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PECEIVED

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MA~ 0 2 2018

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

I Filing Dates

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

First Day to File Last Day to File

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

Office Information Filing for the Office of: Party Affiliation:

D Constitution

D Democratic

D Libertarian

~

Republican

Candidate Information Candidate Name (As it appears on your voter regish·ation record) First MI Last -~ Residence Address (As it appears on your voter registrat½ln record) Street Address City State ~ode

Suffix

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City

State

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County

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Zlp Code ~ ~31 3

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

-~ b o.. rl": .-iar-of'\.. Campaign Finance-..J lnformation Have you updated or filed a C1: Appointment and Certification of Political Treasurer? ~ Yes No Contact the County Clerk for campaign finance filing information.



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 further certify 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 statutory number of signatures of qualified electors. ~ Dated:

2.. l:i...1/

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Subscribed an , worn to before me this

d-7 day of tl0Y14L

Signature: ,-,,..'frlt---+----t--'-----'-'-~~ -- - - -- -- Notary Public m and for the State of Idaho, residing at

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Candidate Signature:~~-~·

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(Notaljf~~V NOBLE NOTARY PUBLIC STATE OF IDAHO

EC-10 - Declaration of Candidacy for County Offices - Approved by the Secretary of State, December 2 017

Elections and Social Services Office Susan Keck

Joseph W. Larsen, Clerk of the District Court Cassia County Courthouse

Elections/Social Services Director

1459 Overland Ave. • Room 105

Janel Bench

Burley ID 83318

Elections/Social Services Assistant Director

Phone : (208) 878-5240 Fax: (208) 878-8825 [email protected] [email protected]

STATE OF IDAHO COUNTY OF CASSIA

To Whom It May Concern: The Elections Office of Cassia County, Idaho, does hereby certify that 2 (six) signatures on this petition for Tim DaiTington, for the position of County Commissioner District 3, are those of qualified electors.

Dated this 02 day of March , 2018 Joseph W. Larsen Cassia County Chief Elections Officer by:

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Janel Bench, Deputy Clerk

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Petition for Candidacy County Commissioner, County Clerk, County Treasurer, County Assessor, County Coroner

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 signatmes must be verified by the County Clerk prior to filing.

Office Information Filing for the Office of:

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Party:

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Candidate Information Candidate Name (As it will arroear on the ballot)

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~ .! gners Statement

I, the undersigned, being a qualified elector of C~... ss /c1.-County in the State of Idaho, 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. Signatur Residence Address ( 1-=~:!:::!l:7---.~ ~ - - - - - - - - - ,..P...~'-7-~~c_e_ _ __L_~ ~~E ~~~~-;n>: = s~·~~