Schneider, Dennis - Ward 2 FORM 11(REVISED 1950)MILLER-DAVIS CO.,MINNEAPOLIS
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
` State of Minnesota TOWN OR CITY ELECTIONS
sr. No.
Country of ,h-� a
I,n{ip al ti j
(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.
a /
I am seeking election to the.office of
1 reside in thql�ir township
My post office address is:_,ti'e'r �tr� /� T_�"rll o r.
(Zip)3-SVI 2_
7-W (Sign name as wanted on ballot)
Subscribed a BWGIM
�y�y�f/o�re me��
this —' day of V 19
YRw1� 6
1�0rA ANM (Town), City Jerk—NotaryP is
SEAL0:_,*anWA— ��� County,Minn.
NOMINATION PETITION
We, the undersigned, registered voters of the City of Fridley,
whose residence is
hearby nominate 1./e;in L 5
qe2 6f 51,/j F , for the office of
to be voted for at
the election to be held on the T{ day of --&-)191.1 , 19qV ;
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
q110 le
7 110 �02 S7 misoit/
7 o q
DSS
�,
f16
gov
7//a1ZiL1
Oft24;� �� „�,��� , 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:
l3 i 11 L
(Please Print)
(Signature of Nominee)
7W
Subsc bed and sworn to before me this �� day Ct.YtN:-------------
VMORAVETZ
01- 19 ANMA COUNTY A
wa■.ww.
(Notary Public)
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
if duly elected thereto.
(Signature of Nominee)
6/94
NOMINATION PETITION
We, the undersigned; registered voters of the City of Fridley,
hearby nominate ��ni5 Sci1/lQi dam,^ whose residence is
�r_. 41 for the office of
zqejivcl)m—lrn 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
i
office than there are persons to be elected thereto.
DATE NAME STREET AND ADDRESS
L71r�
.`/ �
/ T �
u
�r1t5 `7z-- i►�t~dt✓ 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:
(Please Pri )
(Signature.,o,f Nominee) _
Subscribed and sworn to before m this day
CLYDE VMORAVETZ
o f j-QL V NOTARY KUc-WIMMA
ANM COUNTY
wawa EON.M.31.2000
terry-Pub ic)
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
if duly elected thereto.
(Signature of Nominee)
6/94