170724 - Candidate Application - Linda HarvellALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON THE College Station City Council
TO: City Secretary/Secretary of Board
2-21
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Te xas Election Cod e
1/2017
GENERAL ELECTION BALLOT
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
~FULL
College Station City Council Place 3 DuNEXPIRED
FULL NAME (First, Middle, Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT 1
Linda Lee Harvell Linda Harvell
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC 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 .)
CITY STATE ZIP CITY STATE ZIP
PUBLIC EMAIL ADDRESS (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
NUMBER (Optional) 2
lharvell@cstx.gov
TELEPHONE CONTACT INFORMATION (Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
Home:
3 month(s) 3 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) L,~oF\-~ \) f::...L?wr,o being by me
here and now duly sworn, upon oath says:
"I, (name) 1 { r\) QA-\-1Af<. \) <(:_LL , of 1S'i2A-Z-OS County, Texas, being a
candidate for the office of c I r-...J C.{)Ll tJGlh)"PJ-r'\Lf.. :3 '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. I am aware of the nepotism law, Chapter 573, Government Code.
I forthoc 'w'" thot the focegolog 'totemeo1' lod,ded lo my •ppllcotloo '"lo •II thlog' two '"d ~
_ _ ~TUREOFCAN -
Sworn to and subscribed before me at \U.0'6WY\ , this the Cl~ day of uUl\,\ '
r-1.() I~ LINUA Vt:Ltl
S~~~Ooth' '-.) "W NOTMMJBUC STATE OF
Notary Publit MY COMM . EXP. 4/12/2(
NOTARY ID 13062233·
Title of Officer Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECRETA F}f OF ±ARD : s;~~ (See Section 1.007) ~ ~ -W (l 'tjJ. Date Received
Voter Registration Status Verified fJ t} q
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