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Nee, William J - Mayor FORM 11(REVISED 3880)MILLER-DAVIS CO..MINN EAPeLIS AFFIDAVITS OF CAN `�;E & RECEIPT FOR FILING TOWN OR CITY ELECTiClNS State of Minnesota fs No. County of— .21 IV IF (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 ``Yy I reside in the city or township of W 19�y My post office address is: f 2Aeri s--q i 2 (SVn name as wanted on ballot), Subscribed and sworn to before me this "v day of , 1 ate,... j wn (City) Clerk—Notary Public SEAL County,Minn. e N( LINATION PETITION we, the undersigned, registered voters of the City of Fridley, hereby naninate William J I Nee , whose residence is attl Logay, P47k W�- for the office of C;t y' Or- Fr I�J_ /P y , to be voted for at the election to be held on the day of "ve rn 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. STREET AND NUMBER )YB— 0 0—jP ;01 15-Ae 1090_-3_2„j Ove-, IVC '00 L'ro V � 57-1 �a w Go d S I' , being duly sworn, deposes and sa &. "i -- _ (Name of Circulator) am 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 Print) (Signature Naninee) Subsc ibe4and sworn to before me this qday Of , 19� WALTER J. MULCAHY NOTARY PUBLIC-MINNESOTA ( tary tic) "MY RAMSEY COUNTY Commission Expires Oct.07,198a Y t This petition, if found insufficient by the City Clerk, shall be returned to 021 cI , at Number Street. =tA I hereby indicate my willingness to accept the office of if duly elected thereto. U Z&Aimel. (Signatu f Nominee) 3/0/1/9 a . � � ..._. . __ ,��. .# ;, . . ' Nf�IMTNAT�pN PETITION We, the undersigned, I registered voters ofthe City of Fridley, hereby nominate W/l ha w J-# NET , whose residence is a• 9 Los d.rt Park - (&" AIE. for the office of 11;lkle , to be voted for at 41 the election to be held on the day of MaVID"At, 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. NAME STREET AMID ISR r' ,- '2z being duly sworn, deposes and says, "I (Nam of Circulator) am 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: W Iiam �LT Nee Cwt (Please Print) (Signatu f Nminee) Subscr' ed d sworn to before me this qday Of 19 WALTER I MULCAH* NOTARY PUBLIC-MINNESOTA zw ef RAMSEY COUNTY ( tary ublic) lomyCommissionExpiresoct.07,1988 is This petition, if found insufficient by the City Clerk, shall be returned to , at Number o2/,9 Street. I hereby indicate my willingness to accept the office of M!�*V'-"" &;G' EJL� if duly elected thereto. IV V (Signatur Nominee) 3/0/1/9 J •,. I I ,..� CITY OF FRIDLEY PUBLIC � DISCLOSURE STAZ�TP BY CITY COUNCIL OR COUNCIL CANDMATES WlE / II/favaq j-, Nee DATE 01?4- 70: 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. Names of all business corporations, partnerships, other business enterprises, or governmental agencies dojjng 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 interest 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. 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 PERSC AL PARTNERSHIP, ETC. ADDRESS INTEREST I1?rEREST eedleysot', Rey7'epeo -r)Vee r,, r 41101 My i Ver si t'y h✓e. x x` (Use additional paper if necessary.) 2. A list of the norrhomestead real property located within the City of Fridley in which I cur enly have a financiEr interest: NON-HOMESTEAD REAL PROPER'T'Y ADDRESS e . (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 AD�SS �N C (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 interesLand in whigh I know_Qne 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 CORPORATIONS NAMES PARnERSHIPS, OR OTHER BUSINESS SES go Al P-, (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. + W-44"i )/L� (Signatu r]pte__This stat-anent must-be--filed annually or when there is a material - change in financial interest or in position held.