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Schneider, Dennis - Ward 2 Allik FORM 11(REVISED 1980)MILLiR-DAVIS CO.,MINNEAPOWS AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING State of Minnesota TOWN OR CITY ELECTIONS is. No. / County of— I, -earl 15 G. ✓cd/r���drr (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`belo*. 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 GL z- I reside in the city or township of , My post office address is: 9O �✓ is��on $�va! id 4 _(Zip) �Y32 r., (Sign name as wanted on ballot) Subscribed a day of , 19 986T'8ZA9Ws&{dx3uoisslwwo0AWe�1, �C AIN= vNONV (Town (City) CZ —Notary P blit tl1033NNIW -9118fid AatllON SEAL VIVdVVH 'V A3TIMS (s` County,Minn. k VVVWVW"V6 x f•f' t f - y�ilti ; ili)iat1' I i:t! Ji4 We, the undersigned, electors of the City of Fridley, hereby nominate Dennis L. Schneider whose residence is 6190 Stinson Blvd, Fridleey for the ottice or City Councilman, Ward II to be voted for at the election, to be held on the 2nd day of November 1982 ; and we individ 11 y certify that we are qualified electors and that we have not signed more nomination petitions of candidates for this office than there are persons to be elected thereto. Name Street and Number ; .., . r—>,�q S� V,14 6c��C�'l/ T, ALE, k) 6 _51 -� Dennis L. Schneider being duly sworn, deposes and says that s/he (Name of Nominee is the circulator of the foregoing petition paper containing signatures, and that the signatures appended thereto were made in his/her presence and are thegenuine signatures of the persons whose names they purport to be. I wish my name to appear on the ballot exactly as follows: Dennis L. Schneider Please Print ti Signature of Nominee Subscr' ed and sworn to before me this*/ day P SHIRLEY A• HAAPALA ' PUBLIC- MINNESOTA ��j+ k� NOTARY COUNTY ANOn iresMay 29,1986 Notary ubl i -:^ My Commission Exp This petition, if found insufficient by the City Clerk, shall be returned to. Dennis Schneider at Number 61go 9ti hsony yd_ Street. t- ,Y� ,r,, .,� s `11C City Councilman, I ;:,. _.j� .I� �_ ILy 4e i l'l iiy,+e..: `J wCCe�rt : -off ZiC 0: _ Ward IT if duly elect ed thereto. __�Siqili3f:u e of Nominee CCI?80 We, the undersigned, electors of the City of Fridley, hereby nominate Dennis L. Schneider whose residence is 6190 Stinson blvd. , for the office of City Councilman, Ward 2 to be voted for at the election to be held on the 2nd day of November 1 g 82 ; and we indiviidualAy certify that we are qualified electors and that we have not signed more nomination petitions of candidates for this office than there are persons to be electedl thereto. Name Street and Number C. � .�rr.ti. '<_ _ � ;.e-��� 'Q.� % �.. .�,�`�fJ/ ,�/���.moi,�l• �-�1 Dennis L. Schneider being duly sworn, deposes and says that s/he (JianiO of Nominee) its the circulator of the foregoing petition paper containing signature�,_&nd that the signatures appended thereto were made in his/her presence and are t e—ge�iuine �— sAgnatures of the persons whose names they purport to be. I wish my name to appear on the ballot exactly as follows: Dennis L. Schneider Please Print ` � l Signature of Nominee Subscr' ed and sworn to before me this' d day of , 19 �2• ti.�fnnnnnnx Y .F SHiRLEY A. HAAPALA — �'4 (/" _ D_ NOTARY - MINNESOTA G ��""�l t' ANOKA KA C COUNTY NO ry PUb11C MycommissionExpiresMay28,1986 a This petition, if found insufficient by the City Clerk, shall be returned to- Dennis Schneider at Number 6190 Stinson Blvd. Street. I hcrcby indicate my ►• illingness to accept the office of - City Councilman Ward II if duly elected thereto. Signature of Nominee) CC1280 � � � ��w «r ate. ---- _._ ��'�e �i � a._ x r 4 .� _ ; N �.