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Hudspeth Application - 01/15/2020 2-21 Prescribed by Secretary of State Section 141.031,Chapters 143 and 144,Texas Election Code 1/2017 ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL APPLICATION FOR A PLACE ON THE CITY OF DENTON,TEXAS GENERAL EL CiltildgiVOT 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. JAN'1 5 2020 OFFICE SOUGHT(Include any place number or other distinguishing number,if any.) INDICATE T RM City Manager's/City /' `L/) /n ®FULL Secretary's Office 0.yb G r ►�fy O F ien-Mn ❑UNEXPI'ED FULL NAME(First,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT1 Ger Lrd Dap id krudspeA c€/ 1fvdc e -A 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.) Gots 5-f-0-e.e- - 0, &6x /04/ 5 CITY STATE ZIP CITY STATE ZIP Den+0A T x 7602oS 7 +t fri TX Xz¢Z. PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID NUMBER(Optional)2 germ For n t9_e . ►Mos! .co.. GCh try( mdnili gr 1/ /28 //572 "TELEPHONE CONTACT INFORMATION(Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN Home: /VI/}- IN STATE IN TERRITORY FROM WHICH THE 3� ,_ C3 7 OFFICE SOUGHT IS ELECTED3 Work: y LI 'oZ / Li 7 year(s) 4 7 year(s) Cell: 21 y _ 51/3 - 90{p .tt month(s) ..Z 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) (; 9� i /�p/r_R ,who being by me here and now duly sworn,upon oath says: // "I, (name) Com .,S4' of ...?--t-,� County, Texas, being a candidate for the office of /,Q�e /7 ' �� .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 further swear that the foregoing statements included in my application are in all things true and correct." SIGNATURE OF CANDID r+"Y;w, ROSH A RIOS Sworn to and subscribed before me at ("414 / x'4,4,this the /5 day of2,0,,,,s� , _ i A,t :°f `�``-i..1 Notary PublC ytik,, , f'3 / 1-\,..,,,i,,‘%�:.` eA6TAot OF TEXAS Atwa'v.. .F eT •• P ID#8x6078-C diQ .� !+�``°�s i� or My Comm.Exn.Mav'3,2020 & :i Signature of Officer Admit I,tyerg OO ' ' Title of Officer Administering Oath TO BE COMPLETED BY CITASEC 40. F B ARD: (See Section 1.007) 4'': � € /24,9 . ,; /A ,D f eived Signature of Secretary Voter Registration Status VeR[fCe ` M,..�' ` ,s ^C: rI y a 'f! Lift/txb