FOX NOMINATION PAPERS 09-06-2017.PDF

STATE OF ARIZONA
Nomination Other Than By Primary
NOMINATION PAPER
AFFIDAVIT OF QUALIFICATION
CAMPAIGN FINANCE LAWS STATEMENT
[ARS §§ 16-311, 16-905(1)(5)]
You are hereby notified that I, the undersigned, a qualified elector, am a candidate for the office
of \I\C-e- Q\f31c1fvt subject to the Arizona Nonpartisan Special Taxing District Election to be
held on . I will have been a citizen of the United States for years next
preceding my election and will have been a citizen of Arizona for --tie years preceding election and will
meet the age requirement for the office I seek and have resided in Maricopa County for 2.2. years and
in the Special Taxing District for t 2_ 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.
50 32- • 1. 0" AAre-- PIACt2,1 X
Actual residence address or description of place of residence (city or town) (zip)
0777-, • 1. 0/1/\Afe
Post office address (city or town) (zip) (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
BALLOT DESIGNATION (up to 3 words)
State of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this 01 day of n1/9 , 20 (-) .
Carolyn Ann Gaddis
Notary Public
Maricopa County, Arizona
My Comm. Expires 03-14-21
06/05/2015 RECEIVED
By LM Clerk of the Board's Office at 3:22 pm, Sep 06, 2017