Nee, William J - Mayor FORM 11(REVISED 19#0)MILLER-DAVIS CO.,MINNEAPOLIS
AFFIDAVIT OF CANDIDATE & RECEIPT FOIZ FILING
State of Minnesota
TOWN dR ClTY, ELECTIONS
No. A 2-
� ff
County of
(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) s-s SY 3 .2-
K (Sign njWne as wanted on ballot)
Subscribed ax 3 day of - , 19
�-.� CLYDE V.MOFtnyen NOrAW
M Town),(City)Clerk— tart'Public
SEAL MY comm EV.jWL 24 104 �a�� County,Minn.
BION PETITION
we, the undersigne
//d
��,�� registered voters of the City of Fridley,
hereby nominate o)lj a.yu j- N L e , whose residence is
oZ toSd)g ParkwaFr J� L'�SS'f3 Z , for the office of
&,V IJ -V- G) O(% /= to be voted for at
the election to be held on the day of /UOV 0h1I/L/. 19 ;
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.
NAME STREET AND Ni]MBER
--:�> 3e 9 .
Al a f-
S
Ao/
�' t�11 c/ ►a,v, J ��N , being duly sworn, deposes and says, "I
(Name of Circulator)
am 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:
J, Nee
(Please Print)
(Signature f )
Subscribedd sworn to before me this 52 day
of �N , 19 '�5'7 . OLVM V.MORAVETZ
(Notary Publi
This petition, if found insufficient by the City Clerk, shall be returned
to W,t l 2,n.t ��, J�� , at Number a l 1 408 a�j Pa r/-' IA)" Street.
I hereby indicate my willingness to accept the office of
f7ir i N _ if duly elected thereto.
VV
(Signatur Nominee)
3/0/1/9
NOMNATION PETITION
We, the undersigned, )registered voters
�yof the City of Fridley,
W
hereby nominate i tli 'a►�ty t Ie L , whose residence is
2� l ko$a-?,L 1 dr/,way F'r j d /e for the off ice of
C►t�c Fr i Xe y , to be voted for at
the election to be held on the day of Nov oy L*I &P , 19 ;
and we individually certify that we are registered voters and that we
have not signed more nomination petitions of candidates for this office
than there are persons to be elected thereto.
NAM STPZM AND NL14BER
S� '
la, 2
t
an
A)S
VIA
W,ma,,,,L I, rqe e , being duly sworn, deposes and says, "I
(Name of Circulator)
am the circulator of the foregoing petition paper containing signatures,
and that the signatures appended thereto were made in my presence and are
the genuine signatures -of the persons whose manes they purport to be."
I wish my named� to appear on the ballot exactly as follows:
W
J- Wee
(Please Print)
(Signature of )
Subscribed and sworn to before me this 3 �-'�day
of 19 Ste. CLYDE V.MORAyETZ
COUNTY
(Notary Public M,WVAL�„1W&&Kt 1
This petition, if found insufficient by the City Clerk, shall be returned
to (its►11I&M , �� , at Number ,A-[I Lo$a� �arJ� U�A,y
I hereby indicate my willingness to accept the office of d
c i t-y o �=v r d C'qkt duly elected thereto.
(Signature o )
3/0/1/9
e
v
CITY OF FRIDLEY
` PUBLIC DISCLOSURE
`�STATEEKE TT BY CITY COUNCIL OR COUNCIL CANDIDATFS
NAME Milria. V � Nee DATE Tyre 30i YJ
ZED: CITY CLERK
In conformance with Sec. 5 . 04 of the City Code, I hereby make the following
declarations regarding my financial and personal interests:
1. Names of all business corporations, partnerships, other business
enterprises, or governmental agencies doing business with the City of
Fridley or located within the City of Fridley:
a. With which I have a financial interest.
(As used in Chapter 5 , the term financial interest shall be deemed
to include ownership of more than 10% of: The outstanding stock in
a corporation, an interest in a partnership, proprietorship, or
other business entity, or an interest in real property. Financial
interest shall apply to real or personal properties owned by the
person making the disclosure and by said person's spouse.)
b. With which I have a personal interest.
(As used in Chapter 5 , the term personal interest shall be deemed
to apply whenever a person required to make a disclosure under this
code of ethics shall be associated with a business as an employee,
officer, director, trustee, partner, advisor or consultant.)
NAME OF BUSINESS FINANCIAL PERSONAL
PARTNERSHIP, ETC. ADDRESS INTEREST IN RR=-
Nov� �
(Use additional paper if necessary.)
2. A list of the non-homestead real property located within the City of
Fr-idiey.-in which I currently have a financial interest:
NON-HOMESTEAD REAL PROPERTY ADDRESS
/\l o�
(Use additional paper if necessary.)
t
3. A list of the non-homestead real property located within the City of
Fridley in which I had a financial interest within the preceding three
(3) years:
NON-HOS REAL PROPERTY ADDRESS
�lD�1
(Use additional paper if necessary.)
4. A list of the names and nature of business of all corporations,
partnerships, or other business enterprises with-which J -,have a
financial intuest 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 ALSO CORPORATIONS
NAMES PAFMERSHIPS, OR OTHER BUSINESS ENTERPRISES
%/b-)e
(Use additional paper if necessary.)
I do swear (or affirm) that this report is a full and true statement
pursuant to Sec. 5. 04 of the City Code.
(Si re)
Note: This statement must be filed annually or when there is a material
change in financial interest or in position held.