HomeMy WebLinkAboutCandidate Records - Elected - Nomination papers - Clark for Council - 6/1/2016STATE OF ARIZONA
NONPARTISAN
NOMINATION PAPER
rt 1 AFFIDAVIT OF QUALIFICATION
CAMPAIGN FINANCE LAWS STATEMENT
[A.R.S. §§ 16-311(B), 16-905(1)(5)]
held on
CITY CILERK
CITY OF G ENDALE
2016 MAY -4 I AM I l : 30
FOR OFFICE USE ONLY
are hereby notified that 1, the undersigned, a quu lified elector, am a candidate for the office of
bc.5fiP16 /� O'/RFO at the General Election to be
I will have been a citizen of the United States for 75' years next preceding my election and will
have been a citizen of Arizona for years next preceding my election and will meet the age
requirement for the office I seek and have resided in /C'O County for years and in
precinct years before my election.
I do solemnly swear (or affirm) that, at the time of filing, I am a resident of the county, district or
precinct which I propose to represent, I have no final, outstanding judgments against me of more than an
aggregate of $1,000 that arose from failure to comply with or enforcement of ARS Title 16, Chapter 6, and as to
all other qualifications, I will be qualified at the time of election to hold the office that I seek, having fulfilled the
constitutional and statutory requirements for holding said office.
Actual residence address or description of place of residence (city or town) (zip)
Post Office
Address j`14—
(city or town) (zip)
Print or type your name on the following line in the exact manner you
wish it to appear on the ballot. A.R.S. § 16-311(G).
CL AP'- K alp CL-
LAST NAME FIRST NAME
State of
CANDIDATE SIGNATURE
Ar -.7 � n w )
Countyof voae. co0,i ) f
Subscribed and sworn to (or affirmed) before me this f _ day of V11 201
CHARLES GUIU ERMOZUNIGAVASQUEZ
Notary Pubk-State ofArizon
MARICOPA COUNTY
MY 2010
My Commission Expires July 2Notary
I have read all applicable laws relating to campaign f1paocing and reporting.
DIDATE SIGNATURE
Office Revision 05/23/2013