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Kondrick, David - Ward 3 FORM 11(REVISED 1980)MILLER-DAVIS CO.,MINNEAPOLIS S AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING c TOWN OR CITY ELECTIONS State f Minnesota JJ No, r 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�offi/ce at this election. I am seeking election to the office of e.0 M.4.)6 //�A�l I reside in the city or township of " My post office address is: v G �� Sign name as wanted on ballot) Subscribed and sworn to before me this (y day of L ( ow ,(City Clerk—Notary Public SEAL County, Minn. NOVEMBER 21, 1993 WE, THE UNDERSIGNED, ACKNOWLEDGE AND VERIFY THAT WE ARE REGISTERED VOTERS IN THE THIRD WARD IN THE CITY OF FRIDLEY AND THAT DAVID KONDRICK HAS LIVED AT THE CURRENT ADDRESS OF 280 STONYBROOK WAY IN THE THIRD WARD FOR MORE THAN ONE YEAR. AME f ADDRESS PHONE 521 d ©v- _ 7 3 e ro J v ` °7� _ OK t S NOMINATION PETITION We, the unders2gne regist voters the Ci y of Fridley, hereby nominate G� ����� , whose residence is 02for the office of I � , to be voted for at the election to be held on the 7u day of ANL-tee , 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. NAM STREET AMID NUMBER �r=LTrA0H ED 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 to appear on the ba of exactly as follows: Li v'�..�� (Please Print) - " (Signa u e of Nominee) Subscribed and sworn to before me this ±/1 day of l� l% nth��r , 19 . hh �.s T >. M 28, ?997 (No Pub lc) This petition, if found insufficient by the City Clerk, shall be returned to , at Numbez, D 2/ Street. I hereby indicate my willingness to accept the office of %�� r if duly elected thereto. c ( i ture of ee) 3/0/1/9