PIERCE NOMINATION PETITIONS 11-10-2016.PDF

NOMINATING PETITION
We, the undersigned, each a qualifiedAlector the ELECTRICAL DISTRICT NUIVIBER EIGHT,
Division ‘') --- hereby nominate who resides at
/ - - 0 i r the office of Director, from said
Division to be voted for at the election to be held in said Division z on January 14, 2017 and each declares that
he/she has not signed and will not sign a Nominating Petition for more persons than the number of Director
positions to be filled for such Division at said election.
Print Name Sign Name Actual Residence Address Date
CERTIFICATE
I, the undersigned, a qualified elector of ELECTRICAL DISTRICT NUMBER EIGHT, and qualified to
vote for the candidate whose name appears on this nomination paper, do hereby certify to the best of my
knowledge and belief that all the signers of this Nominating Petition are qualified electors of said Division of
said District.
DATED this _a_day of
Instructions for Circulators
(see reverse side)
RECEIVED
By Clerk of the Board at 10:29 am, Nov 10, 2016

NOMINATION PAPER
for
ELECTRICAL DISTRICT NUMBER EIGHT
The undersigned ("Candidate") hereby offers his candidacy for the office of:
Director of Electrical District Number Eight, Division _
ff.(3.7
The date of the election is January Di, 20 1 7
Candidate desires to have his/her name appear on the official ballot in the following
form:
[type Or print]
Signed this / day of b'I/V 20 )I(
This completedlOrni is to bellied no later than 90 tlays before the election date, with:
Electrical District Number Eight
Elections Officer
P 0 Box 99
Salome, AZ 85348