HomeMy WebLinkAbout4/16/2021 - Potyondy - District 4r
bANDlDATE~FFlDAvIT~
Rec’d by City Clerk 04/16/2021
Office Sought:D Mayor OR A Councilmember in Districtt_Election:t1r2~23
-Full Legal Name
HL~L-kwie ~Por9o~e~/
Name exactly as it should appear on the City’s web site
t~4ei-,h~ifs
Residential Address (including city/state/zip)Mailing Address (if different)
2Z13 &lICer..j6X-Ths7C
•p~-£w-n’~c,eM ~1)Sw~~
Telephone Number (primary)E-mail Address
9’lo—2-3(-3S7L~
Campaign Web Site
WWvV•.
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Pursuant to Section 7-133 of the Fort Collins City Code,I certify that I am familiar with the
provisions of Article V of Chapter 7 of the City Code.
Si ature of andidate Date of Sighing
STATE OF COLORADO
COUNTY OF LARIMER )
Before me,~L.i~t a notary/officer duly authorized to
administer oaths,in and for said State,personally appeared M~-Ja4it PLc-fy~,4o~y
whose name is subscribed to the foregoing Candidate Affidavit,and who affir6is th~(said
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 lb day of ____
I
U))5$.
fl~AsB LIST,NOTARY PUBLIC
STATEopcoLo~~~INOTARYID2O134~o325
A~d I ,20âj.
Notary P blic