Declaration of Candidacy for City Council - Parrie, Dave - 8/26/2019Declaration of Candidacy
1, the undersigned, affirm that 1 am a qualified elector of the City of 4 -%�
, 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
Cc4rct
, for a term of
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years, to be voted for at the election to be held on the 4'
day of November,2 ." 9 , and certify that I possess the legal qualifications to fill said office, and that my
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residence address is Z..T
Subscribed and sworn to before me this
SHERI HORTON
COMMISSION #38002
NOTARY PUBLIC
STATE OF IDAHO
MY COMMISSION EXPIRES
day of
Signed
Notary Public in and for t
C,:atndidate s Signature
ZA9
1
residing at
My Commission expires
OFFICIAL USE ONLY
CITY CLERK
Before accepting this Declaration of Candidacy, the City Clerk (or designee) must verify:
This declaration is accompanied by:
OR
e State of Idaho
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The attached Petition of Candidacy signed by at least five qualified city electors with the attached verification
from the county clerk,
A nonrefundable filing fee of S40.
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 ;� , e, s on the indi i ual's vter
registration.
This declaration was accepted by
on
Name, Title
at /0206
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. 2al 4._
County of ADA)
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To the City Clerk of Eagle City, for the State of Idaho:
I, Phil McGrane, County Clerk of Ada County hereby
certify that � signatures on this petition
are those of qualified electors.
By
Phil McGrane �000""'•11„, ,,
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Deputy .1ciV
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State of Idaho
County of / dir')
City of tA) id e
ss.
Petition of Candidacy
2019
PETITION OF CANDIDACY
OF Oi;/0 ,j. •';4 :E/
Name of Candidate
FOR OFFICE OF
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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, beingaqualified elector of the Cityof E . 7ie , in the State of Idaho, do
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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 candidate for the office of r )9)`)1-4/14,74/
to be held on the 5 day of November,) 4 t.
re
of Petitioner
Printed Name
Residence Address
to be voted at the election
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Date Signed
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STATE OF IDAHO
County of Pc -c)..0\
, being first duly sworn, say: That I am a resident of the State of Idaho and at
least eighteen (18) yriars of age; that every person who signed this sheet of the foregoing petition signed his or her name thereto
in my presence; I believ; that each has stated his or her name and residence address correctly, and that each signer is a
qualified elector of
Signed
ate of Idaho, and the City of G
Address
ture Collector
Subscribed and sworn to before me this
HOLLY POWERS
Notary Public
State of Idaho
Commission No. 20190109
5
M.S .
Address of Signature Collector
day of
Signed Notary Public
(0,1) Residing at
Commission expires
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1 111 1.2oL3
(Notary Seal)