HomeMy WebLinkAbout180723 - Candidate Application - Elianor-Azarak Vessali 2-21
JULf (� 3 B Prescribed by Secretary of State
Section 14L031,Chapters 143 and 144,Texas Election Code
•
.,a630 1/2017
ALL INFORMATION IS RE I T tr :; P II .UNLE iS INDICATED OPTIONAL
APPLICATION • . ' ' �►'CE ON THE College Station,TX GENERAL ELECTION BALLOT
TO:City Secretary/Secretary of Board
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT(include any place number or other distinguishing number,if any.) INDICATE TERM
College Station City Council- Place 6 ki FULL
'UNEXPIRED
FULL NAME(First,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
Elianor-Azarak Vessali Elianor Vessali
PERMANENT RESIDENCE ADDRESS(Do not include a P.O.Box or Rural PUBUC MAILING ADDRESS(Campaign mailing address,if available.)
Route. If you do not have a residence address,describe the address
at which you receive personal mail and location of residence.)
110 Pershing Avenue
CITY r STATE ZIP CITY STATE ZIP
College Station TX 77840
PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER(Optional)2
elianor@vessalitx.com Realtor
111 270 3934
TELEPHONE CONTACT INFORMATION(Optional) 1 LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
Home: IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED'
Work: 13 year(s) 4 year(s)
Cell: 713-304-6340 1
month(s) 7 month(s)
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.
Before me,the undersigned authority,on this day personally appeared(name) Elianor-Azarak Vessali ,who being by me
here and now duly sworn,upon oath says:
Elianor-Azarak Vessali Brazos
"l, (name) , of County, Texas, being a
candidate for the office of College Station City Council-Place 6 ,swear that I will support and defend the Constitution and laws
of the United States and of the State of Texas.I am a citizen 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 determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or
partially mentally incapacitated without the right to vote.1 am aware of the;nepotism'law,Chaptter.573,Government Code.
I further svuea -.;,:-r.;e fore �gtclu sJ in my application are in I things true and cor ect."
* �)— * Notary Public.State o Texas X U0.Ac?cOJA
0:b rVA -
I •r .. o February 15,2022 ,
_ _ .' ,, "MI 7 . " , AN IMEE
Sworn to and subscribed b re meat • (a V 1 ,this the 1 ) day of 4IGN,AT,Ufl,E
(,t,lk. IK
SEAL
......),d RIC(-4-- ASS1 Sir/WO--
Signature of Officer Administering Oath4 Title of Officer Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECRETARY OF BOARD: �/�
(See Section 1.007) 1-24— ( 8 \ �'(W.-1GL- n'l/
DatteRReceived 'Signkture ofShcretary
Voter Registration Status Verified u # q