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
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