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HomeMy WebLinkAbout110303 - Candidate Application - Julie SchultzAW2-IS, 1212009 Prescribed by Secretary of State HAND Section, 141 Oll, 143.004.143.006, Texas Election Code AU inform.lion is required to be provided unless indieated as optionat (S e requlCre Iud" Ja m!orntacion, a l1u:nos que haya alguna mdicacioh que hO es ~taO 3 201' FULL NAM (First, Middle. Last) (NOMBRECOMPLETO) (Nomhre de Pila, Segundo Nombre, Ape/lida) ~~e.-M~<·\~e.,\&. S~ PERMANENT RESIDENCE ADDRESS (Street address and apartment number. If none. describe location of residence. Do not include P,O. Box or Rural Rt.) (DIRECXIONDERESIDENaA PERMANENl'E: Cal/eyNlimerode Deparramen1O: $1 no tJene. descnba la Jocal£dad de .ru residencia, No mcluya III cap postal () ruta I1Jral) MAILING ADDRESS (Ifdifferent from residence address) (DIRI£CCIONPOSTAL(Si es difereme a su direcC/on de residencta)) OFfICE: (DE Sf} Ol-1CINAJ CITY (CIUDAD) ATE (ESTADO) ZIP (WNA POSTAIi VOTER REGlSTRA TION VUID NUMBER (if applicable) (NUM. DE VUlD DE VOTANTE (si applicable)) IN STATE (EN EL ESTADO) IN CITY (EN ELClUDAD) IN DISTRICT OR PRECINCT' (EN FJ. DISTRIl'O 0 PRECINTO) ~r(s)\~mos llir(s) .amos alb s mer os aPo .v mes(es alb s me u If using a nickname as part of your name to appear on the ballot. you are also signing and swearing to the following statements: I further swear that my nickname does not constitute a slogan nOr does it indicate a political, economic, social, or religious view or affiliation. I have been commonly known by this nickname for at least three years prior to this election, Para poder ind"i' "n apodo co",o pane de SIt numb... romp"'" eJ la papelela, Udde.berafirmar fa slguiente constancia: Ademas,juro que se the ha conocldo poresle apodo por mas de t1ti aftos, Ademar, jura que el apodo no es un lermpoJirfconi una tndicacion de mis creencias 0 laciones hticas, economlcas, saciafes, 0 reli asas. Before me, the Wldersigned authority, on this day personally appeared (nam*:-;~ ~ltI?::P 5c.1I~l'2. , who beingJly me here and now duly sworn. ~pon oath says: "I, ~ame)~~ ~~"'~CH....ii'i, ofe.L.U;;;jf6"'T~D"'1 &HZ County, Texas, bemg a candIdate for the office of '"''I c> / .... e . swear that I will support and defend the Constitution and laws of the United States and of the State of Texas, I am a citiun of the United States eligible to hold such office under the Constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned Or had my full rights of citizenship restored by other official action. I have not been detennined by a final judgment of. court exercising probate jwisdiction 10 be Iotally mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code. I further swear that the foregoing statements included in my application are in all things true and correct." (Ante m/, fa autondad, suscrita t1pQ"fcio en persona __~_.._.__ ' quien hahiemio aqui y ahora pres/ado juramenta debido, bojo juramento dice, "Yo, 7'-~~~~~~~~~==' del condado de --' Texas, siendo candidato para el puesto ojiclal de ..~.~.............._________________ solemnemenfe jura que apoyare y defender; la Conln/ucian y las leyes de los Eslados Unidos y del Estado de Teuu_ Soy ciudadano de los Esiadol Unidos elegibJe pam ocupar tal pueslo oficial bajo la ConslituciOn y las leyes de esle £Stadt;, No me han determinado par un jukio final de sma rerte de la legaliza~iOn de un Its/amenta, ser lo411mente incapacitado menlalmenle 0 pa.rcialmenle incapaciktdo sin e/ derecho de valar, ni he sido probado ~ulpablefina/mente de unafelonla poria cual no he lido perdonado 0 per la cllal no Ie me han "fllifUide enleramenle mis derechos de ciudadaJfJa POI' media de otrQ accian oficiQI. Yo tengo conocimiento de fa ley sohre el nepofismo segUn eJ capUu/o 57J de COdigo Gobiemo Ademasjura que las precedents dec/araciones que incluyo en mi solicitud SOli verdaderas y esum correc/(,u en u:xJos senlidos, '') Sworn to and subscribed before me at 5' :0 0 pm ,this the ~esle dla RED TO. City Secretary (A: Secretorio(o) de la Ciudad) I request that my name be placed on the above-named official ballot as a candidate for the office indicaled below. (Sabella que mi nombre esle pues/a en fa arTlba nomhrada holela como candtdalO para puesto oflcial mdicado abu}o) OFfiCE SOUGHT (pUI:."STO OFICIAL SOLleiTADG) INDICATE FULL OR UNEXPIRED TERM Include any place number or other distinguishing number. if any. (lNDlQUE ~1 EL TERMINJ DEL PUESlD OrlCIAI. ES (Indu,Ya cualqUier numero de iugar Ii afro numero que haec el puesro oficial d~(errnte a OIr $, SJ hay alguilo. j TERMINJ COMPI.ETO 0 NO COMlLETADO) :3 ,-,.l de ____.............................. _~_, _~~___.'.I Q/TV Se<2Ilf.T/f(L\/ Title ofOfficer administering oath titulo del 0 clal adm/n/straado el . ramenla Date Received TO BE COMPLETED BY CITY SECRETA RY: (See Section 1.007) HAND REQUEST TO PLACE NAME ON CITY OFFICER BALLOT MAR 0 3 1011(Charter Provision No. 79) DELIVEREDTO: City Secretary for the City of College Station, Texas I, .JlA.t,~ M.fH~~'.f:.-M. ~e.\uJ:i1-do hereby certify that I am a candidate for the office of C.~i-i COlA,oc', l I \'\O£.e 6 , and request that my name be printed upon the official ballot for this particular office in the next city election, May 14, 2011. I am a qualified voter of the State of Texas, and am and have been a bonafide resident of the City of College Station, Texas for at least one (1) year. I am not disqualified or ineligible to serve on the City Council if elected. I reside at "!>':l~.I.nV\~t"u.c.l'(" t,il"C-~recinct No. ~ 4 ,College Station, Texas. SUBSCRIBED AND SWORN TO BEFORE ME THIS 31iL DAY OF Mtf vth ,2011. A''''''''IIf."'i.~J~·'rf!.~ MEREDITH MICHELLE CARRIKER ~ :. J I Notary Publi? ~t"8te of Texas ~~";'~ My Commission Expires (J.t,':' July 27. 2013 Notary Public, Brazos County, Texas Yo :,a:>or este medio certifico que soy un candidato para el cargo de '-4-u.j-"-UJ~Io4;4.L.....\--t-~-~_c' Y pido que se imprima mi nombre en la boleta oficial para este SOLICITUD PARA ANADIR A LA BOLETA DE ELECCIONES PUESTOS DE FUNCIONARIOS DE LA CIUDAD (Provision del Estatuto No. 79) PARA:Secretario de la Ciudad de College Station, TX ca go particular en las elecciones de la ciudad del 14 de mayo de 2011. Reuno los requisitos necesarios para votar en el Estado de Texas, y soy y he sido un residente confiable y de buena fe de la Ciudad de College Station, Texas por 10 menos un (1) ano. No estoy descalificado ni soy inelegible para servir en el Consejo de la Ciudad si fuera electo. Resido en la direcci6n siguiente: 3:2 £Xi? :::t::"~w"6X)(!.t...dA c...;, cale.., Distrito Electoral No. S,", ,College Station, Texas. ~'Ww..-JJJ.5lj~ Firma 7 FIRMADO Y JURADO ANTE MI ESTE'~_DtA DE ~2011. Notario Publico, Condado de Brazos, Texas MEREDITH MICHEllE CARRIKER Notary Public. State of Texas My Commission Expires JUly 27. 2013