Petition of Candidacy MoberlyPetition of Candidacy
State of Idaho `'�
County of KQ ss.
City of MetlakPETITION OF CANDIDACY 2613lr lLlc ° i 1; 48
OF bltvl- { {^ ab&q
y� Name of C/ant,,,date
FOR OFFICE OF (I PY (fik (,t I (p Us U I —Sir
This petition must be filed in the office of the City Clerk not ear ter than 5:00 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. rr
I, the undersigned, being a qualified elector of the City of in1Pi4'I ul at, , 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
office a candidate for the of t' Aid, ap
ti t/l l,'AAA I to be voted at the election
3.
to be held on the t7 S day of November,
Signature of Petitioner Printed Name Residence Address Date Signed
STATE OF IDAHO
O
County of Ad&
I, NIA &W, , 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 iat-eaclrl as stated his or her name
and residence address correctly, and that each signer is a
qualified elector he Id l�, and the City of I' Ih/Y1LL, p y� /
Signed Address ,30,3-7 � �^� C&M MA rJ,dh _0 83Ly2
Signature Collector Address of Signature Collector
1
'•••••
and sworn to before me this oi(o day of �a. o ltigx' aO� 3
•.��Qi �..�••t,N'1✓y, ,y. Signed Notary Public r
�yOTgRr `GI p Residing at ='J
�•� Commission expires 64 Is
A
y m •� Ug LAG i (Notary Seal)
''•i OF IDA.•.•
S�'
PETITION FOR CANDIDACY OF
E,,t
(Name Candido )
FOR OFFICE OF 2013 A EiI ; 48
PARTY
This petition must be filed with declaration of candidacy in the office of the County Clerk during the time prescribed
by law prior to the Primary Election by candidates for all political parties for all county offices. The statutory minimum
number of signatures must be verified by the county clerks prior to filing. The submitted petition must have affixed
thereto the names of at least five (5) but no more than ten (10) qualified electors which reside within the appropriate
county or commissioner's district. %
1, the undersigned, being a qualified elector of Na County in the State of Idaho, do hereby
certify and declare that l join in the petition of , a resident of
County, Slate of Idaho, a candidate for the Party for
the office of to be voted for at the Primary Election to be
held on the 15" day of May, 2012.
Signature of Petitioner Printed Name Residence Address Date Sighed
10
STATE OF IDAHO
SS.
County of
1. )U;1 AU ti being first duly sworn, say: That I am a resident of the State of Idaho and at
least eighteen (18) years ofAge: that every person who signed this sheet of the foregoing petition signed his or her name
thereto in my presence: I believe that each has stated his or her name, post -office address and residence correctly, that
each signer is a qualified elector of the State of Idaho, and the Coun A
Signed
Post Offi Address 3 03 W john(
Subscribed and swolostalago i°AZ,f��this ala-_ day of
P�...y...�n'Ff'•y Signed
(Notaryf SOT Ag } s Notary Public ut d far the s e of Idaho
�.� Residing Attr,-.+t_1V
c My Commission expires on 00015
e %L .Q :•
Fonn EC -10A -Petition lVdqm RM
nF EE'4Md.•r�Yes—Approved by the Secretary of State, December 2011
4._
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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 :5 signatures on this
petition are those of qualified electors.
Christopher 'D: l� h
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