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RECEIVED Fm 2 6 2018

Declaration of Candidacy Precinct Committeeman

I Filing Dates

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Candidate Filing

Candidate Withdrawal

First Day to File

February 26,

Primary: March 23,

Last Day to File

March 9, 2018

2018

Office Information Filin for the Office of: Precinct Committeeman

01, J

2018

Par

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Precinct Number:

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

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MI

Last

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Suffix

Residence Address (As it appears on your voter registration record) Street Address

City

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State

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1D

Lip coae

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Councy

CASs~A

Mailing Address Street Address

City

1wf E 301>5

State

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Zip Code

~33/~ How you would like your name to appear on the ballot:

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County

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Certification I, the undersigned, being a resident of the State of Idaho and of the County and Precinct listed above, and registered with the party listed do hereby declare myself a candidate for the office of Precinct Committeeman, such office to be voted for at the Primary Election to be held on the 15th day of May, 2018, and certify that the information on this Declaration is true and accurate. I further certify that I possess the legal qualifications under the Constitution and laws of Idaho to hold said office. Dated: __t-+/_ 1-_~__{_]-._b_f_~- -

Signature:

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Notary Public inndforthe State of Idaho, residing at

8u~tv My Commission Expires: - ~~+i= ~...,.__:z ~;z_, ~---EC-10P - Declaration of Candidacy for Precinct Committeeman -Approved by the Secretary of State, December 2017