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Billings, Steve - Ward 1 )Rk#11(REVISEDISSO)MILLER-DAVIS CO.,MINNEAPOLIS AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING TOWN OR CITY ELECTIONS State of Minnesota 1r No.� County of dwa'<A I, Z�eye �t L.WnIGS (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 dlt. 8 om- wA'09 D I DAj tr I reside in the city or township of 1A210 .E )(. ad . Jr^ My post office address is:��1.� 4 zd eol. tl 5 lZ.��T /�/G ip) (Sig as uxinted on ballot) Subscribed and sworn to before me this "' day of 191W A. Mary Margaret Suiitk (Town City) Jerk— otaryPublic SEALNOTARY PUBLIC•MINNESOTA t CounMinn. ANOKA COUNTY y '^ Comm.Exp July 28,1997 PA&E7 NOMINATION PETITION We, 'the undersigned, registered voters of the City of Fridley, Nearby nominate s-�ewevh 1 . A1"JA 4 S_, whose residence is 5-9-16 �IAl d&Ld SM A C , for the office of 00(AAC11,mV_Iry\'jbc12- WA 010 F to be voted for at 71f the election to be held on the _a day of doagoYBC7?r 19 /7- ; 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 /L7-� �- - coo I- -7 Y-? --7Y-? - —�y -231 &ee. C ree 1c j e rr' iy ,. Cn -fn1 � i2. lu �'r yEh LL-1 A)" 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: VG �% a S Q Please Print) m;,d Mary Maryamt Smith NOTARY PUBLIC-MINNESOTA zp "e ANOKA COUNTY (Signature o f n e) My Comm.Exp.July 28,1997 Subscribed and sworn to before m this day of , 19 • ( otar ublic) This petition, if found insufficient by the City Clerk, shall be returned to �Ve::j�jLt_j#j&*_s at Number &P/.6_ 4Ae-01AI Sri_ 'Wl Street. I hearby indicate my will in ess to accept the office of0nUA)0,19_ft%eM8M if duly elected thereto. (Signature of Nom' ) 6/94 NOMINATION PETITION PA (o � 0t � v We, the undersigned, registered voters of the City of Fridley, hearby nominate 64Uer. C. 17 // t l.l..1 4 la s whose residence is 5"9/5 LAIUAW SIR. 4for the office of (20aAct" YV\'%t 8&9 -WARD 0,J€ to be voted for at the election to be held on the day of W',A'Alber- 19e?Al; 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 �"rW 751 t-t-)NG.S , 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 nameo appear on the ballot exactly as follows: - �Sxeve LLJnJGS (Please Print)d. ' Mary Maig7MI.N Smith `" �°flTk6iVPUBIICNESOTA (Signature of o e ) F" �: ANOKA CTY Subscri !y Xp't. a'1 979e� this � day of T ( otar uh 1c) This p tition, if found insufficient by the City Clerk, shall be returned C LL N IM90" dE to c� V� I ! �S at Number �aZ�J' � Street. I hearby indicate my willingness to accept the office of 04PJd4LW1&Q MV- �rT+c 0 IJ if duly elected thereto. a (Signature of Nom ) 6/94 l . v CITY OF FRIDLEY PUBLIC DISCLOSURE STATEMENT BY CITY COUNCIL OR COUNCIL CANDIDATES NAME !1t/G)� E / •�l 1.�.//���o-S DATE ZU111 00I/q 9 TO: 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. Name 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--`interesta-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. 1 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST TNC. 35t/5C0,4w Sr WEE - /00 70 s *Va1< 1j,1_062 S /a '7718 Q2 jCA7,E OF 77711 /5/ I?_/G1V17T (Use additional paper if necessary. ) 2 . A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: NON-HOMESTEAD REAL PROPERTY ADDRESS O � (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: NON-HOMESTEAD 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 personscoveredby this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such person or persons having such interest in said enterprise. ) NATURE OF BUSINESS - OF ALL CORPORATIONS, NAMES PARTNERSHIPS OR OTHER BUSINESS ENTERPRISES (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. (Signa ) Note: This statement must be filed annually or when there is. a material change ,in financial interest or in position held '