Declaration of Candidacy & Treasurer - Laughlin, Jeff - 8/29/2011DECLARATION OF CANDIDACY
FOR CITY COUNCIL
I, the undersigned, affirm that I am a qualified elector of the City of Eagle, State of Idaho, and
that I have resided in the City of Eagle for at least thirty (30) days.
I hereby declare myself to be a candidate for the office of City Council, for a term of four (4)
years, to be voted for at the election to be held on the 8th day of November, 2011, and certify
that I possess the legal qualifications to fill said office, and the my residence address is
1-790 N 3a (yc• !o wa,. Az. ZD 91C14
Subscribed and
OFFICIAL USE ONLY
CITY CLERK
My Commission Expires
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify the
following.
Thi=The
is accompanied by:
ttached 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 that the residence address
provided above matches the address on the individual's voter registration.
This declaration was accepted by
me
Title
on at ® ,
Date Time
After the close of the candidate filing period, a copy of this form must be transmitted
immediately to the Ada County Clerk 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.
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1, 3 do hereby cerfify and appoint the following individual who is a registered elector of
Name of Candidate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate or commiftee:
Name of
Political Treasurer"
A' �Ietkj K'o 0 ----
Home Work Cell
Phone:qDS' �1(0- 11,6z' Phone: US- ® 11930 Phone: 70g g5c)
Treasurer
Mailing address
Treasurer I I I DL16 F�Te_ I I
email address:
re, ' andidate or Committee Chairman
1, 4�klatm T'<QMA do hereby ccept the appoin t as political treasurer for
t Name of Political Treasurer
the above named candidate or committee.
IIP F,4
Signature of Political Treasurer
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APPOINTMETA D CERTIFICATION OF POLITICAL TREASURER C-1
Rev. 08/07
FOR CANDIDATES AND COMMITTEES
10
(Please Print or Type)
Pursuant to Section 67-6603(cl), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a
candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer
to the Secretary of State.
Certification is for (check appropriate box below):
CANDIDATE:
. .........
Name of
Candidate:.
Home Work Cell (7
Phone: Phone: P hone
Office Seat (if
S I o I u I g I h 1! .... .............. . applicable)
.. .. .............
Candidate
Mailing address: ..A -
Candidate
email address:
4:5pw4rL. (Z d V'L
COMMITTEE:
Name of
Committee:
Name of Committee
Chairman-.
Miscellaneous: E]
Home Work Cell
Phone: Phone: Phone:
Measure:
Committee —FfEOEIVEff PRIE-0
Mailing address: CIL
TY OF EAGE
Candidate/Measure:
Chairman
email address: AU5 2 9 2011
File:
Route to:
1, 3 do hereby cerfify and appoint the following individual who is a registered elector of
Name of Candidate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate or commiftee:
Name of
Political Treasurer"
A' �Ietkj K'o 0 ----
Home Work Cell
Phone:qDS' �1(0- 11,6z' Phone: US- ® 11930 Phone: 70g g5c)
Treasurer
Mailing address
Treasurer I I I DL16 F�Te_ I I
email address:
re, ' andidate or Committee Chairman
1, 4�klatm T'<QMA do hereby ccept the appoin t as political treasurer for
t Name of Political Treasurer
the above named candidate or committee.
IIP F,4
Signature of Political Treasurer
7;=