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HomeMy WebLinkAboutChristensen Completed Filing CITY OF ASHLAND June 12, 2014 Barbara Christensen 759 Willow Street Ashland OR 97520 A completed petition, with the required signature sheets properly certified by the county elections office has been received and is filed with the City Recorder's Office for City of Ashland City Recorder. Please 1 e know if I can be of any further assistance during this upcoming election time. Barbara Christensen City Recorder/Treasurer CITY RECORDER/TREASURER Tel: 541-488-5307 20 E Main Street Fax: 541-552-2059 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us Petition Submission SEL 338 Candidate, Voters' Pamphlet rev 01114 OAR 165-010-0005, 165-014-0005 This form must be completed and filed with each submittal of signatures. Filing Officer ILj State I I I County for both county and district petitions city Election Type Year 10 Primary 191 General [j Special Election EN: 2014 [ 2016 2018 Petition Information Candidate Name or Measure Number Barbara Christensen Type of Filing Number of Signatures Submitted Q Candidate Nominating Petition 29 ❑ Voters' Pamphlet, Candidate ❑ Voters' Pamphlet, Measure Candidate By sig g this document, 1 ereby state that all information on the form is true and correct to the best of my knowledge. Na ontact Phone Email Address 6XW14eA1114541 488 5307 christeb@ashland.or.us Signa a ell Date Signed 6/12/2014 Measure Argument Filer 4 By signing this document, I hereby state that all information on the form is true and correct to the best of my knowledge. Name Contact Phone Email Address Signature Date Signed County: JACKSON Petition Processing Statistics Report Date : 6/12/2014 11:20:44 AM User Name : Hvall, Marty W Number :2014Ash-001 Title :City of Ashland City Recorder Petition Information Petition Name : City of Ashland City Recorder Petition Date : 06/04/2014 Date Filed : 06/04/2014 End Circulation Date : 06/10/2014 Minimum Signatures Required : 25 Accepted Of Minimum: ( 116.00% ) Total Signatures Processed : 29 Processing Summary Sample: All Total Accepted Signatures : 29 (100% ) Of Those Processed Total Rejected Signatures 0 (00/0) Of Those Processed Accepted Reason Total Rejected) Valid Signature 29 (100%) Rejected Reason Total Rejected) Oregon Centralized Voter Registration Page : 1 Candidate Signature Sheet I Nonpartisan Petition ID Signatures for this petition are being gathered by ❑PAID Circulators 14VOLUNTEER Circulators This is a candidate nominating petition. Signers of this page must be active registered voters in the county listed. ^kSC11 Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. ~J Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County J8`i Candidate Information Name Office Barbara M Christensen City Recorder Election District or Position Number General November 4, 2014 City of Ashland To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request the candidate's name be placed on the ballot at the election listed above for nomination to the office indicated. a Signers must initial any changes the circulator makes to their printed name, residence address or date they signed the petition. Signat Date Signed mm/dd yy print Name Residence or Mailing Address street, city, zip code Q % ,eSAOG~t7/lLI /2~LO/~ifJCee,1/ -7X2-VP &A//n. ) - i~.L I1 ~ a - - - r. ~ ~ ~ - --t~~tii / ~ ✓ ~ ~p~ i R..~/iic~ ♦ (~i ~u.®+ -v - - - /oJ/ ~vliL f U(,[/ V'✓ / v ~ r Z 11 ti- l c r Lf~ -Ta ) r c7~s 1 , )a n Vp, <1 3 I t IiO v 4SW-l.,p Se' 14 A Tim Or , 61 q Jtx 10yO I Z 6}t~ a L4 / a,' 5 (A- 11-6 qkS 10 C1 Utl-) r- e S+ jft'-- /9 eC'G~i(ZiLlelAi Y ONc(a--Bvr k holdp -1 (.t jLnQP.0-g©x 1Ig5' FlshlC1 rd,0C- `10 h (g -k A44 Circulator Certification This certification must be completed by the circulator and additional signatures should not be collected on this sheet once the certification has been signed and dated! I hereby c that I witnessed the signing of the signature sheet eacb individual whose signature appears on the signature sheet, and I believe each person is a voter qualified to sign the petitio S249. 1). 1 also her rtify m e on I received, i any, was not ba d on t nu er of signatures obtained for this petition. irculator Signature Date Signed mm/dd/yy Sheet Number Sheet will be numbered by Aw4vle-v group submitting the petition. Printed Name of Circulator Circulator's Address street, city, zip code SEL 121 rev 01/14 ORS 249.072 County Elections Officials provide a separate certification to attach to the petition. Candidate Signature Sheet) Nonpartisan Petition ID X11 ~"1 Signatures for this petition are being gathered by ❑PAID Circulators NVOLUNTEER Circulators This is a candidate nominating petition. Signers of this page must be active registered voters In the county listed. Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. Candidates should allow ample time for the verification process to be completed before Spm on the filing deadline day. County Jackson Candidate Information Name Office Barbara M Christensen City Recorder Election District or Position Number General November 4,-2014 City of Ashland To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request the candidate's name be placed on the ballot at the election listed above for nomination to the office indicated. Signe must initial a changes the circulator makes to their printed name, residence address or date they signed the petition. Si ature Date Signed m/dd/yy Print; Name / A /Residence or Mai il ling Address street, city, zip code T~l d t44'/ 6/K/ 1 (~ffcar L 1~ l-C !~J t-inn 4 Lj /L'1 L r' 6 7cf7) (-j y Ly *p ,46wi4,f,yfy ,t" 3, 4„ - r- r y Fr-C O F 1 i L-L ti 2? o R CE A) 5-4 kAJ n/ I ~ a s`/U l ~ Z?C~~'7s-Z a rG I CAMMT~ 'La' ° Z Circulator Certification This certification must be completed by the circulator and additional signatures should not be collected on this sheet once the certification has been signed and dat4cthat I hei witnessed the signing of the signature sheet by each individual whose signature appears on the signature sheet, and I believe each person is a voter qualified to sign the peti9.0 I also hereby ify that satin I received, if any, as not based o the nu ber f signatures obtained for this petition. AV irculator Signature Date Signed m /dd/yy Sheet Number Sheet will be numbered by group submitting the petition. Printed Name of Circulator Circulator's Address street, city, zip code SEL 121 rev 01/14 oas 249.072 County Elections Officials provide a separate certification to attach to the petition. Candidate Signature Sheet I Nonpartisan Petition ID v! J Signatures for this petition are being gathered by ❑PAID Circulators VOLUNTEER Circulators This is a candidate nominating petition. Signers of this page must be active registered voters in the county listed. 1 1 Signatures must be verified by the appropriate county elections official before the petition can be filed with the filing officer. Candidates should allow ample time for the verification process to be completed before 5pm on the filing deadline day. County Jackson Candidate Information Name Office Barbara M Christensen City Recorder Election District or Position Number General November 4, 2014 Cit of Ashland To the Secretary of State of Oregon/County Elections Official/City Recorder, We the undersigned voters, request the candidate's name be placed on the ballot at the election listed above for nomination to the office indicated. 0 Signers must initial any changes the circulator makes to their printed name, residence address or date they signed the petition. Signature Date Signed mm/dd/yy Print Name Residence or Mailing Address street, city, zip code )wa 10 D/ f ei s w i n Q7 c T42t-m A" .V}sl~(c+_•( .c,~ s (o - lq 1Z8 nhe 'j ,M6 o~ (U a, IF /4 13c ' SZ L4 IQ IL4 F4 T\. co~(5~ OLO 1 SS ~a sow w(Lww -7S-r- '-7/5/1S( 97SZc) /-9 UUAO 's 10 CirCulat r Certification This certification must be completed by the circulator and additional signatures should not be collected on this sheet once the certification has been signed and dated! I hereby rtify that I witnessed the signing of the signature sheet by each 'ndividual whose signature appears on the signature sheet, and I believe each person is a voter qualified to sign the petiti RS 249.061). 1 also her ce h om ation I received, i any, was not base on th umb of signatures obtained for this petition. ~j rculator Signature Date Signed m/dd/yy Sheet Number Sheet will be numbered by group submitting the petition. Printed Name of Circulator Circulator's Address street, ity, zip code SEL 121 rev 01/14 ORS 249,072 County Elections Officials provide a separate certification to attach to the petition.