S.I.D. #2 CANDIDATE FILING FORM
For NON PARTISAN OFFICE
FILING DEADLINE: July 20, 2009
I, the undersigned
registered voter of _____________________________,
___________________________________,
Street City
________,
_________________ hereby request
that my name
________________________________________________
Zip Code County (Print Name as it is to Appear on Ballot)
be placed on the
official ballot for the election to be held the
8th day
of September 2009.
I am a candidate for
the office of Board of Trustees to
Sanitary & Improvement District #2,
as a
for a term of Two years.
(Homeowner or
I HEREBY SWEAR THAT I
WILL ABIDE BY THE LAWS OF THE STATE OF
IN WITNESS WHEREOF, I
have hereunto subscribed my name this _________ day of ________________,
____________.
(day) (month) (year)
______________________________________________________________
Signature of Applicant
State
of __________________ )
) .ss
County
of _________________ )
Subscribed in my
presence and sworn to before me this ____________ day of
________________________, __________.
(day) (month)
(year)
(SEAL)
______________________________________________________
Officer
Administering Oath / Notary
_______________________________________________________
Title
__________________________________ _______________________________________________________
Business phone of Candidate (optional) Business
Address of Candidate (optional)
MAIL
COMPLETED FORM TO JOANN M. FISCHER,
KNOX