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Daly, Michael P - Ward 2 FORM 11(REVISED 1980)MILLER-DAVIS CO.,MINNEAPOLIS ' • AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING State f Minnesota TOWN OR CITY ELECTIONS y �c�-- rr No. az Count of I, �1IKE ©ABY (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 ("D Ul1-)CI Lmr=m- c I reside in the city or township of r(2%01—e y My post office address is: 7 SS;? A i3 L ss- N. ( i Subscribed and sworn to before me this b �y of agn name as ante on ballot) ,nnnnrmnnnnnnnnnnnnnnnnnnti� � 19_ tea : SHIRLEY A. HAAPALA NOTARY PUBLIC- MINNESOTA C SEAL 4" ' ANOKA COUNTY /� (To n),(C ty) Clerk ry Public My Commission ExpiresMay28,19VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV C T� J1 County, Minn. NOMINATION PETITION We, the undersigned, electors of the City of Fridley, hereby nominate II Michael P. Dalewhose residence is 7553 'able St. N.E. for the office of Councilmember to be voted for at the election to be held on the ri— day of 19S: ; and we individually certify that we are qualified electors 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 CU I At f� Jr �p• J O ..� 6 (4'�" .. /--)fj l,L7 being duly sworn, deposes and says that `s he (Name ofNominee) is the circulator of the foregoing petition paper containing signatures, and that the signatures appended thereto were made in his/her 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: 1 K E IDA L-'( Please Print l Signa re Nom' ee Subscribed and sworn to before me this �2-/ day of 1 , 19 � KENNETH D. ORTTEI .!! MDTMItl SIC•MINNESOTA ANOKA OOuNTY Notary Public 1yOMW"M9100A/r,�"17 This petition, if found insufficient by the City Clerk, shall be returned to MIKE-, c�A j at Number 75-23 �d��� Street. I hereby indicate my willingness to accept the office of 0/%l (y00v0ltt-n,?E- o if duly elected thereto. Signature f No ee} CC1280 __ _ �• 4 �" �, f�,��#r.,/4�4.�.kyi�Akde.1.�-{a�,$49 �,..M'j.'.�4 t. � h;��.,rw,c� Cllr �' a, . _,e��r�r�;,��v�ws�e•�� J r � , NOR1INATION PETITION r We, the undersigned, electors of the City of Fridley, hereby nominate Michael P. Daly whose residence is 7553 Able St. N.E for the office of Councilmember to be voted for at the election to be held on the N� day of A;&V&0 O , 19and we individually certify that we are qualified electors 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 P �Cr,1Atz /2Ak17 being duly sworn, deposes and says that s/he (Name of Nominee) T is the circulator of the foregoing petition paper containing signatures, and that the signatures appended thereto were made in his/her 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: MIKE PALL Please Print) I 4k Signature V No nee Subscribed and sworn to before me this >� f'day 0 of \ 19 %Z . KENNETH D.ORTTEL to WTARY PUKIC•MINNESOTA �j ANO"COUNTY Notary Public) My CoMni�Non Explro�Apr.4,19s7 OP This petition, if found insufficient by the City Clerk, shall be returned to KL PP L, - at Number S 3 GS'z L. Street. I hereby indicate my willingness to accept the office of C%%V �1UC1��y1ri�� if duly elected thereto. Signature bf No ee) CC1280 /f i CITY OF MID' EY •' PUBLIC DISCLOSURE STATEMENT BY CITY COUNCIL OR COUNCIL CANDIDATES NAM,17 _._ ICHAAL — DATE TO: CITY CLERK I In con`omi3rce wits Section 30 of the City Code, I horeby make the following declaratio,is regarderg my financial and personal interests: 1 . Narres o: 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 30, the term financial interest shall be deemed to include o>,inership of more than 10% of: The outstanding stock in a corporation, an interest in a partnership, proprietorship, or other business entry, or an interest in real property. Financial int--rest shall apply to real or personal properties owned by the person making the disclosure and by said person's spouse. ) b. 'With ::iii ch I have a personal interest. (As used in Chapter 30, the term personal interest shall be deemed to apply !: teil?v r 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 on consultant. ) NAi;E C:F G�.J i�r�S�, ---- FI(�ANCIt�L I I'rn�ONI:L PARTNERSHIPS, EiC. ADDRESS INTEREST IliTEKESf `�IJP PW 57)0I J S (Use additional rarer if' necessary. ) • -2- 2. A list of the non-homestead real property located within the City of Fridley in Which I currently have a financial interest: N0N-N0i•�F7Cl1D REAL PROPERTY ADDRESS (Use ldclitional paper if necessary. ) -2- -3- 4 3. A fist of the non-homestead real property locai:ed within th-e City of Fridley in which I had. a financial interest within the preceding three years. NUf!-N(lf4ESTEAD P.E11 PROPERTY ADDRESS (Use additional parer if necessary. ) -3- -4- • r L w 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 persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise. ) NATURE OF BUSINESS - OF ALL CORPORA NS "LIO 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 Section 30 of the City Code. � (Signature' Note: This statement must be filed annually or when there is a material change in financial interest, or in position held. -4-