HomeMy WebLinkAbout2/25/2025 - Montgomery - District 1RecdbyCityCerk ~25/2025
CANDIDATE AFFIDAVIT ____________
C Mayor OR ~“Councilmember in District \Election:_____
________________Candidate Information ____
Full Legal Name
STATE OF COLORADO
COUNTYOFLARIMER )
Before me,______________________________,a notary/officer duly authorized to
administer oaths,in and for said State,~6ksonally appeared Th.i≤~,gLA’4,Mn~~r,t1
whose name is subscribed to the foregoing Candidate Affidavit,arid who affirms th~saicO
statements are true and that he/she acknowledges the execution of said instrument to be of his
or her own free act and voluntary deed for the uses and purposes therein set forth.
Subscribed and sworn to before me this
r SAMANTHA VEt BIXEYINOTARYPUBLIC
I STATE OF COLOItA~°IINOTARYID2O2340229MJcoWmISIQ*.pmn @16912037
day of &IlYtIL%A
Nofary Pu’Ib1i~c (
,2o~9c
Office Sought:
Tho~Eiifr?*S&~~‘3r~
Name exactly as it should appear on the ity’s web site
Th~
Residential Address (including city/state/zip)Mailing Address (if different)
\av~Ea’c~t .iz~S.
Fo4 C0&~L~,CO %053.4
Telephone Number (primary)E-mail Address
(31ci’~L\c~\-3~3~%
Campaign Web Site
_______Certification ________________
Pursuant to Se n 7-133 of the Fort Collins City Code,I certify that I am familiar with the
rovis of Article V Cha ter 7 of the Cit Code.
S ature of Candidate Date of Si nm
)
)ss.