| University Area Commission | |||||||||
| District ____: One ____-Year Term, ending 200___ | |||||||||
| OFFICIAL | |||||||||
| P E T I T I O N | |||||||||
| Candidate Name: (Please Print) | Address: | ||||||||
| Phone: | |||||||||
| I hereby agree to observe the Election Rules and By-Laws of the University Area Commission. | |||||||||
| Candidate Signature: | |||||||||
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| 30 Valid Signatures must be obtained - Random Checks will be made | |||||||||
| A F F I D A V I T | |||||||||
| __________________________, hereafter known as the Candidate states that the candidate is the circulator of the petition and that the Candidate is a legal resident of the District in which the Candidate is seeking election and is qualified to vote for him or herself. The candidate did witness each and every signature appearing thereon. | |||||||||
| Candidate Signature: | |||||||||
| Subscribed and duly sworn before me according to law, by the above named Candidate the _______ day of _______ 2004 at __________, County of ________________________and State of Ohio. | |||||||||
| Notary: | |||||||||