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Application for Nomination Papers - Greenwood
ELECTION DATE: Jo.. 3 , Z02_(o TO BE COMPLETED BY CANDIDATE Jo Z� - NAME AS REGISTERED L 1016 DATE RESIDENCE ADDRESS INCLUDING CITY AND ZIP ( ) TELEPHONE NUMBER(S): Day ( Eve. ( ) Full Term ❑ Short Term OFFICE SOUGHT DISTRICT/WARD (if applicable) OFFICE USE Registration checked by: (Xv\A- , .atj Me i, 2 I So S �5� --- (951) 486-7200 or 800-773-8683 (CLERK /(T ROV OFFICE) Precinct Number: Date of Registration: Material issued by: ( -ER EPUTY) Declaration of Candidacy Nomination Paper Ballot Designation Worksheet ® Candidate's Statement Form w •z.'. O Code of Fair Campaign Practices ❑Q Statement of Economic Interests/Manual ❑ Resolution concerning Candidate Statement Campaign Disclosure Forms o -, TO BE READ AND SIGNED BY CANDIDATE To the 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 Avg ► , 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 may rovide a maili 9address): ��L �Y - .J��y �5Z0Z� ENT) DATE OF SIGNING NOTE: A -Spanish version of the required forms is available upon request La versibn en espahol de las formas requendas estOn disponibles al solicitarlas.