Declaration of Candidacy MunsonDeclaration of Candidacy
1, /' i.. A 4 , i F. /Yt ,.. a sA nI 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
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be a candidate for the office of ee el A J t /-/ W A nl , for a term of t� 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
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Candidate's Signature
Subscribed and sworn to fore me this -1 qday of'p�t�
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�G�'Hd��. Signed !_..,�.,,� . ,,_ ..yL _
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Notary Public in and for the State of Idaho
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�o r puBLIC. �t residing at �Jipt��-
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OF IV. �.�My Commission expires1 - ZO( q
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,
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A nonrefundable Sling 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. _ ^G�/ oCl
LThis declaration was accepted byniheILAVI
I IEYK
on J4P_{Name, Title
�Ceyo�Al ADj'%j atj J�
Date Time
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.