Andrajack, Anne - Ward 3 NOMINATION PETITION
we, the undersigned, egistered voters of the Ci y of Fridley,
hereby nominate ' �' �+� -� , whose residence is
for the office of
cy Xx-ez to be voted for at ,
the election to be
held on the _day of � �� 1 r " 19
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.
NAME STREET AMID NUMBER
�v r
f
k�3w
rr
de /V't
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J
being duly sworn, deposes and says, "I
(Name of Circulate
am the circulator of the foregoing petition paper containing signatures,
apd that the signatures appended thereto were made in my presence and are
'"the genuine signatures of the persons whose names they purport to be."
r
f wish my name to ap ear on the ballot exactlyas follows:
414
(Please Print)
(Signature of Nominee)
Subs 'bed and sworn to before this
of C �h�� , 19m .
(Nota ublic)
This petition iffound insufficient by the City Clerk, Rhall be returned
to , at Number �� "� e' Street.
I hereby indicate my willingness to accept the office of
if duly elected thereto.
(Signature of e)
3/0/1/9
NOMINATION PETITION
` We, the undersigned,.; registered-voters of the C'ty of Fridley,
hereby nominate %" � ��� �� �' , whose residence is
for the office of
to be voted for at
the election to be held on the ' � 4 �
�l day of , 19 ;
and we individually certify that we are registere voters and that we
have not signed more nomination petitions of candidates for this office
than there are persons to be elected thereto.
STREET AND NUMBER
L7 L)7 �7 �i L2 1V
t 1-4
-3 - 3
-�
iQO
tuo
being duly sworn, deposes and says, "I
(Name of Circulato )
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:
A.
X-1 ��. �
(Please Print)
,1
(Signature of Nominee)
Subscribed and sworn to before me is day
of 19
This tition, if found insufficient by the City Clerk, s 1 be returned
to , at Number ---/ 0 � J Street.
i
I hereby my indicate willingness to accept the office of -��Z�wCy % '- �L-
i
if duly elected thereto.
n I
(Signature of e)
3/0/1/9