CANDIDATE NOMINATION PACKAGE. C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS FIRST NAME

Transcription

1 C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS JURISDICTION (E.G. MUNICIPALITY, REGIONAL DISTRICT) NOMINEE'S LAST,JA"1A1HO M A A R.. IM A- N ELECTION AREA (E.G. MUNICIPALITY, REGIONAL DISTRICT ELECTORAL AREA),n ua/1 c.; PA-LI ry FIRST NAME 7 "1A1 - USUAL NAME OF PERSON NOMINATED IF DIFFERENT FROM ABOVE AND PREFERRED BY THE PERSON NOMINATED TO APPEAR ON THE BALLOT RESIDENTIAL ADDRESS (STREET ADDRESS) l.:,a.. I 'PA-1< l< MA-A TM A-rJ -Z. E' l'l I -A-1./ NU E MAILING ADDRESS IF DIFFERENT FROM RESIDENTIAL ADDRESS (STREET ADDRESS/PO BOX NUMBER) As a Candidate for the office of: POSITION (E.G. MAYOR, COUNCILLOR, DIRECTOR) CITYrf f WN NANA-;IYlO - CITY/TOWN JURISDICTION (E.G. MUNICIPALITY, REGIONAL DISTRICT) POSTAL CODE \/91<. LJ.-H- POSTAL CODE C.-o u "1 e-1 U--O I<.. f/jutj re., PA L..I T'{ - t/aai A1 /110 Each of us affirms that to the best of our knowledge, the above named person nominated for office: 1. Is or will be on general voting day for the election, 18 years of age or older. 2. Is a Canadian citizen. 3. Has been a resident of British Columbia, as determined in accordance with section 67 of the Local Government Act, for the past six months immediately preceding today's date. 4. Is not disqualified under the Local Government Act or any other enactment from being nominated for, being elected to or holding the office, or is not otherwise disqualified by law. Wq; e.x to"" " Nat1.a.;111a \)C,..,, -, (, 'I 4C7 NOMINAJ/ 'S NAME (FIRST, MID..e--ri I c!qrc<2- PROPERTY A DRESS {CITY/TOWN, STREET ADDRESS, POSTAL CODE) Please see over for additional space when more than two nominators are required. For local governments that require 25 nominators attach an additional sheet as necessary. &01 g- o 10 ORIGINAL - Local Jurisdiction C2 - Page 1 of 3 This form is available for public inspection

2 rct!f ES l I D PE ffq v 9 i-r \fu, Lu ur er3 RESIDENTIAL ADDRESS (CITY/TOWN, STREET AOD 1l+- 5CVI 61W1 TREET ADDRESS, POSTAL CODE)?'M 'Ju \JCjf3At PROPERTY ADD ESS (CITY/TOWN, STREET ADDRESS, POSTAL CODE) 8 V07 3A1 - n s Cu vr v<.--1-h 9 6 Ht' h vie,,.j y;_rv-c,.. c. vc; Je.. 6 IC[('" PROPERTY RESS (CITY/TOWN, STREET ADDRESS, POSTAL CODE) PROPERTY ADDRESS (!TY/TOWN, STREET ADDRESS, POSTAL CODE) LV(o vi--.bi-t 5-f., ORIGINAL - Local Jurisdiction (2 - Page 2 of 3 This form is available for public inspection

3 N I [l) :@:fls I= Nl Wlll\l IBl N RESIDENTIAL ADDR CITY/TOWN, STREET ADDRESS, POSTAL CODE) Q \ Q. b's PROPERTY ADDRESS (CITY/TOWN, STREET ADDRESS, POSTAL CO PROPERTY ADDRESS (CITY/TOWN, STREET ADD 55, POSTAL CODE) ORIGINAL - Local Jurisdiction C2 - Page 2 of3 This form is available for public inspection

4 4 e)(_ c..resce,if-- Joe 11 RESIDENTIAL ADDRESS (CITY/TO N, STREET ADDRESS, POSTAL CODE) I Io ----,2v /Ct COLIN GAAHA', OF 'ANA\ Mv '-! '1 R. Jo"/ PROPERT-Y ADDRESS (CITY/TOWN, STREET ADORE 5, POSTAL IF NOMINATING AS A NON-RESIDENT PR PERTY ELECTOR J7: i;j ORIGINAL - Local Jurisdiction C2 - Page 2 of 3 This form is available for public inspection

5 C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS I do solemnly declare as follows: 1. I am qualified under section 81 of the Local Government Act to be nominated, elected and to hold the office of POSITION (E.G. MAYOR, COUNCILLOR, DIRECTOR) C! OUtv CJL-LO/<. 2. I am or will be on general voting day for the election, 18 years of age or older. 3. I am a Canadian citizen. 4. I have been a resident of British Columbia, as determined in accordance with section 67 of the Local Government Act, for the past six months immediately preceding today's date. 5. I am not disqualified by the Local Government Act or any other enactment from being nominated for, being elected to or holding the office, or otherwise disqualified by law. 6. To the best of my knowledge, the information provided in these nomination documents is true. 7. I fully intend to accept the. office if elected. 8. I am aware of and understand the requirements and restrictions of the LocalBections Campaign Financing Act and I intend to fully comply with those requirements and restrictions. NOMINEE'S SIGNATURE DATE: (YYYY /MM/ DD) 01 LO 0 I am acting as my own Financial Agent Ct.,{{)7}.a,rJ D I have appointed as my Financial Agent FINANCIAL AGENT'S NAME (IF APPLICABLE) ORIGINAL - Local Jurisdiction C2 - Page 3 of 3 This form will be provided to Elections BC