HomeMy WebLinkAboutNomination Papers - KellyOFFICIAL FILING FORM
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AFFIDAVIT OF NOMINEE S OATH OR AFFIRMATION OF NOMINEE
AFFIDAVIT OF NOMINEE
State of California 3
County of Riverside l ss.
Kathleen Kelly
MUNICIPAL
City: of P Im Desert
Issued by:
SI NATUR
City Clerk
TITLE
Date: al 11S Zozy
, under penalty of perjury, state that I am a nominee for the office
of _ Palm Desert City Council
Ward or Councilmanic District 2
® Full Term ❑ Short Term
I will accept the office in the event of my election to this office at the election to be held on November 5, 2024
I desire my name to appear on the ballot as follows: Gt,A4,,, � f
PRINT OR TYPE YOUR NAME
and I desire the following designation to appear on theballotunder my name:
COU+IlCIImem+Ucr
(Print or type your principal profession(s), vocatlon(s), or occupation(s), in 3 words or less; or the name of the elective public office you
hold or "Incumbent". If you leave this space blank, no designation will appear on the ballot.)
My residence address is as follows:
'burrowee8 -De5ex C 9�1 o� V)
RESIDENCE ADDRESS: NUMB R, STREET, CITY B,ZIP
5flmt
SIGNA RE KOF
TELEPHONE NUMBER
EMAIL ADDRESS:
MAILING ADDRESS, IF DIFFERENT
-bqq
NUMBER
OATH OR AFFIRMATION OF NOMINEE
N C-n e_
FAX
I do solemnly swear (or affirm) that I will support and defend the Constitution of the United States and the
Constitution of the State of California against all enemies, foreign and domestic; that I will bear true faith and
allegiance to the Constitution of the United States and the Constitution of the State of California; that I take this
obligation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the
duties upon which I am about to enter.
State of California
County of Riverside } SS.
51GNATU OF
sworn to before me this 15th
da f July , 2024
A
N U F OFFIC ADMINI T G OATH
TITLE OF OFFICE ADMINISTERING OATH