2003 Affidavit of Candidacy - City Council

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-- MINNESOTA AFFIDAVIT OF CANDIDACY All information on this form is available to the public. Selected Infonnalion will appea,on the &cralaryo, SIate.s web site: www.sos._.mn.us Please print or type. Name (as it will appear on the ballot): ~ Am,;; Th /a.iI ] Office Sought I For Partisan Office: For Judicial Office: District # Gl1 Ct1J4 Ylc.i J Political Party or Principle Name of Incumbent le al residence address (0 tional): Street add(;;s .s h Ci tate, Z.iP , 'I Vi e Web site and/or e-mail address m . l Campai n contact information 0 tional): Street address City, State, Zip el- Phone number Fo, all offt_, I swear (or atfinn) that this is my true name or the name by Whieh I am ganerally known in the commuhity. It tiling for a state or local office, I also swear (or affirm) that: · I am eligible to vote in Minnesota; · I have not filed for the same or any other office at the upcoming primary or general election; · I am, or will be on assuming office, 21 years of age or more; · I will have been a resident of this district for at least 30 days before the general election; and · If a major polnleal party candidate, I enher participated in the party's most recent precinct caucus or intend to vote for a majority of that party's candidates at the next general election. If filing for One 0' the foliowing ollices, I also sw_ (0' altinn) that I meet the requirementsllstecf bel_: · United Slates Senator - I Will be at least 30 years old and a emzen of the Unned States for nine years on the first Monday of next January, or if filled at special election, within 21 days after the election. United Slates Representative - I Will be at least 25 years old and a emzen 01 the Unned States for seven years on the first Monday of next January, or if filled at special election, within 21 days after the election. Govamo, or Lleutanant Govemor - I will be at least 25 years old on the first Monday 01 next January and a resident of Minnesota for one year on election day. I am filing jointly with Suprame Court Justlce, Court of A_s JUdge, District Court JUdge, or County Attomey _I am Ileal1Sed to practice law in Minnesota. My Minnesota attorney license number is Slate Senator or Slate Represenlatfva - I Will be a resident of Minnesota at least one year and of this district for six months on the day of the general or special election. County Shortfl- I am a licensed peace officer in Minnesota. My Board of Peace Officer Standards and Training license number is School Board Member - I have not been convicted of an offense for which registration is required Under Minnesota Statutes, section 243.166. County, MuniCipal, School District, or Specjal District Office - I meet any other quall/leations for that offICe prescribed by law. ~ ~ -.OAJL Candidate Slgnatur. -II-. 15- . . . . . . . J'-t /:1 IS; :;J.OCl S Date day of ,f 4 ~003. '~""'.""""""""""""l .........,......................."......VV9......v.. AAGAAET H. ORIBeaLL NOTARY PUBLIC - MINNESOTA My Comm. Expires Jan. 31, 2005 . . (Notary stamp) ther officer empowered to take and certify acknowledgments. Rev. 4/00 Minnesota Statutes, section 2048.06 white copy - Filing Officer yellow copy - CFPD goldenrod copy - Candidate pink copy - Public Information