ETCHART NOMINATION PAPER 09-22-2017.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 that I, the undersigned, a qualified elector, am a candidate for the office
of trustee subject to the Arizona Nonpartisan Special Taxing District Election to be held on November 14,
2017. I will have been a citizen of the United States for ,59 years next preceding my election and will
have been a citizen of Arizona for 59 years preceding election and will meet the age requirement for
the office I seek and have resided in Maricopa County for -)-)n years and in the Adaman Irrigation
Water Delivery District #36 Special Taxing District for 3 O 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.
0 LI -1 ti I I , a_tOt,) Gil d
Actual residence address or description of place of residence (city or town) (zip)
O 0 X ( 0 el I, ITC.- CI el cilk• k— z_
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)
ECir)o, T
LAST NAME
,
I
BALLOT DESIGNATION (up to 3 words) CANDIDATE SIGNATURE
State of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this • c )0 1 day of , 20
(Seal)
ARY A COUCHIE
N ARV PUBLIC, ARIZONA
MARICOPA COUNTY
/ Commission Expires
November 26, 2018
I have read all applicao e laws re alma to-ca t financing and reporting.
06/05/2015 RECEIVED
By LM Clerk of the Board's Office at 9:44 am, Sep 22, 2017

TO: THE BOARD OF TRUSTEES OF ADAMAN I.W.D.D. NO. 36
I, the undersigned, a qualified elector of Adaman I.W.D.D. No. 36, Maricopa County,
State of Arizona, hereby request that the name of Mathieu Etchart be placed on the official
ballot as a candidate for the office of Trustee for the election to be held for that office on
Tuesday, November 14, 2017, and I declare that I have not signed, and will not sign, any
nomination petition for any other person to fill the office. (A minimum of 5 qualified
signatures is required.)
If 5 cyr / e 4 c),,l R v c 8/ 14/
( 7
6.
7.
8
9,
1 0 ,
, certify to the best of my knowledge
and belief all signers are qualified electors of Adaman I.W.D.D. No. 36.
MARY 1COUCHIE
r RY PUBLIC, ARIZONA 4/C7AU}U
My C - ^, PA COUNTY Fxpires Signature of Qualified Elector .
Novcf
Received at the office of Adaman I.W.D.D. No. 36
on tl o / 14( S-V , 2016.
(-(\/
MO A. Qihie, Secretary
Adaman 1.W.D.D. No. 36