HomeMy WebLinkAboutApplication for Nomination Papers - PerryNAME AS REGISTERED
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JIM Deser�
ADDRESS INCLUDING CITY AND ZIP
C'/) X22
MAILING ADDRESS IF DIFFERENT FROM RESIDENCE
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TELEPHONE NUMBER(S): Day ( - Eve. ( )
❑ Full Term ❑ Short Term
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OFFICE SOUGHT DISTRICT/WARD (if applicable)
OFFICE USE
Registration checked by: P\ He}} , d / )C, S L eto E (951) 486-7200 or 800-773-8683
CLERK AT OV�)
Precinct Number:
Material issued by: P r�ktnp,It
(CI fw gLE�U1Y)
Declaration of Candidacy
Nomination Paper
LS Ballot Designation Worksheet
Candidate's Statement Form
EJ Code of Fair Campaign Practices
jJ Statement of Economic Interests/Manual
Resolution concerning Candidate Statement
Campaign Disclosure Forms
Date of Registration: iJ f
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 _
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 (
DATE OF SIGNING
NOTE: A Spanish version of the required forms is available upon request.
La versi6n en espanol de las formas requeridas est6n disponibles al solicitarlas-