Declaration of Candidacy - Ridgeway, Stan - 8/26/2013 Declaration of Candidacy
I,the undersigned,affirm that I am a qualified elector of the City of /TV-t = , 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
tl2 l����.-Q vne ( I ,for a term of IF years,to be voted for at the election to be held on the
day of November, 2oR , and certify that I possess the legal qualifications to fill said office,and that my
residence address is / 73 2( 's k Ca-6( / FeVik bete b �`)6/.6
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//7/JC1 Ai 721 CI?etzi< � , �.�i
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Subscr*Viitapitt before me this 2L" day of A. L 4 , 13.
�pT R}► Sig
Notary Public in and for the State of Idaho
PUBI.1 _o -E
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..•••••• ; residing at
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My Commission expires 1'•
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 .ddress on the.'i dividual's A ter
registration.
This declaration was accepted a'41 I_ - iith `
Name,Title
on c Zo /& at R30
)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.
RECEIVED & FILED
CITY OF EAGLE
SAT S APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER AUG 2 C o 0
64.1:0 '-ot, 8x07
FOR CANDIDATES AND COMMITTEES
x', t,� i�r (Please Print rT Type)
V ( YP ) File:
'47i t. s Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or exper�ditpm rt�ltby or on behalf of a
E�10
candidate or political committee until he or she appoints a political treasurer and certifies the
to the Secretary of State.
Certification is for(check appropriate box below):
Name ofim- r r�
CANDIDATE: Candidate: vt&L1C) /�f Jct I 1-5 MA) ( IJ 6— r.— VtJily
Home Work Cell
Phone: A✓//d Phone: /1//✓-! Phone:Z�J S2.--q161-6/51'
Office Seat(if
Sought: C t f e'U-- l applicable)
Candidate / ;� ;� /
Mailing address: /-� '3 �'' (C V S IA 20`9X) 1Za 9 !-e , )--b .-6l,6
email Q„ R , w/11 yr/-4 n v ' t d Yt_
email address: I \
Name of
COMMITTEE: Committee:
Name of Committee
Chairman:
Miscellaneous: I I Home Work Cell
Phone: Phone: Phone:
Measure: I I Committee
Mailing address:
Candidate/Measure:
Chairman
email address:
CERTIFICATION AND APPOINTMENT
I,&Mice Cat/lei( Z t cSq ec / o 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: V�f 'Bu SC \
Home (� (� C� Work Cell �(1 ��nn
Home g3� l 3 Phone: `�'XY�. Phon��8) 830-Uls lg
Treasurer
Mailing address: D:35 V\I
`� yeAt-AAIA7
Treasurer \
RETURN THIS email address: O `, �3U S C c
V y
FORM T0:
Sharon Bergmann 72 a,Clerk-Treasurer City of Eagle Signature of Candidate or Commman
PO Box 1520 �i
Eagle ID 83616 I, rk 1(Ul t sc�v , do hereby accept the appointment as political treasurer for
(208)939-6813 Name of Political reasurer
Fax:(208)939-6827 the above named candidate or committee. l Y ,`�
sharon @cityofeagle.org
Signature of oli' Treasurer