Byrne, Tim - Council at Large FORM(REVISED 1980)MILLER-DAVIS CO.,ST.PAUL,MN
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
TOWN OR CITY ELECTIONS
State of Minnesota No. D�
County of kA, ss.
I, � R(I
r�►-e_
(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
COOLAA C,
I reside in the City or Township of r _
My post office address is b 3 l— .
(Zip) SY4/3 Z
(Sign name as ted on ballot)
Subscri day of ( l , 19
=-MINNESOTA
07 NO , (City)Clerk—Notary Public
S ounty,Minn.