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Billings, Steven E - Ward 1 L I FORM 1t(REVISED 1980)MILLER-DAVIS CO.,MINNEAPOLIS' AFFIDAVIT OF CANDIDATE &' RECEIPT FOR FILING TOWN OR CITY ELECTIONS State of Minnesota SS. No. / County of—( 1 ICE A) (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 6- it, , �Ultiia. I reside in the city or township of . My post office address is: (ZIP) (Sign name as wanted on ballot) Subscribed and sworn to before me this day o , 19 (Town),(C'y Clerk try Public SEAL -/�� County, Minn. 0 ` C� aM NOMINATION PETITION 33-9/-61D ' We, the undersigned, registered voters of the City of Fridley, hereby nominate ver t. , •� , whose residence is �o1`��S .Lin�o�n �✓`. 1� t ���1 a 1 , for the office of M er»�e r 1Pct,r~ OY7 e, , to be voted for at the election to be held on the Q day of 4 o U e-m L er, 19 6; 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. NAM STREET AND NUMBER -1Z2 � 01 731 5�e u e-n.�i ,•n s , being duly sworn, deposes and says, "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: �teu rN s (Please Print) (Signature o ) Subscribed and sworn to before me this =day •lajd NOTA7:C ,�Y� cOmmissicnQ7-:-s June 2, (Nota Public) - This petition, if found insufficient by the City Clerk, shall be returned to ,S�r;J e,^ ►Il i n a-s' , at Number Sa/S Lirlehi.n! S4#.00Street. I hereby indicate my willingness to accept the office of eOVOO-r i- Ynembce- L A eD OP t; duly elected thereto. (Signature ) 3/0/1/9 1 RUMINATION PETITION We, the undersigned, registered voters of the City of Fridley, hereby nominate 5-�-�veYN e . I nqs , whose residence is SSS 21 , for the office of aoureg' -Yhem6er - [A)A,2O o� L- , to be voted for at D the election to be held on the 3 Q day of Aloa a rn d •t r, 19 R-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. NAM STREET AND NUKBER 5a/S-- 41tyCo/iy s�14- GUS JAO C tC4re.',C,e cc 1Z4 ce CrO-ek jerrn-u n), „ ve. being duly sworn, deposes and says, "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 ballo exactly as follows: (Please Print) (Signature--§f Subscribed and sworn to before me this day 9- 8 David K. Sunderland J NOTAFY PUBLIC-MINNESOTA a G{', (NOtary ub11C) It1v COUNTY _ commiSsion exp;,.es June 2, 1990 This petition, if found insufficient by the City Clerk, shall be returned to S�auenmi•�' ►1�iS Ir at Number Sv�lt' �CtNCOt n(�2/YL Street. �I/'hereby indicate my willingness to accept the office of Dun G ew%6 e e- �.,J_. fdul y elected thereto. (Signatu � inee) 3/0/1/9 • 1 CITY OF FRMIXY s PUBLIC DISCLOSURE STATEKENT BY CITY COUNCIL OR COUNCIL CANDIDATES E W 4 y e ri y t ;✓� s DATE -SWAF 07 198`1 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. Names 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 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 PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST l..IV% s4v- I4 a /6017,0 OL'F/'L�'�i a01.'ff-Wr00 KA0 D c 2 (Use additional gaper 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: I NON-HOMESTEAD REAL PROPE'M ADDRESS hip IJ s j i (Use additional paper if necessary.) I i I Y 3. A list of the norr-homestead real property located within the City of Fridley in which I had a financial interest within the preceding three s (3) years: NON—HOMESTEAD REAL PROPER'T'Y ADDS 5's© --57- AV C ,yLs i W;;: WAS ConlTaAd.Ti P'0 2. bGeD Aac.oe2 a/8a -"'o 4/8'7 . - (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 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 ODRPORATIONS NAME'S PARMMSHIPS, OR MEM BUSINESS WIERP'RISES /N10 nl (Use additional paper if necessary.) I do swear (or affirm) that this report is a full and true stat r nt pursuant to Sec. 5. 04 of the City Code. (Signatur Note: This statemer!t must be filed annually or when there is a material change in financial interest or in position held.