf Z , fora term of __,� years, to be voted for at the
election to be held on the 5th day of November, 2013, and certify that I possess the legal qualifications to fill said
office, and that my residence address is
C
Subscribed and sworn to before me this Cel -11- day of
•-Y x�j •••
•.+o
Signed
��;
�•,�OT
Notary Public inand a State of Idaho
residing at
1�+,�p+•�
Yi
'•,'9
•••'•OF DP ++
My Commission expires
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,
O' R
/
V 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.
This declaration was accepted by.do UC.22- L. I���'ylCl.✓�, C �
Name, Title
on q -u - 13 at q
Date Tim
After the close of the candidate filing period, a copy of this form must be transmitted immediately to the County Cleric 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.