REEMELIN NOMINATION PAPER 10-03-2017.PDF

STATE OF ARIZONA
Nomination Other Than By Primary
NOMINATION PAPER
AFFIDAVIT OF QUALIFICATION
CAMPAIGN FINANCE LAWS STATEMENT
EARS §§ 16-311, 16-905(1)(5)]
Yog are hereby notified that I, the undersigned, a qualified elector, am a candidate for the office
of tir-Avvige(r— subject to the Arizona Nonpartisan Special Taxing District Election to be
held on )L101/- ) 11/ 2017 I will have been a citizen of the United States for __53 years next
preceding my election and will have been a citizen of Arizona for VO years preceding election and will
meet the age requirement for the office I seek and have resided in Maricopa County for 110 years and
in the liJecire.yt. Meo(Nic\N),Sc Special Taxing District for i9 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 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.
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Actual residence address or description of place of residence (city or town) (zip)
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)
LAST NAME FIRST NAME
BALLOT DESIGNATION (up to 3 words) CANDIDATE SIGNATURE
State of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this day of De.4 Ober, 20_ 7 .
SUE STEVENS
Notary Public - Arizona (_;),./f-e
Maricopa County Notary Public
0/ My Comm. Expires Jul 18, 2018
aign financing and reporting.
RECEIVED:
CANDIDATE SIGNATURE
By the Clerk of the Board on
to. 5. 901'7
Piet doge -Al/