BARNEY NOMINATION PETITION 10-25-2016.PDF

NOMINATION PETITION
I, the undersigned, a qualified elector of the QUEEN CREEK IRRIGATION
DIS RICT, Maricopa County, State of Arizona, hereby nominate
paoax , who resides at ..202,3ye> eQ C1cd
(/ Yd- , for the office of Director of said District to be
voted for at the election to be held in said District on November 15, 2016, and I declare
that I have not signed, and will not sign a Nomination Petition for more persons than the
number of candidates necessary to fill said office at the next ensuing election.
Post Office Box Date of
Name of Signers or Street Number City, State, Zip Signing
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CERTIFICATE
I, the undersigned, a qualified elector of QUEEN CREEK IRRIGATION
DISTRICT, and entitled to vote for the candidate whose name appears on this
Nomination Petition, do hereby certify that to the best of my knowledge and belief, all
s signers of this Nomination Petition are qualified electors of said District.
DATED this day of ,-r,14, , 2016 at
, Arizona.
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ignature of Circulator

CANDIDATE'S NOMINATION PAPER
(Placing Name on Official Ballot)
To the Board of Directors of
QUEEN CREEK IRRIGATION DISTRICT:
You are hereby notified that I, the undersigned, am a candidate for the office of
DIRECTOR subject to the action of the qualified electors of the District at the election to
be held in said District on the 15'h Day of November, 2016.
Dated at Queen Creek, Arizona this (4, day of
2016.
A MLreResssis idence
My Post Office
Address is: 4/49 C
Print or type your name on the following line as you wish it to appear on the ballot.
(Last Nam e) (First Name)