EISENBACHER NOMINATION PAPER 06-28-2017.PDF

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STATE OF ARIZONA BOARD OF SUPEk VISOR'S
Nomination Other Than By Primary 1-1ARICOPA Y
NOMINATION PAPER
AFFIDAVIT OF QUALIFICATION 2011 JUN 28 11: 20
CAMPAIGN FINANCE LAWS STATEMENT
EARS §§ 16-311, 16-905(1)(5)]
You are hereby notified that I, the undersigned, a qualified elector, am a candidate for the office
of 1;1 ca $ subject to the Arizona Nonpartisan Special Taxing District Election to be
held on /7-fT go17 . I will have been a citizen of the United States for Za years next
preceding my election and will have been a citizen of Arizona for yr years preceding election and will
meet the age requirement for the office I seek and have resided in Maricopa County for 4/6 years and
in the PZt ) =IP ie Special Taxing District for Lig 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, 1 have no final, outstanding judgments against me of more than an
aggregate amount 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.
I 0.5-413
Actual residence address or description of place of residence (city or town) (zip)
.7P3 IA) ROY)1 4- e- Fhpa-Itt x 8013
Post office address (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)
gyse7Ict,e ITa.-71) ed
LAST NAME FIRST NAME
BALLOT DESIGNATION (up to 3 words) ANDIDATE SIGNATURE
State of Arizona)
County of Mancopa)
LA
Subscribed and sworn to (or affirmed) before me this ) °I day of j IJY1Q , 20
(eai,
Notary Public
I have read all applicable laws relating to campaign financing and reporting.
7,/,///6.044
IDATE SIGNATURE
06/05/2015