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HomeMy WebLinkAboutNotice of Candidacy and Affidavit Joe LockwoodRECEIVED I LTO NV AUG 2 8 2013 To: The City of Milton Office of the City Clerk QCITY CLERIC TY OF ILERK l/ 13000 Deerfield Parkway Suite 107A/B x 1 Milton, GA 30004 u NOTICE OF CANDIDACY AND AFFIDAVIT CITY OF MILTON I, the undersigned, being first duly sworn on oath, do depose and say: my name is Lov:--, '�e- V--� e---,oI'D my residence address is U �S CC P-'Q�—s R (Street Number) (Street) (City) (County) (State) ('Lip Code) my post office address is J ` � my telephone number is �y 66 3 3 2 7 ?(' LJ —7 2 - (Business) (Business) (Home) my profession, business, or occupation (if any) is LIP Nil M I I-- GEPJG pp06 fl LJTrr` CL.' my email address is J DBL O J. (i� !tO ( • C-- WH1 the name of my precinct is I�c; I am an elector of the municipality of my residence eligible to vote in the election in which I am a candidate; that the name of the office I am seeking is PM &q ao . ; my date of birth is / (DistrictfOost) I have been a legal resident of the State of Georgia for 3 o consecutive years; I have been a legal resident of L�� county for 7.0 consecutive years; I have been a legal resident of my district__ for Z.cJ consecutive years; I am a citizen of the United States; I am eligible to hold such office; that I am a candidate for such office in the pp-( -1444,!! ` J l n (Election) to be held on the � day of Iva -le �., �0 .�-{ , 20 1 have never been convicted and sentenced in any court of competent jurisdiction for fraudulent violation of primary or election laws, malfeasance in office, or felony involving moral turpitude or conviction of domestic violence under the laws of this State, any other State, or the United States, or, if so convicted that my civil rights have been restored; and at least ten years have elapsed from PAGE 1 OF 3 the date of completion of the sentence without subsequent conviction of another felony involving moral turpitude; and that I am not a defaulter for any federal, state, county, municipal, or school system taxes required of such officeholder or candidate if such person has been finally adjudicated by a court of competent jurisdiction to owe those taxes, but such ineligibility may be removed at any time by full payment thereof, or by making payments to the tax authority pursuant to a payment plan, or under such other conditions as the General Assembly may provide by general law (pursuant to Ga. Const. Art. 11. Sec. 11, paragraph Ill), and that 1 will not knowingly violate any provisions of the Georgia Election Code (O.C.G.A. §. 21-2) or of the rules or regulations adopted thereunder. I understand that any false statement knowingly made by me in this Notice of Candidacy and Affidavit will subject me to criminal penalties as provided by law and I hereby request you to cause my name to be placed on the ballots to be used in such election as a candidate for the office I am seeking. Z� (Signaturf o andidate) ZSp / Sworn to and subscribed before me this da\ o j�/• 5 .20 13 (Notary Public) p�;+ oti :O cn t �o TY9� Btic y�Q: My Commission Expires 1. 2�i. i1��NTy, C;'E � rrrr1111%% (Required by Ga. Election Code O.C.G.A.§ 21.2.132.) I desire that my name appear on the ballot as Follows (the surname of the candidate shall Be as it appears on the candidate's voter Registration card): 'J6 -f- LoL KL W 0 (Please Print) PAGE 2 O 3 Should I be elected, I desire that my name appear on official documents as follows: Ln J- t.vn on (Please Print) CHECK ONLY ONE 1. ❑ I am running in a special election for a partisan office and my party affiliation is U 1 am running as a nonpartisan candidate. ❑ I am running as an independent candidate. ❑ I am the nominee of the Party (Body) nominated by: ❑ Convention (Certified copy of the minutes of the convention attested by the Chairman and Secretary of the convention is being filed herewith); ❑ Other (Specify method of nomination and statute and party rule governing and allowing such method of nomination): 2. ❑ I am rcLluired to file the above Notice followed by a nomination petition containing at least valid signatures due .20 um not required to submit a nomination petition pursuant to O.C.G.A. § 21-2-132, because 1 am: Running as a nonpartisan ❑ Running as an incumbent. ❑ Running in a special election. ❑ Running for a state-wide office nominated by a duly constituted political body convention. ❑ 1 hereby tender cash/check in the amount of $ (S/ 9c, , Name of Bank: ooYt Yy •��► `z C S S `� Check Number: —2,1 Zd� In the event that a candidate pays his or her qualifying fee with a check that is subsequently returned for insufficient funds, the Superintendent shall automatically find that such candidate has not met the qualifications for holding the office being sought, unless the bank, credit union, or other financial institution returning the check certifies in writing by an officer's or director's oath that the bank, credit union, or financial institution erred in returning the check as prescribed in O.C.G.A. § 21-2-6 (d). ❑ 1 hereby file a Pauper's Affidavit, accomplished by a qualifying petition as prescribed in O.C.G.A. § 21-2- 132 (g), in lieu of paying the qualifying fee. PAGE 3 OF 3 Sudie Gordon From: Dawn Serff Sent: Wednesday, August 28, 2013 9:30 AM To: Sudie Gordon Subject: Schedule Changes Sudie, Please find below a few days I will need to adjust my schedule: Tuesday, Sept. 3 need to leave at 11:00; be back at 12:30 (lunch plus 30 minutes sick) Monday, Oct. 14 PTO Tuesday, Oct. 15 PTO Thanks, Dawn t 0&16 OF M I LTION"t, [1IABU51111l IM, Dawn Serff Receptionist/Administrative Assistant 13000 Deerfield Parkway, Suite 107A Milton, GA 30004 678-242-2503 www.cityofmiltonga.us © �'�You� Want to stay on top of what's going on in the City? Sign up for our e -Newsletter! Have a problem, question, comment, complaint or compliment? We want to hear about it! For prompt assistance, call 678.242.2500 or e-mail us at info(a.citvofmiltonga.us Our Core Values Innovation I Quality I Integrity I Transparency I Respect I Fiscal Responsibility I Professional Development 1