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Mayor-Council Applications- 1st day filingsAW2-15 , 7/2011 Prescribed by Secretary of State Sections 141 .031 , 143 .004 , 143 .006, Texas Election Code All in formation is requ ired to be provided unless indicated as optional. TO: City Secretary I request that my name be placed on the above-named official ballot as a candidate for the office indicated below. OFFICE SOUGHT Include any place number or other distinguishing number, if any. INDICATE TERM cAJ FULL D UNEXPIRED FULL NAME (First, Middle , Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT \LA-eeN U-uiJI PERMANENT RESIDENCE ADDRESS (Street address and apartment number. If none, describe location of residence. Do not include P.O. MAll..ING ADDRESS (If different from residence address) BoxorRura!Rt.) Cfoo ?e.\l~Y\ lo...n~ STATE ZIP CITY STATE ZIP EMAIL ADDRESS (Optional) OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGIS:rRA TION VUID NUMBER (if applicable) TELEPHONE NUMBER (Include area code) (Optional) OFFICE: HOME: Chd..-~()4--\$ \ 9 os /zliJ<ts~ I0~33l.p41 &I Length of Continuous Residence as ofDate Application Sworn INSTATE 3kyr(s) ~ mos IN CITY 1"1 yr(s) /0 mos IN DISTRICT OR PRECINCT' I( yr(s) JO mos If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear that my nickname does not constitute a slogan nor does it indicate a political, economic, social , or religious view or affiliation. I have been common! known b this nickname for at least three ears rior to this election. Before me, the undersigned authority, on tllis day personally appeared (name) ~N ~~~ lJ.u /'UT , who being by me here and now duly sworn, upon oath says : "I , (name) KA ~~ H~ , of bA-t J As County, Texas , being a candidate for the office of , swear that I will support and defend the Constitution and laws of the United States and of the State of Texas . I am a citizen of the United States eligible to hold such office under the Constitution and laws of this state. I have not been fmally convicted of a felony for whi I have not been pardoned or had my full rights of citizenship restored by other official action. I have not been determined by a fmal judgment fa court exerci s ing probate ju 'sdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote . I am awar of the nepotism law, Chapter 5 , Government Code. I further swear that the foregoing statements included in my application are in all things tru T BE COMPLETED BY CITY SECRETARY : (See Section 1.007) I• ·· .. 1.0L5 SEAL AW2-15 , 7/2011 Prescribed by Secretary of State Sections 141.031 , 143 .004, 143 .006, Texas Election Code All information is required to be provided unless indicated as optional. TO: City Secretary I request that my name be placed on the above-named official ballot as a candidate for the office indicated below. OFFICE SOUGHT Include any place number or other distinguishing number, if any . INDICATE TERM ~ FULL D UNEXPIRED FULL NAME First, Middle , Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT PERMANENT RESIDENCE ADDRESS (Str t address and apartment number. If none, describe location of residence . Do not in clud e P.O. Box or Rural Rt.) qt::;~ ·\), \\Q~L ryQ<ULw~ STATE \e-~s oll.e.-S CITY STATE ZIP SS (Optional) OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER (if app li cable) TELEPHONE NUMBE ptional) ~: O\Lt-~~l.\-032.'3 HOME: 101~4 3355 Length of Continuous Residence as of Date Application Sworn IN STATE L\-'Lyr(s) lO mos IN CITY J.1..yr(s) 8 mos IN DISTRICT OR PRECINCT' _yr(s) mos If using a nickname as part of your name to appear on the ba ll ot, you are also signing and swearing to the following statements : I further swear that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation. I have been common! known b this nickname for at least three ears rior to thi s election. Before me , the undersigned authority , on this day personally a peared (name) -if-..L..:'-='-<=~--=:.,..,-~:-'-:':....:.__,:---tt-=="-71'"""',.,.;.:. here and now duly sworn, upon oath says: "I, (name, _ _.......,_.~.' _Ct_"'.:...:-".!.7"'-~<F':~"-.\~.-'--.l..._~""' County, Texas, being a candidate for the office of swear that I will support and defend the Constitution and laws of the United States and of eState of Texas. I am a citizen of the United States eligible to hold such office under the Constitution and laws of this state. I have not been fmally convicted of a fe lony for which I have not been pardoned or had my full rights of citizenship restored by other official action . I have not been determined by a fmal judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573 , Government Code . I further swear that the foregoin g statem ents included in my application are in all things true and correct." TO BE COMPLETED BY CITY SECRETARY: (See Section 1.007) ~~~~~~-> ZJ~l~INNELt My . Commission Expires June 16, 2017 AW2-15, 7/2011 Prescribed by Secretary of State Sections 141.031, 143.004, 143 .006, Texas Election Code Al l info r mation is required to be provided unless ind icated as optional APPLICATIONFORA PLACE ONTHECITY OF Ct>f9E t.L. GENERAL ELECTION BALLOT TO: City Secretary I request that my name be placed on the above-named official ballot as a candidate for the office indicated below. OFFICE SOUGHT Include any place number or other distinguishing number, if any. INDICATE TERM C\T C..cu ~>JC. \ L ~ FULL D UNEXPIRED FULL NAME (First, Middle, Last) . PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT G P\R 'I DoN Rooe.N PERMANENT RESIDENCE ADDRESS (Street address and apartment MAILING ADDRESS (If different from residence address) . number. If none, describe location of residence. Do not include P.O. Box or Rural Rt.) · l~o <!Lo'/~Y< yY\~AboW S"-rY\€ STATE ZIP CITY STATE ZIP ·~ ISb\9 ~~0AJlD_!E" S~(Optional) OCCUPATION (Do not leave blank} DATE OF BIRTH VOTER REGISTRATIONVUID NUMBER "?r •) ~~ ~ (if applicable) a~u;,..,..~voJe...,. c..oH-t ~l,\S JNESS ow.Nt:.'IJ... 10 /f~f l%o l oSI '+CO li-7~ '3 TELEPHONE NUMBER (Include area code) (Optional) Length of Continuous Residence as of Date Application Sworn OFFICE: qi'2..-7S9-2G,(\'S HOME : 2 J't-Bo 1-Sl. C\' INSTATE .6.!f_ yr( s) _2_mos IN CITY Li_yr(s) ~mos IN DISTRICT OR PRECINCT 1 t_j_ yr(s) J_mos If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements : I further swear that my nickname does not constitute a slogan nor does it indicate a political, econoinic, social, or religious view or affiliation. I have been common! known b this nickname for at least three ears rior to this election. Before me, the undersigned authority, on this day personally appeared (name) GAR. Y J;::>orJ g 0 f)€)V , who being by me here and now duly sworn, upon oath says: ''1, (name) G 1\,8 't Og N R o !> C"N , of D" L LAS County, Texas, b_ein? a candidate for the o~ce of c!of'l't\.."-< rry C.OUNC~~' PLAC.C . If .'_swear that I will support and defend the Constitution and laws of the Umted States and of the State of Texas. I am a c1tizen of the Umted States eligible to hold such office under the Constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other official action. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or-partially mentally incapacitated without the right to vote . I am aware of the nepotism law, Chapter 573, Government Code. I further swear that the foregoing statements included in my application are in all things TO BE COMPLETED BY CITY SECRETARY: (See Section 1.007) AW2-15 , 7/2011 Prescribed by Secretary of State Sections 141.031 , 143 .004, 143 .006 , Texas Election Code All information is required to be provided unless indicated as optional . TO: City Secretary I request that my name be placed on the above-named official ballot as a candidate for the office indicated below. OFFICE SOUGHT Include any place number or other distinguishing number, if any. INDICATE TERM ~FULL D UNEXPIRED FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT M t>.. <'J \ V\. M ' c:JA ~ e..-\ r v cpA \LI ,' ~ PERMANENT RESIDENCE ADDRESS (Street address and apartment MAILING ADDRESS (If different from residence address) number. If none, describe location of residence. Do not include P.O. Box or Rural Rt.) s o Lf H fA YY ; s s -r. ~/liP¥ CITY STATE ZIP CITY STATE ZIP Co ed t ·!;( IS o J C) EMAIL ADDRESS (Optional) OCCUPATION (Do not leave blank) r' "'o-."" ~&v\ Mvls ov- DATE OF BIRTH VOTER REGISTRATION VUID NUMBER (if applicable) TELEPHONE NUMBER (Include area code) (Optional) OFFICE: HOME : 12-/'1 /1952.. /(}8'51327Sfl Length of Continuous Residence as ofDate Application Sworn IN STATE I~ yr(s) 7 mos IN CITY J2_yr(s) I mos IN DISTRICT OR PRECINCT' I 5 yr(s) 7 mos If using a nickname as part of your name to appear on the ballot, you are al so signing and swearing to the following statements: I further swear that my nickname does not constitute a slogan nor does it indicate a political, economic, social , or religious view or affiliation. I have been common! known b this nickname for at least three ears rior to this e lection. who b_$g}Y me here and now duly sworn, upon oath says: "I, (name) of C o (?f.fld / , ;p County, Texas, being a candidate for the office of c: C.o v t_, .,. swear that fw1ll support and defend the Constitution and laws of the United States and of the State of Texas. I am a citizen of the United States eligible to hold such office under the Constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other official action. I have not been determined by a fmal judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote . I an1 aware of the nepotism law, Chapter 573 , Government Code . I further swear that the foregoing statements included in my application are in all things true TO BE COMPLETED BY CITY SECRETARY : (S ee Section 1.007)