CONKLIN NOMINATION PAPERS 09-30-2016.PDF

RECEIVED:
STATE OF ARIZONA By ale flerkof tile Board on
q.o.lo at tuipm
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 - 11 .e L._ subject to the Arizona Nonpartisan Special Taxing District Election to be
held on tI:ifi . I will have been a citizen of the United States for kt years next
preceding my election and will have been a citizen of Arizona for 3E5 years preceding election and will
meet the age requirement for the office I seek and have resided in Maricopa County for 36 years and
in the c '4. W Un. Special Taxing District for 20 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.
4C9 E oiv21'\ trdAie • , / X , fee_
Actual residence address or description of place aft residence (city or tow) (zip)
PO&X ,4/2k, It9Z- es54o
Post office address (city or town) (4)
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)
Coloki-N)
LAST NAME
BALLOT DESIGNATION (up to 3 words)
State of Arizona)
County of Maricopa)
Subscribed and sworn to (or affirmed) before me this day of
(Seal
MARY A, C0ULH1E
ROTARY PUBLIC, ARIZONA // /W4
MARICOPA a,UNTY otary Publji
My Commission Expires
I have rea Novemher.26. 2018 ign financing and reporting.
06/05/2015

TO: THE BOARD OF TRUSTEES OF ADAMAN NO. 36
I, the undersigned, a qualified elector of Adman I.W.D.D. No. 36, Maricopa County,
State of Arizona. hereby request that the name of Henry Conklin be placed on the official
ballot as a candidate for the office of Trustee fur the election to he held for that office on
Wednesday, November 16, 2016, and I declare that I have not signed. and will not sign, any
nomination petition for any other person to till the office. (A minimum of 5 qualified
siLmatures is required.)
SIGNATURE ADDRESS DATE
tY-Zyv:i
!
I. certify to the best of my knowledge
and belief all signers are quillified electors of Adaman I.W.D.D. No. 36,
MARY A. COUCH'•
NOTARY PUBLIC, AP!: —
MARICOPA COL,I• ure Of Qualified Elector
My Commission E;.;: rL.s
November 26, 2018
Received at the office of Adaman I.W.D.D. No. 36
on the )2 day,df , 2016.
Ivlar A. Clouchie, Secretary
Adaman I.W.D.D. No. 36