ROSEPILER NOMINATION PAPERS 08-29-2017.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)1
You , are hereby notified that 1, the undersigned, a qualified elector, am a candidate for the office
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of tAo/itke Ma Ai a E 6e subject to the Arizona Nonpartisan Special Taxing District Election to be
_held ion A/ . .1 will have been a iditizenof the -United States for 59 years next
preceding my election and will have been a citizen of Arizona for 5-ct years -preceding election and will
meet pe age requirement for the office I seek and have resided in Maricopa County for 59 years and
Fin theM 1.1tod 676TrYr" lAt Ki SS- Special TmOing District -for ,3/ years 'Wore frrly 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 ,S)00. 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)
Past office address (city.oritown) 1(zip)
Print OT type your name on the following line in the exact manner you
wish it to appear on the ballot. AR.S. § 16-311(6)
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LAST NAME FIRS/7
'BALLOT .DESIGNATION (up to awords) CANDIECATESldW" URE
Slate of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this • 9M day /4 of ,20 .
ALEX BURRUEL
Notary Public - Arizona
Maricopa County W.17A
My Comm. Expires Dec 17, 2017 Not,.
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