Vanden Heuvel, Craig - Ward 1 FORM 11(REVISED 1980)MILLER-DAVIS CO.,MINNEAPOLIS
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
TOWN OR CITY ELECTIONS
State of Minnesota No.
County of— /91i d
I,
cral'ir yc @o(
(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 cr y COctML r lJMt z 1
I reside in the city or township of F2, /+tom
My post office address is: 72 Y l a u Q– 41
t (Zip) S.1 32
(Sign as wanted on ballot) o�
Subscribed and sworn to before me this Q day of _ Y 97 /
q.YDE V MORAVETZ (Town),( i ClerkUotaryPubl
SEAL ------------------------------------
County, nn.
ANOKA COUNTY
waw.wMew.�.�.�.moo
L
NOMINATION PETITION
We, the undersigned, registered voters of the City of Fridley,
hearby nominate ate , whose residence is
�7 , for the office of
C�''` `'-` to be voted for at
the election to be held on the day of
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.
DATE NAM STREET AND ADDRESS
6a ? z
45714f1
711 L
T �
J
9 `
kA-Ie� o�
being duly sworn, deposes and says, "I am
(Name of Circulator)
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
VLA 1,6 &LA
(Please Print)
(Signature of Nominee)
Subsr'b and swL74 oe n to before �,ne/this day
ofIn
(1,fotary Publi tR
This petition, if found insufficient ,by the City Clerk, shall be returned
to , at Number Street.
I hearby indicate my willingness to accept the office of
C't �uL Wiar if duly elected thereto.
(S ' nature of 141om-`In—ee--)
6/94
` NOMINATION PETITION
We, the undersigned, registered voters of the City of Fridley,
Nearby nominate Ctt,a whose residence is
7��� �AeLc � L- for the office of
«5414e�d , to be voted for at
the election to be held on the _ day of _, 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.
DATE NAME STREET AND ADDRESS
71Z /jJ,�-TW
AI CL
? 3�� Ae
1V:'
.7 Z 12- -9 ol-
7
J!,30 L\I R� )-N
14 c1<
e �
Cya�� artsbeing duly sworn, deposes and says, "I am
(Name o Circulator)
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.i av1 °e-
(Please Print)
gnature of Nominee)
subs be and sworn to before his �- � day
of 4 19
(N tary Public)
This petition, if found insufficient by the City Clerk, shall be returned
to , at Number Street.
I nearby indicate my willingness to accept the office of _
Ccs L if duly elected thereto.
(S ' nature ot Nominee
6/94