HomeMy WebLinkAboutNomination Application - SmithAPPLICATION FOR NOMINATION PAPERS -- CITIES
ELECTION DATE: November 5, 2024
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WAI—LPIN-6 ADDRESS IFDIFFERENTFROM RESIDENCE
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TELEPHONE NUMBER(S): Day (`, ,o) _
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OFFICE SOUGHT
OFFICE USE
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1 DATE
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;�'Fu'll Term ❑ Short Term
Registration checked by: Va.VAGS
d (CLERK
Registration
Material issued by: 44.."o
(CITY CLE�I, KIDEPt] 1rY)
Official Filing Form
Ballot Designation Worksheet
Q� Candidate's Statement Form
[V� Code of Fair Campaign Practices
[+]� Statement of Economic Interests/Manual
[� Resolution concerning Candidate Statement
[r Campaign Disclosure Forms
District 3
DISTRICTMARD (if applicable)
(951) 486-7200 or 800-773-8683
TO BE READ AND SIGNED BY CANDIDATE
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best of my knowledge, I meet the eligibility requirements for the office I seek. At my request the nomination
documents listed above have been issued to me and I am aware that they must be filed with the City Clerk, during
normal business hours no later than August 9, 2024, at 5 p.m.
STATE LAW REQUIRES CANDIDATE INFORMATION BE A MATTER OF PUBLIC RECORD.
Please indicate if you give permission for your home address and telephone number to be listed on the Internet.
Yes No (If NO, you ay provide a mail+ �idressl:
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SIGNATURE CANDI ATE (OR AGENT)
NCTE: A Spanish version of the required fp s is available upon request.
La versi6n en espahol de Ias formas requOdas est6n disponibles al solicitarlas.
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DATE O SIGNING