Burt~ J:J

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REC~i-✓ED

Declaration of Candidacy County Commissioner, County Clerk, County Treasurer, County Assessor, County Coroner

I Filing Dates First Day to File Last Day to File

MAR O6 2018 c,,.,,,J._ IC ; JO C, . ""' . V I.

Candidate Filing

Candidate Withdrawal

February 26, 2018 March 9, 2018 by 5:00 PM in the County Clerk's Office

Primary: March 23, 2018 General: September 7, 2018

Office Information Party Affiliation:



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Filing for the Office of:

~~lr\iss11J,1en- b/si. I D Democratic D Libertarian JZ1. Republican

Candidate Information Candidate Name (As it appears on your voter registration record) First MI Las~

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Residence Address (As it appears on your voter registration record) L,ip Code Street Address City State v :2 7;;l. W, .,:2&,0 ~ , >] 33 J:J \ / Mailing Address Zip Code Street Address City State ~ 7;J.. W, d-00 22) v~1;

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How you would like your name to appear on the ballot:

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tJ" . Ke-dCampaign Finance Information Have you updated or filed a C1: Appointment and Ceitification of Political Treasurer? Yes D No Contact the County Clerk for campaign finance filing information.

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I Certification I, the undersigned, being a resident of the State of Idaho and of the County listed above, and registered with the party selected, do hereby declare myself a candidate for the office entered above to be voted on at the Primary Election to be held on the 15th day of May, 2018 and I certify that the information on this Declaration is true and accurate. I fmther ce1tify that I possess the legal qualifications to hold said office. I submit herewith the statutory filing fee of $ _ _ _ _, or in lieu of the filing fee, nominating petitions containing the statutoiy number of signatures of qualified electors. ~ ,I~ Dated:

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Candidate Signatur~

Subscribed and sworn to before me this _

_._\- day of

Signature: ~~ Notary Publfuinand for the State of Idaho, residing at

13utlt~ My Commission Expires:

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EC-10 - Declaration of Candidacy for County Offices - Approved by the Secreta1y of State, December 2017

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r;_c.CEIVED Petition for Candidacy County Commissioner, County Clerk, County Treasurer, County Assessor, County Coroner

MAk O1 2018

I Filing Dates & Information First Day to File February 26, 2018 Last Day to File March 9, 2018 In lieu of the filing fee, this petition must be filed in the County Clerk's Office with the Declaration of Candidacy by candidates for all countywide offices during the above filing period. The statutorily required number of signatures must be verified by the County Clerk prior to filing.

Office Information Filing for the Office of:

Candidate Information Candidate Name As it will a

ear on the ballot

Signers Statement I, the undersigned, being a qualified elector of 10. County in the State ofldaho, do hereby certify and declare that I reside at the place set opposite my name, and that I join in the petition of the candidate for the party and office listed above to appear on the Primary Election ballot on May 15th, 2018, and that each for himself says: I have personally signed this petition; I am a qualified elector of the County listed above and the State of Idaho and my residence address is correctly written after my name.

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I Certification STATE OF IDAHO ss. /l County of L-45 S I C