COOLEY NOMINATION PAPERS 10-12-2017.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)]
You are hereby notified th,at I, the undersigned, a qualified elector, am a candidate for the office
r subject to the Arizona Nonpartisan Special Taxing District Election to be
of — . I will have been a citizen of the United States for C years next
held on / have been a citizen of Arizona for years preceding election and will
preceding my election and will County for a-- years and
meet the age requirement for the office I seek and have resided in Maricopa
Var-e—A— D'e"4"-t ' 11 Q 44---1(4pecial Taxing District for 2- years before my election.
in the swear (or affirm) that at the time of filing, I am a resident of the county, district or
I do solemnly outstanding judgments against me of more than an
precinct which I propose to represent, I have no final,
amount of $1,000 that arose from failure to comply with or enforcement of ARS Title 16,
aggregate as to all other qualifications, I will be qualified at the time of election to hold the office that I
Chapter 6, and
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)
(city or town) (zip)
Post office address
Print or type your...name:on the-foliewing , line in ,the:,exact inantier you
wish it to on the,bellOt;A:R.S.::§ T6 73111 .01
FAS
LAST NAME
BALLOT DESIGNATION (up to 3 words) CANDIDATE SIGNATURE
State of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this /6-• day of /vi/L, A ,2
(47 OFFICIN. SEAL
ELAINE PETLEY
Notary Public- State COUNTY of Arizona Notary Public
MAR ICOPA
My Comm. Expires Jam 3,2021
I have read all applicable laws relating to campaign financing and reporting.
CANDIDATE SIGNATURE
RECEIVED
06/05/2015 By LM Clerk of the Board's Office at 4:06 pm, Oct 12, 2017