Drowns, Robert (Bob) - Mayor FORM 11(REVISED 1980)MIS ER-DAVIS CO.,MINNEAPOLIS !r
AFFIDAVIT OF CANDIDATE & RECEIPT FOR FILING
TOWN OR CITY ELECTIONS
State of Minnesota fs No.
County of
I, �ol3E � 7- Le6 R) I✓I� Crw _S
(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 5office of
I reside in the city or township of /
My post office addres is: 0 0 jzW&A-1 222
"1' (Zip) '5: �3 L-)
(Si n name as wanted on ballot)
Subscribed any(j ,q, �o►�eY� "f^ day of , 19i
S SHIRLEY A. HAAWNE
T MI lESOTA
NOTARY PUBLIC
��ti ,��1 AyoIOKA CCUNI �� ,{,b ( own), ( ity) Cler Notary Public
SEAL MyCommissioaExpires Mayl2G, U
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NOMINATION PETITION
b�
We, the undersigned, electors of the City of Fridley, hereby nominate
l Robert (Bob) Drowns whose residence is 1040 N.E. Hackman Circle ,
for the office of Mayor to be voted for at the
election to be held on the day of/WX, Y—�r� . 19 ; and we
individually 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
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Robert (Bob) Drowns ,__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 the genuine
signatures of the persons whose names they purport to be.
I wish my name to appear on the ballot exactly as follows:
Robert (Bob) Drowns
Please Print
Signature of Nominee
Subs ibed and worn to before me this /(��day
of 193 . �A� v�sf�
M:'�/�MMM�
r. SHIRLEY A. HAAPALA
NOTARY MINNESOTA
ANO!! A CUN 1 i
Notary P 11C Mycomr issior�Expiresday2 ,.
\,Vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvw
This petition, if found insufficient by the City Clerk, shall be returned to
A&F"u— ,)P'V&NS at Number /l1�40 41C 14ttWAAj C`if,.-6-Street.
I hereby indicate my willingness to accept the office of PA Y
if duly elected thereto.
Signature of Nominee)
CC1280
NOMINATION PETITION
We, the undersigned, electors of the City of Fridley, hereby nominate
Robert (Bob) Drowns whose residence is1040 N.E. Hackman Circle
for the office of Mayor to be voted for at the
election to be held on the 9 day of19 and we
individually 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
���� �, 69��
Nac k1V7Q
0
Gl, Rd
o► U �✓ ��6 8 W �a�►k�e � .
s93_z
611� 711-
Robert (Bob) Drowns being duly sworn, deposes
_ -- -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 the genuine
signatures of the persons whose names they purport to be.
I wish my name to appear on the ballot exactly as follows:
Robert (Bob) Drowns
Please Print
Signature of Nominee
Subs ibed and sworn to before me this day
SHIRLEY A. HAAPALA
NOTARY PUBLIC— MININESOTA r
G A ANOI(A COUNTY z
My Commission Expires May2a,1986
NotaryPublic)
This petition, if found insufficient by the City Clerk, shall be returned to
-"Me
DRO/fW S at Number r0 00 /l�'c l�� I19nJ
I hereby indicate my willingness to accept the office of /�i4 YOK
if duly elected thereto.
Signature of Nominee)
CC1280
i
CITY Of rRIDLEY
• PUBLIC p;;Cl_OSURE STATEMENT BY CITY COU"ICIL Olt CWNCIL CANDIDATES
0141,
DATE
TO: CITY CLERK
In eonron,i3nce with Section 30 of the City Code, I hereby make the following j
declariiiioas re�jarO;ng my financial and personal interests:
1 . Nares of all business corporations, partnerships, other business enterprises,
or goverrrmcr►ti.l agencies doing business with the City of Fridley or located
within the City of Fridley:
a. With which I have a financial interest.
(As u.sed in Chapter 30, the term financial interest shall be deemed
to include ownership of more than 10'''• of: The outstanding stock in
a carporatiun, an interest in a partnership, proprietorship, or
other business entity, or an interest in real property. Financial
ire'.-rest shall apply to real or personal properties ovned by the
person making the disclosure and by said person's spouse. )
b. With i,hich I have a personal interest.
(As used in Chapter 30, the term personal interest shall be deemed
to appl., !•:hent.v r a person regVired to make a disclos;:re under this
code of ethics shall be associated witt. a business as an eirrployee,
officer, director, trustee, partner, advisor on consultant. )
FIidANClALI i'�:SON^l_
PARTNERSHiPS, ETC. AD ESS 114TEREST IN-1 EREST
l
(Use additional r per 'if nec(%ssary.)
i
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2.
L-2.
. A list of the non-homestead real property located within the City of Fridley
in which I currently have a financial interest:
Vo 171--1 [tEhL ('ROPEk7Y
ADDRESS
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(Use additional paper if necessary.)
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3. A list of the non-homestead real property located within the City of Fridley
in width I had. a Financial interest within the preceding three years.
hOH-I 6-14 STT LAD PEAL PROPERTY
ADDRESS
T
(Use additional paper if necessary. )
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r
• 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 C RPOftATI0,4S
NA14ES PARINERSHJPS, OR OTHER BUSINESC.S ENTERPRISES
(Use additional paper if necessary . )
I do swear (Or-a+f4-rn) that this report
is a full and true statement pursuant
to Section 30 of 'the City Code. Signa ure
Note: This statement must be filed annually or when there is a material change /
in financial interest, or in position held.
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