HomeMy WebLinkAbout11/26/2024 - Bramhall-Conway - District 1RECEIVED
CANDIDATE City Clerk’s Office
CityofFortCoLLins
AFFIDAVIT iif*~4~
at
I Must be filed with City Clerk within 10 days of becoming a candidate.(City Code §7-133)I
~,~er L.t3~’~/04I~rebycerti~ythatlamacandidateforthe
office of V1 C’Iv14 e ktl 6e ~(Mayor or Coundftmeniber),in District No.(if applicable).
I further certify that I am familiar with the provisions of Article V of Chapter 7 of the Fort
Collins City Code as required in Section 7-133 of the Code.
~1/25 1’
Signature of Candidate Date
Residence Address:3/!&t~ia s
Mailing Address:A~s
Phone Numbers:Home Work Cell 5°5t9o er
(List only those you want published)
E-mail Address (optional):a C4 i/fr
Web Site Address (optional)
STATE OF COLORADO
ss.
COUNTY OF LARIMER
Before me,Sut.La’~exj{tzL 2~(pfn&_,a notary/officer duly authorized to administer
oaths,in and for said State,personally appeared _________________________,whose name is
subscribed to the foregoing Candidate Affidavit,and who affirms that said statements are true and
that he/she acknowledges the execution of said instrument to be of their own free act and
voluntary deed for the uses and purposes therein set forth.
Subscribed and sworn to before me this c~S day of _______________,2Qt~i94.
SUICANDRAZEPEDA
(Seal)NOTARY PUBLIC otary Pubil
STATE OF COLORADO I /
Rev Oct 200 NOTARY ID 20214011890 My commission expires:—3/20 i2SMYCOMMISSIONEXPIRESMARCH26,2025 7 /