HomeMy WebLinkAbout5/18/2022 - Arndt - MayorReed by City Clerk .5’f~Z6Z2~
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Residential Address (including City/state/zip)Mailing Address (if different)
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Telephone Number (primary)E-mail Address
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NOTARY PUBLICSTATEOFCOLORADO
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NOTARY ID 1999401553MYCOMMISSIONEXPIRESJUNE
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Name exactly as it should appear on the City s web site
Campaign Web Site
Certification
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.
Sign~t9re of Ca ate Date of Signing
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STATE OF COLORADO
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COUNTY OF LARIMER
Before me~q4i c ~,a notary/officer duly authorized to
administer oaths,in and for said State,personally appeared ~-e n?acne)4—
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 his
or her own free act and voluntary deed for the uses and purposes therein set forth.
Subscribed and sworn to before me this /6 day of (flCk)s/,2O~.
Ntotar~j15ublic