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HomeMy WebLinkAboutCandidate Filing: Miller FILING OF CANDIDACY FOR NONPARTISAN NOMINATION PLEASE TYPE OR LEGmL Y PRINT IN"BLACK INK. NOTE: 'This infonnation Is a matter of public record and may be published or reproduced. o INCUMBENT FOR OFFICE OF )UDGE NAME OF CANDIDATE As~\e'1 ~" Mille(' NAME SHOULD APPEAR ON BALLor AS FOUOWS A&\1le~ N" M\ \\ex DISTRICT, DEPARTMENT OR POSmON NUMBER W6.(d'6 Lt oJ-- 5 RESIDENCE ADDRESS (STRIlBT/ROUTl!, ClTY, SlA'I'I!, ZIP COOH) ~Cot:-5 AJar kenct'e Rd E u8 C' ~ e lOR q -:t- 1-( 0 '8' TELEPHONE (HOME) '5l\\-4~5-Y503 TELEPHONE (WORK) COUNTY OF RESIDENCE LCAV\e. PAX EMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT 'J(P i-5 Nod"1enzic: f<d WEBSITE EUB'clu-' ,0 \( CfTLf08 o SIlCREl'AIl.Y Of SlATS Of ORllCON 0 illUNTY I!UlC1'IONS OFPICI:ALOF COUNTY l8Jerrv RI!CORDBR (AUDITOR), CITY Of ~ U G e I'U.- The City of Eugene does not require filing fees. tLf Filing of candidacy by PROSPECfrvE petition. with the required proposed signature sheet si&ned b.y the candidate (SEL 121) and statement one or more circulators will or will not be paid (SBL 300) (ORS 249.020). tlJ Piling of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections officials (ORB 249.020, U9.064~ City of Eugene 2006 Primary Election Filing Deadline: March 2, 2006 R t. c t. \\J t. \) ~ 1\\\\0 jl\~ \) . C\1'l \\t.CO\\\)€ FEB 2 1 2006 CI Y RECORDER FOR OFFICE USE ONLY R~.iV.dbY:~~~~ Special Notations: Mcc ~ City of Eugene - Revised 03/25/2005 SBL 120 REV. 11/01 OIlS 249.031 ,_. ,_. ""'''':"''''_~_''''''''''''''''!-,~~,~,''.w''N.'''''''_'._~.w~W'"~'''~''""'''~~''='''''''''''-~^'~''''''';_'~;'.w.^'<''_''''~'''w.~O. ,0 ..;. ....,.._,.w~w"._'w,.,~='=~....,"""'0~~,_{<<_,,~,~..;,.;,;.="""':.w_._.NN.'_._'..,;;.:.;:,;...."">.;,:w,,,:._,~''''"''''''=,,~,w.''''.__'''.~w.=m:,'':w',v~..,,,;,'''_~--.""W'.w.~'.A~'N~~'~~_.A~.~~'^~x,..W,'_...""'~__:"W.~_;.:~:_~",""""",v..,.w.,.wi"",;;.w..,. .-"."""w,w,,^~,'~_y_,_,,,,'w,_w...-.W"",V^"-"_'_"',.__..,,.,',,,,,wm~...._. ......."'<_,_,_,_....,..~",,,:,""_ .. .,...,.... .....,....__':_':'^".=yN'_Y.W_'_~""_~_:"""y_".,.".,,>>;-~-=,___...,"_._",...~"_""""""~"""'w_~:_w_'W.'_~NA"__~~=....y_~""'........,,~~"""'__..,..,=_;..~....~""'~~W.......N_..,..'W,"""_,._","_~~".:..."',"",."....;.. REQUIRED INFORMATION OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID) " S-\-\?Cen:t, - h{';Shi Aq, Un.ck'8rad cl ~r~ Qt Unt\;(tis/fy of u~on Q( - ~ occur ATIONAL BACKGROUND (PREVIOUS EMPLOYMENT - PAID OR UNPAID) S\ru\c10\l\ Pur \<. A6'0ifJed L\v\V\~ Fetei \\'t~ - Med. Aide ~ \QMcd1A Coovrt~ L~ bro( i - L'5A 1- EDUCATIONAL BACKGROUND (SCHOOLS ATI'ENDED, use attachment if needed) Complete name of school- no acronyms Last grade level DiplomalDegreelCertificate Course of study (optional) com leted AA BA, BS MA PhO etc. A A G-eYUraJ D^ "S01i\i c> ( Other: PRIOR GOVERNMENf AL EXPERIENCE (ELECTED OR APPOINTED) RECEIVED FEB 2 1 2006 CITY RECORDER NOTE: This information is a matter of public record and may be published or reproduced. By signing this document, I hereby state: THAT I shall accept the nomination for the office indicated !Ibove; TI-lA T 1 shall qualify for said office if elected; and THAT all information provided by me on this form. including my occupation, educational and occupational background, and prior governmental experience, is true to the best of my knowledge, \ d- - ~'3 - 0 6 Date signed c1-dl-O& WARNING: Supplying false ' nnation on this form may result in conviction ola felony with a fine of up to $100,000 and I or prison for up to five years. (ORS 260,715), No person shall file a nominating petition or declaration of candidacy for more than one lucrative office before the date of the primary election, unless the person first files a written withdrawal with the officer who accepted the filing (ORs 249,013(2)). sa 120 REV. \1/01 ORS249,031 . ""="":.~",,,,,,,,,.<.~""-,,",,,""""''''''''';'''"'''',,,,,,,,,,,,, , ",.',,,,,~,.,.,,,,.i.,,.:,".,:.,,,,=,,,,,.,,,~""'~",~~.,<o'''''''';''-'~,;;,~,,'''M*,'''W';'~-<-;l'I'!:M~-;-;,';';>:';-:<<'''>,;'':'-~<<_