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Kondrick, David - Council at Large FORM(REVISED 19r)MILLER-DAVIS CO.,ST.PAUL,MN AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING TOWN OR CITY ELECTIONS d State f Minnesota No. ©!Z 1� ss. Cou � I, !�t (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. Aya t1 f l&A" A4E ZA-AKc I reside in the City or Township of 4:Z14 C—ei My post office address is U (Zip) (Sign name as ATnted on ballot) q� Su s l� day of , 19 c10 NQfAR =31.0m MAI CwAL�JE&n. (Tor"►), ( ty)Clerk otary Pub 1 County,Minn. • NOMINATION PETITION We, the under ed, registere voters of the City of Fridley, hearby nominate t� �• ` � whose residence is for the office of 01 ,; e 1 7 A7 l f` to be voted for at �,�.•-- �X it the election to be held on the day of Ar, , A6 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 f�h 41- IA IV 6� i W sG LV d ,SVD 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 m , 'nae to appear on th ballot exactly as follows: (Please Prin ) (Si ature of Nom nee) Sub r'b and sworn to before a this .11V'-'— day Of , 19 _. ROBERTA S.COLLINS NOTARY PUBLIC-MINNESOTA 4A 1A 4 ,4 Ali ANOKA COUNTY (N a y Pub 11 c) My Comm.Exp.Jan.31,2000 T ' petiti if f and insufficient by the City Clerk, shall be returned at Number � ',JCIStreet. I hea indicate m wi li s l y y ngnes to accept the office of if duly elected thereto. fs-ignatiKre ot Nomi ee) 6/94 NOMINATION PETITION We, the undersigned, registered voters of the City of Fridley, whose residence is Nearby nominate , � for the office of to be voted for at the election to be held on the day of , 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. DATE ." AM STREET AND ADDRESS -S 1-ibe14� , 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 myr�a�me to app e on th ball t exactly as follows: 1 (Please Print ) (Signature of ominee) S s ri d and orn to before this la 7 19 1 _. wNN ' ROBERTA S.COLLINS NOTARY PUBLIC-MIMESOTA ANOKA CCUNTY My Comm.Exp.J :i.31,2000 otary Public) T petition, if -found insufficient by the Cit Clerk, shall be returned 1= 1 z to �'E ; �- at Number , 11117 c Street. I healrby indicate my willingness to accept the office of C_ oaf if duly elected thereto. (Signature of N inee) 6/94 NOMINATION PETITION We, the undersigned, registered voters of the City of Fridley, hearby nominate whose residence is for the office of to be voted for at the election to be held on the day of 19 and we individually certify that we are registered voters and that i we have not signed more nomination petitions of candidates for this office than there are persons to be elected thereto. DATE_�y NAME STREET AND ADDRESS �C 0K boy ��, av�s�l 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 myme o appy Rt:h ballot exactly as follows: (Please Print (Si nature of Nominee) Suo' c ibe and sworn to before this day ----------- of 19—` ROBERTA S.COLLINS NOTARY PUBLIC-MINNEMA ANOKA COUNTY (:d a r y Pub 1 i c) My Comm.Exp.Jan.21,2000 T )�tition, .if. found insufficient by the City Clerk, shall be returned tor>� C�t'� �C- , at Number� � %� i��; C- Street. I hear„�y indicate my willingness to accept the o fice of 4,T,t1c if duly elected thereto. (Signature of No `nee) 6/94 ti NOMINATION PETITION ` We, the undersigned, registered voters of the City of Fridley, hearby nominate whose residence is for the office of to be voted for at the election to be held on the day of , 19 ; and we individually certify that we are registered voters and that i we have not signed more nomination petitions of candidates for this office than there are persons to be elected thereto. D TE NAME STREET AND ADDRESS N e 7 h/, A/, 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 b e. "' I wish myane to appe�rl on the ballot exactly as follows: (/ (Please Prin ) r � ,t l7 - l (Signature of N minee) S bs -ib d . and sworn to before this 0-t—day Cf , 19 � ROBERTA S.:MINNESOTA LLINS Ej NOTARY PUBLIC ANOKA COTY(Notar Pub l i c) Mp comm.Exp.J1.2 20D OO ' petition, if found insufficient by the City Clerk, shall be returned to t>1 �__ , at Number yStreet. I he y indicate my willingness to accept the office of T if duly elected thereto. (Signa ure of No i.nee) 6/94 NOMINATION PETITION We, the undersigned, registered voters of the City of Fridley, hearby nominate whose residence is for the office of to be voted for at the election to be held on the day of 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. DATE NAME STREET AND ADDRESS t v,c i' ct cc-�— GL' �� � > .. //�zo 9 � ✓�.`c:� , � Q 6�/ X944-'7' 7,96-17 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 a to aR ar on e ballot exactly as follows: (Please Prin - Signa `re of Nominee) Sucr 'be and sworn to beforepe this ' day o f , 19_1 — QEPU8 S MO�SANAR - INEO ANOKA COUNTY (N a ry Public) hpy Comm.Exp.Jan.z:,2C00 This petition, if found insufficient by the City Clerk, shall be returned to , at Number St eeit. . I he rby indicate my -willingness to accept the office of if duly elected thereto. Signatur of N minee) 6/94 . r CITY OF FRIDLEY IC DIS(LOSTRE STATEMENT By CITY COUNCIL OR COUNCIL CANDIDATES NAME J4-='l G �P L6�=-- DATE ✓�-` -t� 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 51 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 Fes' PERSONAL PARI ERSHIP, ETC. ADDRESS INTEREST 1NjLTa EST- (Use additional paper 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: NON-HOMESTEAD REAL PROPERTY ADDRESS r - (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 ADDRESS (Use adJelftional 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 HAMS PARrMMIPS, OR OMER BUSINESS ENTERPRISES Al - 7 v" (Use additional paper if necessary.) I do swear (or affirm) that this re rt is a 7-ul ;andC' true statement pursuant to Sec-. 5.04 of the City � �G (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held.