Billings, Steven - Ward 3 FORM(REVISED 1980)MILLER-DAVIS CO.,ST.PAUL,MN
AFFIDAVIT OF CANDIDATE
& RECEIPT FOR FILING
State f Minnes TOWN OR CITY ELECTIONS
County of ss. t No.
F
h =
(Print name ante ballot)
swear (or affirm) that I am qualified under the Constitution and Laws of the United States and State of Minn-
. sots 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 o at this election.
I am seeking election to the office of Ad
I reside in the City or Township of
My post office address is /
v
(Sign name wanted on o)
Subscrithis
day of °9
SPAS S20 (Town , City C rk—Not Public
County,Minn.