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AFFIDAVIT OF NOMINEE & OATH OR2AFFERMATI0N F.NOMINEE
AFFIDAVIT OF NOMINEE
State of California
County of Riverside ) ss.
Karina Quintanilla
MUNICIPAL
City: of Palm Desert
Issued by:
SI NATURE
City Clerk
TITLE
Date: / t S Zo 2.
, under penalty of perjury, state that I am a nominee for the office
of Palm Desert City Council
Ward or Councilmanic District 1 ® 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: L AA j WA Q(A I N Tfk N 1 L-L A
PRINT OR TYPE YOUR NAME
and I desire the following designation to appear on the ballot under my name:
C01A Nf QL iVV0 MAKE / Mcat4EK
(Print or type your principal profession(s), vocation(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:
PAWM fp S -Kr , CA Raalod
RESIDENCE ADDRESS: NUMBER, STREET, CITY & ZIP
MAILING ADDRESS, IF DIFFERENT
SIGMA RE OF NOMINEE
{ ) - { ) ( ?
DAY TELEPHONE NUMBER EVENING TELEPHONE NUMBER FAX
EMAIL ADDRESS:
OATH OR AFFIRMATION OF NOMINEE
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 I ss
A URE OF NOMINEE
Subscribed and sworn to before me this 1$th day ofj�]f 2024
SIG
OFFICER