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FILING OF CANDIDACY FOR NONPARTISAN NOMINATION
PLEASE TYPE OR LEGIBLY PRINT IN BLACK INK.
NOTE: This information is a matter of public record and may be published or reproduced.
D INCUMBENT FOR OFFICE OF JUDGE
NAME OF CANDIDATE
FILING FOR OFFICE OF
, ~, n L /) ,0 t) C i ,/" C L\ UA) (..; 4- ~ I
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DISTRICT, DEPARTMENT OR POSITION\JUMBER
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NAME SHOULD APPEAR ON BALLOT AS FOLLOWS
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RESIDENCE ADDRESS (STREET/ROUTE, CITY, STATE, ZIP CODE)
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TELEPHONE (HOME)
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TELEPHONE (WORK)
COUNTY OF RESIDENCE
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MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT
FAX
EMAIL
]7o/J,--/)\.)) (j '),1/1-117,' IVI-~J 96~ h16.~~<' (-JILL ViEt..... DR
WEBSITE
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o SECRETARY OF STATE OF OREGON
o COUNTY ELECTIONS OFFICIAL OF
COUNTY
r!/ CITY RECORDER (AUDITOR), CITY OF ~&.
o FILING OF CANDIDACY BY DECLARATION, WITH THE REQUIRED FILING FEE (ORS 249.056).
FILING FEES
FILING OF CANDIDACY BY DECLARA TIO;\J
(ORS 249.056)
STATE VOTERS' PAMPHLET
(ORS 25] .095)
OFFICE
STATEWIDE OFFICES
CIRCUIT COURT JUDGE
DISTRICT ATTORNEY
COUNTY JUDGE
MSD EXECUTIVE OFFICER, MSD AUDITOR
MSD COUNCILOR
COUNTY OFFICE
CITY OFFICE
JUSTICE OF THE PEACE
* Set By Charter or Ordinance
$100
$ 50
$ 50
$ 50
$100
$ 25
$ 50
NONE
** For Cities With a Population of 50,000 or More (0
8
Filing of candidacy by PROSPECTIVE petition, with the required proposed signature sheet si
one or more circulators will or will not be paid (SEL 300) (ORS 249.020).
o
Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate co
officials (ORS 249020, 249.064),
Primary Election
2004 FILING DATES
General Election
Filing For Candidacy: First Day March 31, 2: :13
Filing For Candidacy: Last Day March 9, 2004
Deadline to Withdraw Candidacy: March 12, 2004
Filing For State Voters' Pamphlet: March 11, 2004
Filing For Candidacy: First Day September 15,2003
Filing For Candidacy: Last Day August 24, 2004
Deadline to Withdraw Candidacy: August 27, 2004
Filing For State Voters' Pamphlet: August 24, 2004
FOR OFFICE USE ONLY
INITIALS
CASH OR CHECK NUMBER
RECEIPT NUMBER
CANDIDATE ID NUMBER
OFFICE NUMBER
PRINCIPAL CAMPAIGN COMMITTEE ID 11
SEL 120 REV. 12/03 ORS 249.031
REQUIRED INFORMATION
OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID)
At: TI(?,:p ED '\J (' /} /O.? 7 c:./ 1..../ CC! '-' Ale [ <.. a/<.
OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT _ PAID OR UNPAID)
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EDUCA TIONAL BACKGROUND (SCHOOLS A TTENDED, use attachment if needed)
Complete name of school - no acronyms Last grade level Di ploma/Degree/Certifica te Course of study (optional)
completed (AA, BA, BS, MA, PhD, etc.)
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Other:
PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) 15P CJ
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\ )IJOTE: This information is a matter of public record and may be published or reproduced.
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By signing this document, I hereby state:
THAT I accept the nomination for the office indicated above;
THAT I shall qualify for said office if elected; and
THAT all information provided by me on this form, including my occupation, educational and occupational background, and prior
governmental experience, is true to the best of my knowledge.
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Candidate's signature Date signed
WARNING: Supplying fabe information on this form may result in conviction of a felony with a fine of up to $100,000 and/ or prison for up to five
years. (ORS 260.715).
No person shall file a nominating petition or declaration of candidacy for more than one lucrative office before the date of the primary election, unless
the person first files a writbm withdrawal with the officer who accepted the filing (ORS 249.013(2)).
SEL 120 REV. 12103 ORS 249.031
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STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE PAID
I/We hereby declare one or more petition circulators will be paid money or other valuable consideration for obtaining
signatures of active registered voters on the attached petition or certificate. I/We understand the filing officer must be
notified not later than the tenth day after I/we first have knowledge or should have had knowledge that no petition
circulator will be paid for obtaining signatures.
Identify Petition
(Name of Candidate or Minor Political Party on Prospective Petition; or
Name of Officeholder on Recall Petition)
Signed *
Date signed
Date signed
Date signed
"Statement must be signed by one of the following:
. candidate for nomination;
. chief petitioner for recall petition;
· chief sponsor for certificate of nomination; or
· chief sponsor for minor political party formation petition.
---------------------------------------.-----------
STATEMENT NO PETITION CIRCULATORS WILL BE PAID
I/We hereby declare no petition circulator will be paid money or other valuable consideration for obtaining signatures of
active registered voters on the attached petition or certificate. I/We understand the filing officer must be notified not later
than the tenth day after I/we first have knowledge or should have had knowledge that one or more petition circulators will
be paid for obtaining signatures.
Don ULwS ~ify~~~ ~Wt!m ~I
(Name of Candidate or Minor Political Party on Prospective Petition; or
Name of Officeholder on Recall Petition)
Signed *
L/~~
t
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.
Date signed
?//b: /6Y
I
Date signed
*Statement must be signed by one of the following:
. candidate for nomination;
. chief petitioner for recall petition;
. chief sponsor for certificate of nomination; or
. chief sponsor for minor political party formation petition.
SEL 300 REV 12/03
ORS 248.008, ORS 249.061, ORS 249.078, ORS 249.740,
ORS 249.865. ORS 250045. ORS 250.165, ORS 250.265, ORS 255.135
City of Ashland
City Recorder's Office 20 E. Main St.
Barbara Christensen, City Recorder Ashland, Oregon 97520
(541) 488-5307 (phone)(541) 552-3059 (fax)
Don Laws
968 Hillview Drive
Ashland OR 97520
City Halll
July 9, 2004
A prospective petition has been completed and filed with the City Recorder's Office for Council
Position #1.
A petition has been approved for circulation.
Barbara Christensen
City Recorder/Treasurer
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City of Ashland
City Recorder's Office 20 E. Main St.
Barbara Christensen, City Recorder Ashland, Oregon 97520
(541) 488-5307 (phone)(541) 552-3059 (fax)
Don Laws
968 Hillview
Ashland OR 97520
City Hall
August 5, 2004
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 Council
Position # 1.
Please let me know if I can be of any further assistance during this upcoming election time.
Barbara Christensen
City Recorder/Treasurer
Certificate of Limited Contributions and Expenditures
PC
Rcv.12/! (
Candidate or Political Committee Name:
6\1\ LAw 5
Committee ID Number:
Treasurer's Name (if different than candidate):
Telephone Number:
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
qfo~ IMvlew ()n~
~&1
Po Stt)UJYl ::l:f I
Office:
Election:
g General 20 ~
o Other
I,
~
Ltuu s
(name of candidate or treasurer), hereby certify I expect neither
the aggregate contributions received nor the aggregate expenditures made by or on behalf of my candidacy or committee for this
election to exceed $2,000. I understand that if the committee exceeds $2,000 in total contributions or expenditures during the
election, subsequent detailed reports must be filed.
/
/ C^"-
~
'-/...~
{;,
Signature of candidate or treasurer
7 / }~ / 6c:..(
Date signed
>--
· If a candidate or political committee EXPECTS to neither receive a total of more than $2,000 nor spend a total of more than
$2,000 for the entire election, a Certificate of Limited Contributions and Expenditures may be filed. Committees may file this
certificate when they originally file their Statement of Organization or during the first pre-election reporting period. A committee
may not file this certificate for a second pre-election, post-election or any supplemental reporting period.
· A separate certificate must be filed for each election.
· This form cannot be used by chief petitioners of an initiative, referendum or recall petition.
· When either the total contributions or total expenditures for the election exceed $2,000, detailed contribution and expenditure
reports must be filed. The first detailed report must be filed for the accounting period in which the committee exceeds $2,000 in
either contributions or expenditures and must reflect all contributions and expenditures to date. Refer to the Campaign Finance
Manual for further information.
· Deadline dates for filing a Certificate of Limited Contributions and Expenditures or detailed contribution and eXp'~iture reports
MUST BE strictly observed. Under ORS 260.232, the Secretary of State may impose a civil penalt~ a ca~~ate or
treasure: for filing a late or insufficient detailed contribution and expenditure re~ ._ ~!l1fu'ited C~,t~~Vtions and
Expenditures. [:::> _ _ \ \ \ \
,I
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FOR OFFICE USE ONLY
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