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Schneider, Dennis L - Ward 2 FORM 11 rE"SRD_&1O)MILLER-DAVIS CO.,MINNEAPOLIS 17 AFFIDAVIT 'OF CANDIDATE & RECEIPT FOcR FILING TOWN OR CITI( ELECTIONS Stat=a-" 'nnesota ff No. County of— -Z�"n� /� (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 I reside in the city or township of My post office address is. (Zip) (Sign name as wanted on ballot) Subscribed and sworn t&before me this 4 day of J. C. ivrnaTown) .a` ota C P,�gt,�-Mil) 5 ,( tity) Clerk—Notary Public t, 7ARY County,Minn. - ANa4CA CC Y `.` SEAQ' , Comm`sianEx��r��lAN111991 •. ..tip t,n J NOMINATION PETITION r, s We, the undersigned, electors of the City of Fridley, hereby nominate der whose residence is �/go for the office of -** , _ 10 — � � ^1 � to be voted for at the election to be held on the _� day of �/©�. 19$.5'; 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 �61:1 eo 6- S , 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: Please Print -Y C, i�dt tory n WARY PUBLIC D9j�V---&^Ta `� �� arvo�cA cr`►r,'�r Signature of Nominee P";Gomm:;ion E� it JAN 111991 S6bf'Cri'5eda'n'd 'sworn to befor me this day of 19 . Notary Public ' This petition, if found insufficient by the City Clerk, shall be returned to lam,-raa at Number g/qD ST„� Street. I hereby indicate my willingness to accept the office of �a if duly elected thereto. 5 Signature of Nominee) CC1280 y . , ___ __ ,. -- -- - - - NOMINATION PETITION ' We, the undersigned, electors of the City of Fridley, hereby nominate hr,or whose residence is for the office of I" ti d Z to be voted for at the election to be held on the _ day of _Vs 19 BS'; 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 Name Nominee being duly sworn, deposes and says that s/he of 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: Please Print _.Y C. 'i k37:1RY PUBLIC-MI ;r;'-:•,'TA AN KA C t or ', ! . P" < 161e- -fomrr. sionEx,erAN`i 1991 Signature of Nominee) Subscribed and sworn to before me this day of C14 tar Public This petition, if found insufficient by the City Clerk, shall be returned to at Number l/qD Street. I hereby indicate my willingness to accept the office of Lli, f if duly elected thereto. Signature of Nominee) CC1280 z i �_/