Declaration of Candidacy & Treasurer - Kunz, Jeff - 8/26/2013 Declaration of Candidacy
I,the undersigned,affirm that I am a qualified elector of the City of ,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
it ti ,for a term of W years,to be voted for at the election to be held on the Six'
day of November, �-°i ,and certify that I possess the legal qualifications to fill said office,and that my
residence address is -:-A- �1/i1^-• , " • 'D' ?13("k
dj ;�
# Candidate's Sig! re
- Sub ssdcibMiH 4yvorn to before me this `� day of A O J`� 't 3 L t
r T ,e<07.'�a...... ..�%.. Signed 0.
• .0,0T A k
= Notary Public in and for the State of Idaho
pUB1. residing at 0.41.54(N4.)-1.1)--
0
••••.�T ,OF 119:•••• My Commission expires o4 0"101 5
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,
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 i ividual's voter
registration.
This declaration was accepted / , _. J _f _ iJiid id_ Ai %:L,L
on � Name,Title
/ at '0- 5p Y+--
I ate 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 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.
ADA COUNTY AFFIDAVIT OF
CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION
State of Idaho, )
) ss.
County of ADA)
To the City Clerk of Eagle 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 polititif"14,4,4
By el • FT
di
Y 1r�De clerk • F • • CZ'
IDAHO
N. •• ••
c
Petition of Candidacy
State of Idaho
County of c,,.. ss. 2 , "; OE
City of ..r. t` . PETITION OF CANDIDACY
OF ..i P...: II-..,,c a.
Name of Candidate
FOR OFFICE OF C.itt. --",s-'.+1
This petition must be filed in the office of the City Clerk not earlier than 8:00 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.
I,the undersigned,being a qualified elector of the City of V..,....-4 f- ,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
a,eA K,w,... ,a candidate for the office of Ca Cfi n-r-i1 to be voted at the election
to be held on the day of November, -W13 .
Signature of Petitioner Printed Name Residence Address Date Signed
■ iiildrailarrA Al fil I r I.-mow. r —
r• .e-c.' c°� 1 �2/0# r .,,r':. ,e' y`, 03 �zc,r
.3'
idyi----75- -:-IjIr K..,J r-72.... .:)-a N?) r....S kAY:.:tf.- Oil. ,"....ss-c-i---, i Q S R.c.16. sc
STATE OF IDAHO
County of Mo...
I, J Q:4 k,,l'-&- ,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 that each has stated his or her name and residence address correctly,and that each signer is a
qualified elector of the State of Idaho,and the City of - .
-�4.::.m
Signed .--- ` Address "_1-1-13 L 5 y. Lt M.., E.,-4.+.,,) i C.) 'is-DO lw
0, Signatuit Collect Address of Signature Collector
Subsc,ibeg jnd sworn to before me this
-.C., i` day of 1\J..)'`''^'4. , .,G 3.
'�• P 10 Rit4. ,,, Signed Notary Public � ,� .�
.`�,��' .'•, Residing at �. �t
'2 .1 AR}, s
- Commission expires Of R i - JQ VS
I G (Notary Seal)
.14\db:14 p.•%4'
Pu6V• Qom•'
RECEIVED & FILED
CITY OF EAGLE ,
A=s APPOINTMENT AND CERTIFICATION OF POLITICAL TREASU,'ER AUG 2 6F2013/
o�
.
e', oy.
FOR CANDIDATES AND COMMITTEES
x I rism (Please Print or Type) File:
�rE y o4 Pursuant to Section 67-6603(c1), Idaho Code, No contribution shall be received or expendi r
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):
�} Name of
L " CANDIDATE: Candidate:
Home Work Cell
Phone: Cj 3 1 � �� Phone: Phone:
Office Seat(if
Sought: . . �I applicable)
Candidate
Mailing address: 1 (A
a.
13 E.
Candidate
email address: _ u � ( { t
Name of
COMMITTEE: Committee:
Name of Committee
Chairman:
Miscellaneous: I 1 Home Work Cell
Phone: Phone: Phone:
Measure: Committee
Mailing address:
Candidate/Measure:
Chairman
email address:
CERTIFICATION AND APPOINTMENT
I, Kut`-q. , do hereby certify 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 committee:
Name of
Political Treasurer: - >= Kf\j7_
Home Work Cell
Phone: • Phone: Phone:
Treasurer
Mailing address: 12.13 a y<l t)S
Treasurer j--- (3(.t
RETURN THIS email address:
FORM T0: A-r._.4 -k..t` C
Sharon Bergmann
Clerk-Treasurer /
City of Eagle ignatur f Candidate or Committee Chairman
PO Box 1520
Eagle ID 83616 I, , do hereby accept the appointment as political treasurer for
(208)939-6813 Name of Political Treasurer
Fax:(208)939-6827 the above named candidate or committee.
sharon@cityofeagle.org
1.6ature of Political Treasurer