Declaration of Candidacy - Pittman, Kenneth (Kenny) - 8/28/2017'1 /UNtE oN RA -L4407- HiAirAN f rr M.
DECLARATION of CANDIDACY
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(Please print name exactly aslyou wish it to appear on the ballot.)
%1.4.:/-966CFOR THE OFFICE OF �Cet/7et/7-4/?eo (%N/ClG
Seat or Position (if applicable)
I, the undersigned, being a resident of i9 1 , .Z414O District,
State of Idaho, do hereby declare myself to be a Candida for the office ofC- L'/r"
for a term of years, to be voted for at the /VeV69 36-- Election to be held on the 7
day of /fiNfe.G(,3672— , 7D/7 and that my residence address is ZSVZ & 04-0:)640-61
For
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I further certify that I possess the legal qualifications to hold said ice
Date sour,
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Signed (//:447,
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Signed / No
Notary Pub is j
Residing at t7� /01 -N -D
Commission Expires n2'I L/7_I1 ?A
INSTRUCTIONS
CANDIDATE: This Declaration of Candidacy must be accompanied by the Petition of Candidacy signed by
not less than 5 electors of your specific district or zone. It must also be submitted to the Clerk of the District no
later than the last day of candidate filing.
CLERK OF THE DISTRICT: Upon receipt of this Declaration of Candidacy:
1. Verify that the Petition of Candidacy is signed by not less than 5 electors.
2. If the Petition of Candidacy was not verified by the County Clerk prior to submission to your office,
contact the County Clerk's Election Office to verify that the 5 electors are properly registered
electors.
a. If the electors are required to be residents of the candidate's zone, verify that the electors are
in the correct zone.
3. Stamp or write the date and time of receipt on the front of this document.
4. Complete the statement below and transmit a copy of this Declaration of Candidacy to the County
Clerk fro}' b llot preparation.
I, f Y�Ci f msooKh , certify that the qualifications of the candidate have been verified,
including The validity of the electors signing the Petition of Candidacy, and that the individual meets the
requirements) run for the offipq indicated on the Declaration of Candidacy.
Signatur, the Clerk of the -District etttiDate
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
AUG 2 8 211
EC -1A, Approved Secretary of State, January 2011
✓ rFs,de64-me 1 wl,i5la Gov f s - 8/4/4t d�
P rna,J �Askez. Ault) Filer
ADA COUNTY AFFIDAVIT OF
CERTIFICATION OF SIGNATURES FOR A CANDIDATE PETITION
ADA COUNTY ELECTIONS
2017APR 24 PH12: 03
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 signatures on this
petition are those of qualified electors.
By
Christo h ,,PaRiabr,,.%
•
•
.tyCle3'f'
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14,
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For
PETITION of CANIDODACY
(Please print name of candidate.)
FOR THE OFFICE OF66 c'7i GeeN 1 t Seat/Position for
the C r e—, zki
District. This petition must be filed in the
iof the appropriate political sub -division filing office on or before 5 p.m. on the last day of filing for the
arTli Z, Election. The submitted petition must have affixed thereto the names of at least five (5)
qualified electors which reside within the appropriate district or zone.
I, the undersigned, being a qualified elector of the eft -tr . zone/district,
in the State of Idaho, do hereb certify and dec re that I res. a at the place set opposite my name, and that I
join in the petition of de- ! / Aix.iV l7%�, a candidate for the office of
!l edUAJCle—cto be voted for at the election to be held on the 9411day of
zef'
Printed Name Residence Address
tV\kr c Broom V k -2-1W —14gt �rtZ.1 LA -
I2 JAtZ 403 illdri1 PI
1 ;141) 4-,.- Sea PL.
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Date Signed
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/11/7
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STATE OF IDAHO
ss.
Countyof'
4144--
I, k in Ir
/r 4A, )%i.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 that each has stated his or her name and residence
address correctly, that each signer is a qualified elector of the State of Idaho, and a resident of the county of
Signed
``4��11111//���� C d
d•{ A. P(�4 oiMailing Ad ess ! 22 1 ii}0.41.4 C ge4#
u� • a 7 0 fore me this ;4 day of ;S/ Ir , U) 7 .
r
•S
4111
, July 2014
Signed
Notary Public R- siding at / •�
Commission Expires ,ollnJ