Wolfe, Richard - Ward 2 FORM(REVISED 7960)MILLER-DAVIS CO.,ST.PAUL,MN
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
State of Minnesota
TOWN OR CITY ELECTIONS
No.
A
County of A o.d* Ss.
I, �c�idt &4)o(j &
(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 roy_.0ed/ x0j.1.1& 04*j ;z
I reside in the City or Township of 7A 114 a
My post office address is 140 94fAA-«-4!j IA,, '7A-c10iv S-r<1,j;
/ (Zip)
Uu �
(S' name as wan on ballot)
Subscribed and sworn to before me this cot day oflow , 1
,oil' n), (City) k Notary Public
County,Minn.
NOMINATION PETITION
We, the under_.igned, registered voters of the City of Fridley,
nearby nominate whose residence. is
�N ��f���� �f for the office of
(AAAJ7 , to be voted for at
the election to be held on the 3 day of _, 19 ,92, ;
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
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Wa 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 name to appear on the ballot exactly as follows:
(Please Print
�9A�
(Signa re of Nominee)
S�
Subscribed and sworn to before me this --6// day
oc , 19 —.
PATRICK I MINMCN
NOTARY PUBUC-MMNE90TA
ANOM COUNTY
(L�6tary Pub1.ic) My C=mMwE*mAmL$1,Wo
This petition, if found insufficient by the City Clerk, shall be returned
to , at Number Street.
I hearby indicate my willingness to accept the office of
if duly elected thereto.
(Signature of Nominee)
6/94
., NOMINATION PETITION
We, the undersigned, registered voters of the City of Fridley,
hearby nominate :g«4kAj Pd-/I4?/jo , whose residence. is
for the office of
to be voted for at
the election to be held on the day of // , 191
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 A STREET AND ADDRESS
' s�
%- �/ 40
-
,�f�8 � gat �5 D f/ � Y�-
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 name to appear on the ballot exactly as follows:
(Please Print)
(Signature of Nominee)
Sub ibed ad sworn to before this da
of , 1AL AIM FLO MARMLE
qV--- IIORM1trj"-I A
(Notary Public)
This petition, if found insufficient by the City Clerk, shall be returned
to , at Number Street.
I hearby indicate my willingness to accept the office of
if duly elected thereto.
(Signature of Nominee)
6/94