HomeMy WebLinkAboutCandidate Filing: Clark
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FILING OF CANDIDACY FOR NONPARTISAN N INA TION
PLBASETYPE OR LEGmLY PRINT IN BLACK INK.
NOTE: This information is a matter of public record and may be published or reproduced.
o INCUMBENT FOR OFFICBOF JUDGE
NAME OF CANDIDATE
{V\ ~ <'-AAEL O. CcA-iZK....
FILING FOR OFFICE OF
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DISTRICf, DEPARTMENT OR POSmON NUMBER
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NAME SHOULD APPEAR ON BALLOT AS FOLLOWS
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RESIDENCE ADDRESS (STRl!I!T /ROUTE, CITY, SCATB, ZIP CODE)
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TELEPHONE (HOME)
TELEPHONE (WORK)
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COUNTY OF RESIDENCE
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FAX
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EMAIL
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MAILING ADDRFSS WHERE ALL CORRESPONDENCE WILL BE SENT
WEBSITE
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D COUNTY ELBCI10NS OFFICIAL OF
COUNTY
CITYRECORDER(AUoITOR),CITYOF Gt~
The City of Eugene
does not require
filing fees.
g Filing of candidacy J>y PROSPECTIVE petition, with the required proposed signature sheet signed by the candidate (SEL 121) and statement
. one or more circuIatol'S will or will not be paid (SEL 300) (ORS 249.(20).
~ Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections
officials (ORS 249.020, 249.(64). .
City of Eugene
2006 Primary Election
Filing Deadline: March 2, 2006
FEB 2 3 2006 .
CITY RECORDER
FOR OFFICE USE ONLY
Received by: V1N~
Special Netatiolls: {Vv\:fP-
DEe 1 5 2005
CITY RECORDER
City of Euxene - Revised 03/25/2005
SEL 120 REV. 11/01 ORS J49.0:n
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REQlJIRED INFORMATION
OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID)
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OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT - PAID OR UNPAID)
- Ac-D ACteNcy ~ee.
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EDUCATIONAL BACKGROUND (SCHOOLS ATIENDED, use attachment if needed)
Complete name of school- no llC1'Ol\YD1fI Last grade level DiploinaJDegree/Certificate Course of study (optional)
com leted BA, BS, MA PhD etc.
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Other:
PRIOR GOVERNMENTAL EXPERIENCE (ELBCfED OR APPOINTED)
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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 flbovei
THAT I shall qualify for said office ifelectedi and
THAT all information provided by me on this f011l\ including my occupation, educational and occupational background, and prior
governmental experience, is true to the best 0 my knowledge.
12/IS/VS-
W G: pplying false information on this form may result in conviction of a felony with a fine of up to $100,000 and/or prison for up to fiye
years. (ORS 260.715).
No person shall file a nominatingpetitfon or qeclaration of candidacy for more than one lucrative office before the date of the primary election, unless
the person fust files a written withdrawal with the officer who accepted the filing (ORs 249.013(2)).
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SEL 120 REV. 11/01 ORB 249.031