Nee, William - Mayor FORM 11(REVISED 1980)MILLER-bAVIS CO.,MINNEAPOLIS
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
TOWN OR CITY ELECTIONS
StateDf Mi esota ff No
County of
(Print name as wanted on ballot)
swear(or affirm) that I am qualified under the Constitution and Laws of the United States and State of Minne-
sota to seek the elective public office indicated below. I am a qualified voter in the subdivision where I seek
election. I will be 21 years of age or more on assuming office. I will be a resident of my election district for at
least 30 days by election day. I have not filed for any other office at this election.
I am seeking election to the office of
I reside in the city or township of `
My post office address is:
Sigrk ame as wanted on ballot)
Subscribed and sworn to before me this day of , 19
(To n), ( y) Cler Nota Public
SEAL --1� County, Minn.
r
Affidavit of Candidate
Filed in the office of the
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County
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Countyof------------------------------------------
I
I
Minnesota, this----------------------------:day of
---- - -------------------------.A. D. 19------
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MILLER-DAVIS CO., MINNEAPOLIS
s�
Nota uioN PLTITION
We, the undersigned, registered voters of the City of Fridley,
hereby nominate < < N e- e. , whose residence is
�. 1 LO $a n Pa-rk UJM , for the office of
r IJ le y to be voted for at
o
the election to be held on the rj. day of vPy+16 e-y 199�L ;
and we individually certify that we are registered voters and that we
have not signed more nomination petitions of candidates for this office
than there are persons to be elected thereto.
FFr ANS N.
r
573L;'
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78 3 Gtr (V 7 SSy3�
icz"
Willi
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being duly sworn, poses and says, •
cT l" ee
(Ikbe of Circulator
am the circulator of the foregoing petition paper containing signatures,
and that the signatures appended thereto were made in my presence and"are
the genuine signatures of the persons whose names they purport
I wish my name to appear on the ballot exactly as follows:
Nee
(Please Print)
W ,
(Signature of )
Subsgxibed and sworn to before me this /T—day
of CLYDE V.MORAVETZ
, 19 _. �•�
Nor
wo�wANOVACOUNTY
4►&■►K to
tory Public)
This petition, if found insufficient by the City Clerk, shall be returned
to Wm, J, [tel ec , at Number ),14 !o$ Pa I k W44 Street.
I hereby indicate my willingness to accept the office of a-
I9_ if duly elected thereto.
(Signatupt of Nominee)
3/0/1/9
;j.
i
i
TNATTON PETITION
we, the undersigned,, registered v'o'ters of the City of Fridley,
hereby nominate wj j j j awe. J. Nee , whose residence is
;0 q LaBar Park wad, N� . FY, ��y , M , for the office of
Y C a F r to be voted for at
the election to be held on the 3y 1 day of Nay e w j* , 19 12—;
and we individually certify that we are registered voters and that we
have not signed more nomination petitions of candidates for this office
than there are persons to be elected thereto.
9'M AND RRIM
W1 l h im l Nee , being duly sworn, deposes and says, "I
(Name of Circulator)
am the circulator of the foregoing petition paper containing signatures,
and that the signatures appended thereto were made in my presence and are
the genuine signatures of the persons whose names they purport to be."
I wish my name to appear on the ballot exactly as follows:
C,tJ�I
(Please Print) _
(Signature Nominee)
Subscr�'be�,and sworn to before me is day
of _=10 L y , 19 ,r-�, CLYDE V.MORAVETZ
� ANOKA�
1hOuwal�ia�►t�
tary Public)
This petition, if found insufficien by the City Clerk, shall be returned
to UJ-m, J , Nee , at Number }f g �o�a� I�a�k lAfay street.
I hereby indicate my willingness to accept the office of
if duly elected thereto.
w �
(Signatur f Nominee)
3/0/1/9
Y ' \
CITY OF FRIDLEY
PUBLIC DISCLCSURE STATEMENT BY CITY COUNCIL OR CIOUNCIL CANDIDATES
NAr� I�tJ�� ate, tTN e e HATE U l - 117-2--
70: CITY CLERK
In conformance with Sec. 5. 04 of the City Code, I hereby make the following
declarations regarding my financial and personal interests:
1. Names of all business corporations, partnerships, other business
enterprises, or governmental agencies doing business with the City of
Fridley or located within the City of Fridley:
a. With which I have a financial interest.
(As used in Chapter 5 , the term financial interest shall be deemed
to include ownership of more than 10% of: The outstanding stock in
a corporation, an interest in a partnership, proprietorship, or
other business entity, or an interest in real property. Financial
interest shall apply to real or personal properties owned by the
person making the disclosure and by said person's spouse.)
b. With which I have a personal interest.
(As used in Chapter 5 , the term personal interest shall be deemed
to apply whenever a person required to make a disclosure under this
code of ethics shall be associated with a business as an employee,
officer, director, trustee, partner, advisor or consultant.)
NAME OF BUSINESS FINANC M PERSCM
PARTNE1:0HIPF EPC. ADDRESS INTEREST II�PEREST
Pe JerSbr j4py=og -i-Nee aj°I Lp6av% Park Way awhev OFGCe✓
(Use additional paper if necessary.)
2. A list of the norrrhomestead real property located within the City of
Fridley in which I currently have a financial interest:
N04-HaMESTEAD REAL PROPERTY ADDS
�Jv y) e
(Use additional paper if necessary.)
3. A list of the non-homestead real property located within the City of
Fridley in which I had a financial interest within the preceding three
(3) years:
mm-mnMR9TEW REAL PROPERTY ADDRESS
(Use additional paper if necessary.)
4. A list of the names and nature of business of all corporations,
partnerships, or other business enterprises with which I have a
financial interest and in which I know one or more other persons covered
by this code of ethics also having a financial interest in said
enterprise. (This list shall indicate the name or names of such persons
or persons having such interest in said enterprise.)
MATURE OF BUSINESS - OF ALL CORPORATIONS
NAN1S PA NERSHIPS, OR OMM BUSINESS IIdMURISES
(Use additional paper if necessary.)
I do swear (or affirm) that this report is a full and true statement
pursuant to Sec. 5.04 of the City Code.W
(Si ture)
Note: This statement must be filed annually or when there is a material
change in financial interest or in position held.