LEBLANC NOMINATION PAPER 09-14-2017.PDF

RECEIVED:
STATE OF ARIZONA
Nomination Other Than By Primary
NOMINATION PAPER By the Clerk of the Board on
AFFIDAVIT OF QUALIFICATION //:/iaint
CAMPAIGN FINANCE LAWS STATEMENT tmad-irn/
(ARS §§ 16-311, 16-905(1)(5)]
You are hereby notified that I, the undersi gned, a qualified elector, am a candidate for the office
of —hit zrirvt). subject to the Arizona Nonpartisan Special Taxin g District Election to be
held on 1///5-/z ( -7 . I will have been a citizen of the United States for 5— years next
preceding my election and will have been a citizen of Arizona for 2+ years precedin g election and will
meet the age requirement for the office I seek and have resided in Maricopa Count y for 24years and
in the :ri,vdti a ZA- Special Taxing District for /-4— years before m y election.
I do solemnly swear (or affirm) that at the time of filin g, I am a resident of the county, district or
precinct which I propose to represent, I have no final, outstandin g judgments against me of more than an
aggregate amount of $1,000 that arose from failure to compl y 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 statutor y requirements for holdin g said office.
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)
64/tic:— P-TP g.
LAST NAME FIRST RN f,
BALLOT DESIGNATION (up to 3 words) CANDIDATE SIGNATURE
State of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this hi/ lday of 'i73t-f-ribcy , 20 /7
NasyPulk-6tate Means
my oomfnistion esphis
27. 2018
I have read all applicable 1e1AARIC°P4 laws 1:1 Fel:MT: mg to campaign financin g and reportin g .
CANDIDATE SIGNATURE
06/05/2015