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<br /> <br />, -''5':,';'-~_''-':' :.~ '."--'~'~:<,' .~" -_-"'-""~'_-".,,-~''':'::.:A...~~'lP4~f'4''~~'j~'~':,\ <br /> <br />....- <br /> <br />MINN ESOTA'AFFIDAVIT OF CANDIDACY <br />Alllnforrnlttionon this form is 1t".llablfto the public. <br />Selected infonnation willappearon.the 5ecretary of State's web site: www.sos.state.mn.us <br />PI~se print or type. <br /> <br />Name (as it will appear on the ballot): <br /> <br />I/.D~ ROC- <br /> <br />I <br /> <br />Office $ol.lght District # <br />RCSBllLtE ext't CCv.NC' L <br /> <br />Le al residence .address <br /> <br />For Partisan Office: <br />Political Party or Principle <br /> <br />For.Jl.ldiciaFOffice: <br />Name of Incurnbent <br /> <br />((3 <br /> <br /> <br />Cam ai n contactinformation <br /> <br />Phone number <br /> <br />e or the name by which I am generally known in the <br /> <br />~\L : roefro~e\J""~<safhne.,'t'- <br /> <br />If filing fora state or local office, I also swear (or affirm) that: <br />· lam eligible to vote in Minnesota; <br />· I. have not.filedfor the sam~ or any other office at the upcoming primary or general election; <br />· I all), or will be on assuming office, 21 years of age or more; <br />· I will have been a resident of this district for at least 30 days before the general election; and <br />· If a major political party candidate, 1 either participated in the party's most recent precinct caucus or intend to <br />vote for a majority Of that party's candidates at the next general election. <br /> <br />, <br /> <br />Notary p lie or other officer e <br />Rev. 41~nnesota. Statut:s, sectio <br />white copy - Filing Officer <br /> <br />If filing for one of the.following offices,. I also swear (or affirm) that! meet the require~ents listed below: <br />· United States Senator -I will be at least 30 years old and a citizen of the United. States for nine years on the <br />first Monday of next January, or if filled at special election, within 21 days after the election. <br />United States Representative -I will be at least 25 years old and a citizen of the United States for seven years <br />on the first Monday of next January,. or if filled at special election, within 21 days after the election. <br />Governc).r or lieutenant Governor .~I wiU be at least 25 years old on the first Monday of next January and a <br />resident of Minnesota for one year on election day. 1 am filing jointly with <br />Supreme Court Justice, Court of Appeals Judge, OistriclCourt Judge, or COunty Attorney -I am licensed <br />to practice law in Minnesota. My Minnesotaattorney license number is <br />State Se.nator or State. Representative - I will bea resident of Minnesota at least one year and of this district <br />for six months on the day of the general or special election. <br />County Sheriff - lam a licensed peace officer in Minnesota. My Board of Peace Officer Standards and Training <br />license number is <br />School Board Member'- I have not been convicted of an offense for which registration is required under Minnesota <br />Statutes, section 243.166. <br />C~unty,M" . ipal hool District, or Speci.1 District Office - 1 meet any other qualifications for that office <br />prescrib <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />~l~OJ;- <br />Dat <br /> <br />dayof.:3. k (y ...,~. 005" <br /> <br /> <br />I <br /> <br />CYNTHIA JO ANDERSON <br />Notary Public-Minnesota <br />;m_ ~ My CommiSsion Expires Jan 31, 2008 <br /> <br />(Notary stamp) <br /> <br />yellow copy - CFPD <br /> <br />goldenrod copy - Candidate <br /> <br />pink copy - Public Information <br />