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Nicholson, Dean R - Ward 3 FORM 11(REVISED 1880)MILLER-DAVIS CO.,MINNEAPOLIS. AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING TOWN OR CITY ELECTIONS State of Minnesota Jr No County of AM 0 L I, (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 �/ �'3 004A,0^1 lfneaamLle' I reside in the city or township of—.. �rP I �/ My post office address is: l " Ti v Z• C'414.2 (S' n name as wanted on ballot) Subscribed and sworn to before me this of lg -13 II��A f.OOLLNr6 , own),(City)Clerk—Notary Public Mlr Cogan.Exp.Jan 31,2000 County,Minn. NOMINATION PETITION We, the undersigned, ,registered voters of the City of Fridley, hereby nominate ��� se residence is ��� �� _ , who for the office of to be voted for at the election to be held on the f / day of 1Z-� . 194; 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 AND NUMBER / 50 y 4 5Z U 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: (Please Print) (Signature of Nominee) M �M�MMMMA 2subibed and sworn to before m 3is day AN.19�• COUNTY IyO�wt.l,�..Nn.st,2000 tart' Public) This petition, if found insufficient by the City Clerk, shall be returned toDc?3�-� +�V r�_o 'S�_.. , at Number ,t'0 �par►____��✓ Street. i I hereby indicate my willingness to accept the office of if duly elected thereto. Ay (Signature of Nominee) 3/p/1/9 NOMINATION PETITION We, the undersigned, registered votersof the City of Fridley, hereby nominate , whose residence is for the office of to be voted for at the election to be held on the day of 19 47–v—; 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. ' STRF AND dk L NtJNIB c 3 1 L" i �I 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: 0 (Please Print) ( ignature f mine) sub ibed and sworn to befor19m is day of 8.COLLINS ' A©O* U"TY n ( fotary Public) This petition, if found insufficient by the City Clerk, shall be returned i to i/P ©�So,, , at Number �P a✓��,*�rw L-.street. I hereby indicate my willingness to accept the office of W if duly elected thereto. (signature of Nominee) 3/0/1/9 i I�