Mitchell Application for a Place on the Ballot - 02/13/2020 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 ELECT -
TO:City Secretary/Secretary of Board RECEIVED
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT(Include any place number or other distinguishing number,if any.) INDICATE TER
4 ( '/1 nFULL City Manager's/OtY
Alt b r ` oLf' �� ❑UNEXPIRED Secretary's Office
FULL NAME(Fir t,Middle,Last) PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT'
/"'I e-4&e I 1—G6 I'lik4e ll J rk4,U
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.)
�ren•�) I,o Nsc s II P,..k
�111 Pca� sf
CITY STATE ZIP CITY STATE ZIP
t 762b 1 ��h� ��' 762� i
PUBLIC EMAIL ADDRESS(If available) OCCUPATION(Do not leave blank) DATE OF BIRTH VOTER REGISTRATION VUID
I ( nn I / NUMBER(Optional)Z
M•fLybeS.rCr��'n��ilfereefo'rnYin�.ck� 20 //971 11176 776
TELEPHONE CONTACT INFORMATION(Optional) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
Home: IN STATE IN TERRITORY FROM WHICH THE
OFFICE SOUGHT IS ELECTED
Work:
year(s) 40 year(s)
Cell: month(s) A—0 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) ��i�i�iZ � who being by me
here and now duly sworn,upon oath says:
"l, (name) of County, Texas, being a
candidate for the office of XZ240922- swear that I will support and defend the Constitution and laws
of the United States and of the St to of Texas.I am a citizen oft a 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. 1 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."
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NATURE OF CAND
Sworn to and subscribed before me a ,this theme_day of '"�-P=° Hij
D;aty Public
D E �`�/ ,y 5�`i F OF TEXAS
(' CY cmin.EAr).Mav 23,2020
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Signature of Officer Administeri�0ath4 •••'; Title of Officer Administering Oath
TO BE COMPLETED BY CITY SECXETA9 Yt)f*88 RD:
(See Section 1.007)
dP
fj�c IvaTJ Signature of Secretary
Voter Registration Status Verifie •••• P
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