Documente Academic
Documente Profesional
Documente Cultură
Patrick Mara
Sheet L S ( or377
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16l 2011
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
"-- - "-----"" ~--.~-
322111th Street, NW 20010
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in thG District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the indMdual nomInated by this petitIon on the Aprif 26, 2011 Special Election Ballot.
_.,. SIGN HERE
John Q. Public 111111
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PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
DATE SIGNED
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1
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NOTE: Any registered D.C. voter may sign thisoetition.
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PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER I SIGNED
Validity of Signatures; 1. At the time this petition is signed, each signer must be registered to vote at the address listed on the peuuon page or file a change of address within ten (10) days after a challenge has been filed to the nominating petition. 2. The signer's printed name, address_ and date signed must appear in the spaces provided to assure that the Signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the signing of each signature in the circulators affidavit below
Residency of Circulator.
At the time the petition Is circulated, the circulator must reside at the address listed on his or her voter registration record. filing Deadline:
The deadline to file this petItion is 5:00 p.m. on Wednesday, February 16. 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed In person, at the office ofttls D.C. Board of Elections and Ethics, 441- 41h Street, N.W. Suite 250N. Required Affidavits:
1. At the time affiling Ihe initial submission, the person filing must complete an affidavit attesting that the petition contains Ille minimum number of signatures. 2. The petition must be accompanied by a 'Declaration of Candidacy· signed by the candidate, The "Declaration' must be notarized by a Board Employee or District Notary
~. ~. , • AFFIDA~IT OF PERSON CIRCULATING T.HIS P':f~TION., PAGE , '. '
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Printed Name of cjrcuiator Address of Circulator
swear~ot.affinn:_(a)_thaUam.3 registered .quallfied elector of the Districtof~CoJumbJa; (b) that I personally clrculatad this petition sheet; (c}-thlt-I personally witnessed the signing of each signature 1hereon; and (d) that I have detennlned from each Signer that he or she is a registered voter in the District of Columbia.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
J
Sheet l Y of ~17
(Name of Candidate)
For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
3221 11 th Street, NW 20010
~~--~--~.------- .. -------.--.-
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We. the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petitIon on the April 26,2011 Special Election BElllot.
DATE SIGNATURE O_F_P_E_T_'_T'~O._N_E_R~_LSIGNED
SIGN HERE I QJ
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John Q. Public 1/1/11 ~
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PRINTED NAME AND ADDRESS OF PETfTIONER
! PRINT NAME OF PETITIONER
O I John Q. Publjr:::
ADDRESS
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PRINT, N~ME O~ ~E1IT'ONER ~_. ;~~~GN HERE
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
~------------------------------------r-I------------------------~!--D-A-T-E~
PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER I
. . SIGNED
___..' SIGN HERE
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INSTRUCTIONS TO THE CIRCULATOR
Y,IIdttv of SIgnatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a challenge has been flied to the nominating petition. 2. The Signer's printed name, address, and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you wltnessed Ihe signing of each Signature in Ihe circulator's affidavit below.
Residency of CircUlator:
At the time the petition Is cirCUlated, the circulator must reside at the address listed on his or her voter registration record, Elling peadUne:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 1t. 2a11. The petition must contain the minimum number of s)gnalures required by law. Supplemental petition sheets may be filed, but onl~ after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be fileCl in person, Bt the office of the D.C. Board of Elections and Ethics, 441 - 4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial aubmlselon, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied bye 'Declaration of Candidacy" signed by the candidate. The 'Declaration" must be notarized by a Board Employee or District Notary
tf " / i./ Fl' AF~I~A~~:- OF PERSON CIRCULATIN~ T;HIS PETITIA,~ PAG\E >
I, /L) I GAl Lv kJV7d e pr~ c-r ) residIng at. J (,if I ~L.A/11 r ,cAo-
Printed Name of Circulator Address of Circulator
swear-or-affinn:{a)jhat.Lam.aregl!l1eredquallf1ed elector of the Diatrict.of..columbla;.(b) ttlatlpersonally circulatadthis petition sheetHc) that-I· pensonally wltnessed the signing of Bach signature Ihereon; and Cd) that I have determined from each signer that he or sne is a registered voter In the Dlstrlet of Columbia.
WARNING! READ THE ABOVE AF!=IDAVIT AND MAK!;: SURE IT IS TRUE BEI=ORE YOU SIGN BELOW. IF YOU A.RE CONVICTED OF MAKING A FALSE STATEMe~T"yOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D,C. OFFICIAL CODE
SEC1.10N 22-2405J. I I 1>.-'/ /, "-,j " l\ . /) ) C'; (i / v"
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Date ',.Signature of Circulator Circulator's Telephone Number (Optional)
Sheet K of 317
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DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
________________ ~-=3~22=1=1~1~t=h=S=tr~e=et=!~N=W=2=O=O~1=O==------ ~
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, theunders;gned, being. duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethicsp/ace the nameofthe individual nominated by this petition on the April 26, 2011 Special Election Ballot
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PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
1
DATE SIGNED
John Q. Public i 111111
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NOTE: Any registered D.C. voter may sign »,is petition.
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CANDIDt\frE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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PRINTED NAME AND ,ADDRESS OF PETITIONER SIGNATURE OF PETITIONER SIGNED
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! EBII:U NAME OF PETITIONB,! _ ....... SIGN HERE
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I PRINT NAME OF PETJTlO"7_~ . SIGN HERE
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Validity of Signatures; ,,,
1. At the time this petition is si~ned, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days atter.a challenge has been filed to the nominating petition. 2. The signer's printed name, address, and date signed must appear in the spaces provideJ! to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the Signing of each signature in the circulator's affidavit below.
Residency of Circulator: ,:.
At the time the petition is circtilatect.'the circulator must reside at the address listed on his or her voter registration record. Filing Deadline:'
The deadline to file this petition is $:tlO p.m. on Wednesday, February 16,2011. The petition must contain the minimum number of signatures required by taw. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be file{j in person, at the office of the D.C. Board of Ejections and Ethics, 441 _4th Street, N.W. Suite 250N. ReqUired Affidavits:
1. At the time of filing the' initial sub-mission. the person filing must complete an affidavii attesting that the petition contains the minimum number of slqnaturas. 2. The petition mu~(be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Declaration' must be notarized by a Board Employee orDistrictNotary.
)) I ll/';:; / A.,~~~rD,A~I; OF. PERSON CIRCULAT.J,NG THIS PETITION .FAGf ).0 _
L\.J ! J/v t J-hr!iU fL.S~ residing at IJalfl {/O- P / ' U f
Printed Name of Circulator. Address of Circulator
swear.or-afflrm:_.{a).thatl am.a_reglstered~quallfied&lector-of_the_Di6tr.ict.of~Columbla; (b).thatl.personallycirculatsd-this petition shsst;{cJ-that-lpersonally witnessed the Signing of;each.slgnature thereon; and (d) that I have detennined from each sIgner that he or she is a registered voter In the District of Columbla.-
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DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet ~~
of
317
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA ,- in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
r--------------------::---:--,-,---::--:-----,~:_::_~__:__c_--. --.------ --_ ---_,
3221 11 th Street, NW 20010
000090259
Republican
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
L-= VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in tbe District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 2S, 2011 Special Ejection Ballot.
PRINTED NAME ANDADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
DATE SIGNED
_.,. SIGN HERE
!
John Q. Public i 111111
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CANDIDAfrE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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DATE SIGNED
PRINTED NAME ANDXADDBESS OF PETITIONER
SIGNATURE OF PETITIONER
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SIGN HERE
PRINT NAME OF PETITlON~. ~~
17 AODRESS
PRINT NAME OF PETITIONER
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18 ADDRESS
PRINT NAME OF ~;:~!.'tION"'~ SIGN HERE __
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I~AME OF PETITIONE~ ..
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SIGN HERE
INSTRUCTIONS TO THE CIRCULATOR
Validity of Signatures: .
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after;,achall~nge has been filed tethe nominating petition. 2. The signer's printed name, address, and date signed must appear in the spaces provided to assure that the signature will be counted, 3, The signing of each signature on this petition page must De witnessed by YOU, the circulatoL :¥ou must attest that you witnessed the Signing of each signature in the circulator's affidavit below.
Res!d(tnc¥ of Circulator; ~t': .1'"
At the time the petition is circLllateo,Fthe circulator must reside at the address listed on his or her voter registration record,
FlUng Deadline: .~;,
The deadline to file this petition is '5:00 p.m. on Wednesday, February 16,2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be fil~rl in person, at the office of the D,C, Board of Elections ami Ethics, 441 - 4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures, 2, The petition mus}"be accompanied by a "Declaration of Candidacy" signed by the candidate. The 'Declaration" must be notarized by a Board Employee or'Distrlct Notary.
. . AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
/l_.:' ( ~A;)F lJ-Vf)j~_A 5 ~'\ residing at b tit/I li(Yf;l ria p! 5[7 -If:k-j
Printed Name of Circulator Address of Circulator
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s.'Near~or-atfirm:~(a)-that.Lam,a .. regl~tered,quanfied.,elector~otthe~Djstrict-of-Columbla;(b)thaUp&rsonally circulated thispetltion·sheetj(c)that-I--· personally witnessed the signing of:.each signature thereon; and (d) that I have determined from each signer that he Of she is a rBgister~d voter In
the Dlstrlet of Columbia, ..
WARNINGJ READ THE ABOVE4,FFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STAT.E~NT,YQ~ CAr-LBE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C, OFFICIAL CODE
SECTION 22-2405]. I ; II ,:. / / L"" ,r; .. .» ,)
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Date Si~nature of Cif-oolator Ctrculator's Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet fO
of 1;77
(Name of Candidate)
For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16,2011
I 322111th StreetJ NW 20010 I?
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE·-)----- -. _-- -----~- .. ------
90259 Republican
R REGISTRATION NUMBER PARTY AFFILIATION i
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petitIon on the April 26, 2011 Special Election Ballot .
.---~----------- .. ._.--------.--~~
DATE SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
John Q. Public 1/1111
SIGNATURE OF PETITIONER _____.,.. SIGN HERE
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SIGN HERE
SIGN HERE
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SIGN HERE
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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! DATE :
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PRINTED NAME AND ADDRESS OF PETITIONER SIGNA TURE OF PETITIONER
fBINI NAME OF PEnTlDNER ___. SIGN HERE
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SIGf.n1E~
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SIGN HERE
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INSTRUCTIONS TO THE CIRCULATOR
ValiqJty of Signatures;
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the pa:ition page or me a change of address within ten (10) days after a challenge has been flied to the nominating petition. 2. The Signer's printed name, address. and date signed must appear in the spaces provided to assure ihat the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator:
At the time the petition is circulated, the crrculator must reside at the address listed on his or her voter registration record, Filing Deadline:
The deadline to file this petition is e:OQ p.m. on Wednesday. February 16, 2011, The petition must contain the minimum number of srgnatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures_ Petitions must be file::! in person. at IheoHICB of the D,C, Board of Elections and Ethics, 441 - 4tl1 Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of Signatures. 2. The petition must be accompanied by Q "Declaration of Candidacy" signed by the candidate, The "Declaration' must be
notarized by a Board Employee or District Notary .
-:> AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE . '
I, -::/;/{If!N C/-4f?-IL residing at !?Q'1 VAlley AVt . .s,t, ';fi/Gr w4SH.
P nted Name of Circulator Addr9s~ of Circulator
SWear_or affirm; (a,. that Lam a registered .quallfled elector of theOistrlct.of..coJumbla;. (b) that I personally circulated this petltlon-sheeti-(c)-tr,lIt-l. personally wltnessed the signing of each signature thereon; and (d) that I have determined from each signer that he or she is a registered voter In the District of Columbia.
WARNINGl READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEr=oRE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODE
SEC/T.'ON122-2405]. _,r-) . I j
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Date ~ignature ~iCircu'ator Circulator's Telephone Number (Optional)
DISTRlCi OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet 7"1
of ){1
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
3221 11 th StreetJ NW 20010
--------- ----_-------------
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the Aprlf 26,2011 Special Election Bsltot.
DATESIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
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John Q. Public 1/1/11
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
-------------~-~---.------------- ------------_
~ DATE '
SIGNED i
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER ~ ~HERE
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Validity of Signatures:
1. At the time this petition is signed, each signer must be registered to vote at the address fisted on the petfticn page or file a cnange of address within ten (10} days after a challenge has been filed to the nominating petition. 2. The signers printed name. address. and date signed must appear in the spaces provided to assure that the signature will De counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator, You must attest that you witnessed the signing of each signature in the circulatcr'a affidavit below.
Residency of Circulator:
At the time the petition is circulated, the circulator must reside at the address listed on his or her voter registration record. filing Deadline:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of Signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial fiHng containing the minimum number of signatures. Petitions must be filed In person, at the office of the D,C. Board of Elections and Ethics, 441 - 41h Street. N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petilioncontains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy' signed by the candidate. The 'Declaratior' must be notarized by a Board Employee or District Notary
INSTRUCTIONS TO THE CIRCULATOR
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE ~. 2~
I. 2>\lAAJ C \A.~ D residing at \.9Oj \l,t<. \ \2 \j A V£. S . c. i0 'WAsH ' ~. c.. I
P.rinted Name of Circulator AddrJ's of Circulator
swear..or -affirm:-(a)_thaU .. am .. aregl!lteredqullIfied elector of theDlstrict.of-CoJumbla; (b) that I personally circulated thi; petition aheat; (c)·that-I personally wltneued the signing of each signature thereon; and (d) thlt I have determined from each signer that he or she is a registered voter In the District of ColUmbia.
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet 1" ~ of :211
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
3221 11 th Street, NW 2001 0
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY.4FFILIATIClN
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of ElectIons ami Ethics place the name of the Inriivldual nominated by this petition on the Aprl! 26,2011 Special Election Ballot.
._------,------------_.- .... ---
DATE SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETfTIONER
o ADDRESS
John Q. Public 111111
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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SIGNATURE OF PETITIONER I SIGNED
11
PRINTED NAME AND ADDRESS OF PETITIONER
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Vpljdity of Signatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10} days after a ct1allenge has been flied to the nominating petition. 2. The signer's printed name. address. and date sioned must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator, You must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator:
At the time the petition is circulated, the circulator must reside at tile address listed on his or her voter registration record. Elling Deadline:
The deadline to file this petitlon is S:OD p.m. 00 Wednesday. February 16, 2011. The petition must contain the minimum number of sIgnatures required by law. Supplemental petition sheets may be fj~, bU1 only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed In person, at the office of the D.C. Board of Elections and Ethics, 441 - 4th Street, N.W, Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesiing that the petition contains the mirumurn number of Signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The 'Declaralilj~' must be notarized by a Board Employee or District Notary.
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
'-.J '-...:..:;
INSTRUCTIONS TO THE CIRCULATOR
I, \:;'1.!.f_RA,J C/,I'\JC.J::', residing at l.J09 VA\\t:'\J__AVS- ::,.E,. ~/t..)J klA,s.H. D,c.. (_;;b~,::..
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swear-or.affinn: (a) that Lam a reg!stered qualified elector of the Dii1rict.of..columbla;.(b) that I personally circulated this petition sheet; {c»that-I pemansJly wltnes_d the signing of sac h signature thereon; and (d) that I have determ lned from each signer that he or she is a registered voter In the District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODE
SECTION22-2405]. -> ... ./ ~
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oat / SignatUre of Circulator Circulator's Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet '7-,--7~ of ~ 11
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to colleot Signatures - December 24, 2010 . FlUng Deadline - February 16, 2011
322111th Street, NW 20010
000090259
Republican
=-::::-------_._--_ _ -- .
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFIU!'>,TION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by thIs petition on the April 26, 2011 Special Ejection BaHel .
.--------------------~~-.---_,------------------,------:=-:-=.
DATE
SIGNED
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PRJNTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER
---+ SIGN HERE
o ADDRESS John Q. Public
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NOTE: Any registered D.C. voter may sign th;s petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER SIGNED I
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validity of Signatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a challenge has been flied to the nominating petition. 2. The signer's printed name, address. and date sioned must appear in the spaces provided to assure 1hst the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator;
At the time the petition is circulated, the circulator must reside at the address listed on his or her voter regIstration record. Elftng Deadline;
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16:. 2011. The petition must contain the minimum number of signatures mquired by law. Supplemental petition sheets may be flied, but only after Ihe candidate has made an initial fifing containing the minimum number of signatures. Petitions must be filed In person, at the office of tI'le D.C. Board of Elections and Ethlc&, 441 - 4th Street. N.W. Suite 250N. Required Affidavits:
1. At the time of filing the inilial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by 8 'Declaration of Candidacy" signed by the candidate. The 'Declaratior' must be notarized by a Board Employee or District Notary
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
I • .:b~Af~N.· C\~~\C.. residing at I~:P \J~W r , ·f" t.. 5;"t. ;;t\ /0. ~s.H. b z..
nted Name of Circulator
s.wear-or.affirm:_(a)_thatJ am.a registered quallfied etector of the District.of.Columbla;. (b) that I personally circulated this petition sheet: (c)-tnat.l personally witnessed tM signing C)f each signature 1tlereon; and (d) that I have determined from each signer that he or she is a I'9gistered voter In the District of Columbia.
INSTRUCTIONS TO THE CIRCULATOR
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEroRE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D,C. OFFICIAL CODE
SE5;-r:ION 22,-2405). /P' ~f h
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IDate/~nature ofrculaOr Circulator's Telephone Number (Ootional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
t)'U:
Sheet l
of )11
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
000090259
Republican
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters In the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nomfnated by this petition on the April 25, 2011 Special Ejection Ballot.
DATE SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
o ADDRESS
John Q. Public I 111111
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SIGN HERE
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S'~N HERE
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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PRINTED NAME AND ADDRESS OF PETITIONER
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Validity of Signatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a cnange of address within len (10) days after a challenge has been flied to the nominating petition. 2. The signer's printed name, address. and dale signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the orcuiator. You must attest that you witnsssed the signing of each signature in the circulator'sllffidavlt below.
Residency of Circulator;
At the time fhe petition is circUlated, tile circulator must reside at the address listed on his or her voter registration record. Elling peadllne:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 18, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the mimmum number of signatures. Petitions must be filed in person, at the office of the D.C. Board of Elections and Ethlcs, 441 - 4111 Str~t, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Declaration' must be notarized by a Board Employee or District Notary
INSTRUCTIONS TO THE CIRCULATOR
I,
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
1JfJ.t~1J C\.f\..C\::" residing at }Zc' -AJe., S,c.:.:# /DJ
nted Name of Circulator
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swear_or .affinn: .(a) tnat.l.am.a registered qualified elector of the.Distridof-Columbla;. (b) that I personally circulated this petition sheet; {c).that-I personalJy witnessed the signing of each signature thereon; and (c1) that I have detennlned from each signer that h& or she is a registered voter in the District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. !F YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU C~N BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D,C, OFFICIAL CODE
SECT,ION 22-2. 4051. /'E' /: £7 _/
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Dab{ ./ Signature of Circulator Circulator's Telephone Number (Optionai)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet ':25' of 2 '71
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 FJJlng Deadline - February 16,2011
3221 11 th Street, NW 20010
000090259
Republican
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PAP,TY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the Individual nominated by this petition on the April 26, 2011 Special Election Ballot.
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PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER
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DATE SIGNED
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-+ SIGN HERE
ADDRESS
John Q. Public 111111
1
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6
NOTE: Any registered D. C. voter may sign this petition.
-_ ---------
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
-----·--OATE ~;
SIGNATURE OF PETITIONER SIGNED Ii
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PRINTED NAME AND ADDRESS OF PETITIONER
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PRINT NAME OFr'ETInONER
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.EBUiI NAME OF PETITIONER----
16 ADDRESS
PRINT NAME OF PETITIONER
17 ADDRESS
f:BlNI NAME OF PETITIONER
18 ADDRESS
PRINT NAME Of PETITIONER
19
20 ADDRESS SIGN HERE
SIGN HERE
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SIGN HERE
SIGN HERE
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INSTRUCTIONS TO THE CIRCULATOR
Validity of SiRMtures:
1_ At the time this petition is signed, each signer must be registered to vote at the address listed on the pefition page or file a change of address within ten (10) days after a challenge has been filed to the nominatIng petition. 2. The Signer's printed name, address. and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below
Residency of Circulator:
At the time the petition is ciroulateo, the circulator must reside at the address IIsled on his or her voter registration record. Filing Deadline:
The deadline to file this petition is 5;00 p.m. on Wednesday, February 16. 2011. The petition must contain the minimum number of Signatures required by law. Supplemental petilion sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be tjled in person, at the office of the D.C. Board of Elections and Ethics, 441 - 4th Street, N.W. Suite 250N. Required Afflda'tllts:
1. At the time of filing 1ha initial SUbmission, the person filing must complete an affidavit attesiing that tile petition contains the minimum number of signatures. 2. The petition must be accompanied by a 'Oeclaration of Candidacy' signed by the candidate. The "Declaration" must be
notarized by a B9ard Employee or District Notary ~ J07_j/
I }7 PrFFIDAVIT OF ~ERSON CIRCULAJI~G THIS PET~O¥fGE r.sw : GlF
I, ~ i: L-e...-t residing at 7 217 7 Cji. cS t uss: ~Q
Printed arne of CircUlator r Address of Circulator
swear-or affirm: ,a).thaLLama regi!ttered qualified eleclor of the biatrict,of-Columbla; .. {b) that! persQIUIUy clreulatedthis peUtlon·sheet; (e)thllt-Ipersonally witnessed the signing of each si9nature fhereon: and (dl that I have determined from each signer that he or she is a registered voter In the District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE [T IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED
OF MAKING A FALSE ST EMENf, l.I N BE F 0 UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODE
Sd[lD 2XiiOSJ. z /s ~ 71 OD~
Date . Circulator's TnlepH'one Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet 50r
of ~ 11
(Name of Candidate) For the Office of
AT .. LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nomInated by this petition on the April 26, 2011 Special Ejection Ballot.
PRINTED NAME AND ADDRESS O~F-P-ET-I-TI~NE~--'-----S-~IG~N~A~T~U~R~E~O~F~P~E~T-IT~'-O~-i~--i~- s?tJ:o
SIGN HERE OJ
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John Q. Public 111111 ~
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NOTE: Any registered D.C. vote; may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PA
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INSTRUCTIONS TO THE CIRCULATOR
V,!I!d!ty of Signatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a chatlenge has been flied to the nominating petition. 2. The Signer's printed name, address. and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator: .
At the time the petition is circulated, the circulator must reside at the address listed on his or he r voter reg lstraticn record.
EIlfIKl peadllne: .
The deadline to file this petition is 5:()() p.m, on WfH1nesday, February 16, 2r1f1. The petition must contain the minimum number of signatures required by law. SUpplemental petition sheets may be flied, but only after the candidate has made an initial filing containing the minimum number ofSignatures. Petitions must be filed in person, at the Office of the D.C. Board of Elections and Ethics, 441-4111 Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete en affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a 'Ot!claration of Candloacy' signed by the candidate The 'Declaralion" must be notarized by a Board Employee or Dislricl Notary.
AFFIDAVrT OF PERSON CIRCULATING THIS PETITION PAGE
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J. A f 4Cc w - /!1 (lltr:l~ f residing at ! 5' 17: - 1/ c: Iv A- (f" ( fC c, ;V;;:
; ;Printed Name of Circulator Address o.f..oIrculator
swear-or.affirm:_(a~_tl1at.Lam.a.reglst~redqualified elector of the.District.of .. Columbla; (b) that f personaUyclrculatsdthio petJtloIlSheet;.{c).!nat~lpersonally wltnesse(f the signing of each signature thereon; and (d) that I have determined from each signer that he.or she is a registered voter In the DIstrict of Columbia.
WARNINGf REAO THE ABOVE AFFIOAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODE SECTION 22·2405).
,'2. ~ It' " ! J
Circulator's TelephonE! Number (Optional)
Date
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DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet {gO of rrz 7
(Name of Candidate) For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
322111th Street, NW20010
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CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26, 2011 Special EJection Balfot.
PRINTED NAME AND ADDRESS OF PETITIONER ! PRINT NAME OF PETITIONER
! John O. Public
DATE SIGNED
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_,. SIGN HERE
John Q. Public 1/1111
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SIGNA TURE OF PETITIONER
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ADDRESS
441 4th Street. NW
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATEJS NAME APPEARS ON THE FRONT OF THIS PAGE
..----------------'----,------.-----------------\1 ---DATE --I
PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER l SIGNED
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fBIl:U NAME OF PETITIONER -+ §!f!M HERE i
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SIGN HERE
SIGN HERE
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IMSTRUCTIONS TO THE CIRCULATOR
'iiljQrtv of Signatures:
1, At the time this petition is signed, each signer must be registered to _vote at the address listed on the peliticn page or file a change of address within ten (10} days after fJ challenge has been filed to the nominating pelltlor,. 2. The signer'S printed name, address, and dale sioned must appear in the spaces provided to assure lhat the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU the clrcutator. You must attest that you wltn9B89d tha signing of each signature in the circulater's affidavit below.
ReSiO&ncy of Circulator:
At the time the petition Is circulated, the circulator must reside at the address listed on his or her voter registration record. futon peadline:
The deadline to file this petition is 5;00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law_ Supplemental petition sheets may be filed, but only after Ihe candidate has made an initial filing containing the minimum number cfsignatures_ Petitions must be tiled in person, at the office of the D_C_ Board of Elections and Ethics, 441- 4m Street, N.W. Suite 2S0N, Required Affidavits;
1. At the time of filing the initial submission, the pers-on filing must complete an affidavit attesting that the petition contains the minimum number of sigl\atures, 2, The petition must De accompanied by a "Declaration of Candidacy" Signed by the candidate. The 'Dsclaratlor.' must be notarized by a Board Employee or District Notary
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
I, _/V\ i/lft' (I-- -.~- c4e.~ ~;l,f residing at IS / 7 ;:;7C"~ /L 1'-- f" r ;( c_j
!Printed Name of Circulator Addrest: oft:!rcuiator
swear"ot_ilffinn:_(al_ that.l.am.a ... reglsteredquaUfied elector of the -Dilltrict-of_Columbla~-(b}thatl personally circulated thispetitionsheet;-{eHl'1at-lper&onatly wltnessecl the signing of eilch Signature thereon; and (dt that I have detennlned from each signer that he or she is a regislered voter in the District of Columbia.
WARNINGl READ THE ABOVE AFFIOAVIT ANn MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDfOR JAILED UP TO 180 DAYS [D,C. OFFICIAL CODE SECTION 22"2405].
). -)jJ"/I
Date
Clrcula.tor's Telephone Numb-er (Optional)
DlSTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet &- (
of '] 17
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCil of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
.-----------~--------------------~--~--~~~~~~-------------------------,
3221 11 th Street, NW 20010
000090259
Republican
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned,being duly registered voters In the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the indivtdue! nominated by this petJtlon on the April 26, 2011 Spec/af Election Bal/ot
PRINTED NAME AND ADDRESS OF PE~I~~~~-~-l--~-SIGNATURE OF PETITIONER
PRINT NAME OF PETITIONER -to- SIGN HERE
DATE SIGNED
0 ADDRESS
1
2
3
4
t:
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6
7
8 John Q. Public
1/1/11
C1J
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
12
i
-/1/·//1
DATE SIGNED
SIGNATURE OF PETITIONER
11
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13
14
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15
16
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19
20
INSTRUCTIONS TO THE CIRCULATOR
vauqltv of Signatures:
1. At the time this petition is signed, each signe~ must be registered to vote at the address listed on tne petition page or me a change of address within ten (10) days after a c.hallenge has been flied to the nominating petttion. 2. The signer's printed name, address, and dale signed must appear in the spaces provided to assure that the signature will be counted. 3. The signmg of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you wltnsssed the signing of each signature in the circulator's affidavit below
Residency of Circulator:
At the time the petition is cirCUlated, the circulator must reside at the addtes6 listed on hill or her voter registration record. Filing Deadline:
The deadline to file this petition is 5;(}() p.m. on Wednesday, February 1~, 2011. The petition must contain the rmrnrnern number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of Signatures. Petitions must be filerJ In person, at the offrce of the D.C. Board of Elections and Ethics., 441 - 4U, Str&et, N.W. Suite 250N. Required AffidaVits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a 'Declaration of Candidacy' slgl'l&d by lhs candidate. The "DecJaratior" must be notarized by a Board Employee or District Notary
, AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE •
I. (~'I lrp" i) v1 "/ h (I ~;\I\ C-tS residing at 15)7 1? C.f1ltl ; k~ It d fJ ti
Printed Name of Circulator Address 0 Circulator
swear-or.affinn;.(a) .. thaLLama.reglsteted qualified elector of the Diatrict.of-Columbla; fb) that I personally circulated this petltJonsheet,(e) tl'lat I pe",oneliy wltnesHI;i the IIlgnlng of each Signature thereon; and (d) thlt Itlave determined from each Signer that he or sl'le Is a registered voter In the District of Columbia.
WARNINGf READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D,C, OFFICIAL CODE SECTION 22-2405).
""! .' C .. ~(··!!
CIrculator's Telephone NumbE:T (Optional)
Date
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet _6 Cl_- _ of '} 71
{Name of Candidate)
For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 FlUng Deadline - February 16, 2011
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
'--- __ VOTER REGiSTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters In the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26, 2011 Special Ejection Ballot,
r-------------~~-------~- -------,---------- ~---_._-=-:-=-
DATE
SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
o 'ADDRESS
111111
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1
2
3
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4
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NOTE: An}' registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
r--------------------,-----------~ .. -.--.- DATE~
SIGNA TURE OF PETITIONER 'SIGNED
INSTRUCTIONS TO THE CIReiiLA TOR
YDlidity of Signatures: ,../
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a challenge has been filed to the nominating pelitlon. 2. The signer's printed name. address. and date signed must appear in the spaces provided to assure thaI the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the cirGculator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator;
At tne time the petftion is cirCUlated, the circulator must reside at the address listed on his or her voter registration record. Filing peadline;
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16. 2(111. The petition must contain !he minimum number of Signatures required by law. Supplemental petition sheets may be filed, bUl only after Ihe candidate has made an initial filing containing the minimum number of signatures. Petitions must be tiled in person, at the office of the D.C. Board of Elections and Ethics, 441- 4th Street. N.W. Sult& 250N. Required Affidavits:
1. At the time affiling the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy' signed by the candidate. The "Daclaratior" must be notarized by a Board Employee or Districl Notary.
~ ! - ~- 0 AFFIDAVIT OF PERSON CIRCULATING THIS P~'T)9N PAGE
~~l t(~-t: lb le-e, residing at tfl/7 2 rt>S?; tfr!-JIf) woe ltX':Q.
Printed· me of Circulator Address of ClreulOJ'
I,
11
12
13
14
15
16
17
18
19
20
swear-or.affinn;.(a).that.tam.a.regtsteredqualified elector of the Disbictof.Columbla;{b)cthatl personallyctrculated thil; petition sheet; (clthaH personally witnessed the Signing of each 5iQnatoro thereon; and (d~ that t have detennlned from each ilgner that h& or she is arogistered voter In the District of Columbia.
DfSTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet
of ')17
{Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 FUing Deadline - February 16, 2011
322111th Street! NW 20010
~-- ~----.------."'-~-.---
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly reg;stered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by thIs petition on the April 26, 2011 Special Election Ballot .
.---------------~~-···-··---·-----T--------------___,-_=_~=____
DATE
SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
~ a
-flo SIGN HERE
John Q. Public 111111
2
3
2 i 10/ll
4
5
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19 ~-- ..
:
! 20
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE "-\---OATE
PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER ! SIGNED
\\ ..' j 1.,..' -;..,. SIGN HERE . , ; I I' .r
l---- ------'L...,__I \....=..1..'. (...:..._:rJ_;_c.-k_=_· ~l.-r-l-'£D-"-J(..' f(...c-:-.~_. _" ..... , - jn.. ,<i. J U . t/. I c2//{/, 1/ i
Ie -J. L-- .S+- IN ~'J . II\/J D· i . {~J(/'lt///',rf;;t fl;,i-t0{)J::" I :
11
r 12
SIGN HERE
P: I
I ;' /t,,1tU .// u: . 11 Vi 1
13
14
17
18
J
Validity of Sianatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a ::hallenge has been flied to the nominating petition. 2. The signer's printed name, address, and dale sioned must appear in the spaces provided to assure that the signature will be counted, 3. The signing of each siqnature on this petition page must be witnessed by YOU, the circulator. You must attest that you wltn6ssi!d the signing of each Signature in the circulator's affidavit below.
Resldencv of Circulator:
At the time lhe petition is circulated, the circulator must reside at the address listed on his or her voter registration record. Elling Deadline:
The deadline to file this petition is 5;00 p.m, on Wednesday, February 16, 2011. Tl1e petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed. but only after Ihe candidate has made an initial filing C(Jntaining \he minimum number of signatures. Petitions must be filed In person, at the office of the D,C. Board of Elections and Ethics, 441 - 41h Str&et, N.W, Suite 25{)N. Required AffidaVits:
1, At tile time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The • Declaratior , must be notarized by a Board Employee or District Notary. 1. r7LL-=#=
\ ! 1/' _! !2. AFFID~VfT OF PERSON CIROULATING -:HIS PET'~'O~ ~A~~ OAp ,( j .: _ "' n
I. ~'\J! b± ttl-- J l I_ -C_<.i- residing at Lf 2 I J ]+ 1 rtF .->L Ui DC 20U-'2
Printed Name of Circulator ddress of Circulator
sw.ar-Qulffinn:(a)~that.Lam8 registered qualliled elector of thsOistrictof.CoJumbla; .. (b) that I personally circulated this petltlon sheet; {c)·that-I Pft""onarly wltneued the .Ignlng of each signature thereon; ~lIld (d) that f have determined from each signer that h& or she is a ragistered votGr In the District of Columbia,
INSTRUCTIONS TO THE CIRCULATOR
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS T~UE eEF:ORE YOU SIGN BELOW, IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT,. YOU CAN BE FINED UP TO $1,0.00 ANOIOR J/'I,ILED UP TO 180 DAYS to.c, OFFICIAL CODE
SEQTlrj/i-2iJit ~'<~V2u-4 ()Z rfgJL 2) 5Lo7 - Ci)j'2
Date Signature of Circulator Circulator's Tel&phone Number {Optiona)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet 10
of ') 77
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
000090259
Republican
3221 11 th Street NW 2001 0
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26,2011 Special Election Ba/fot,
.---------------"-------~------------- "--::=--=-===--
DATE
SIGNED
~ SIGN HERE
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
0 ADDRESS
1
2
3
4
5
6 John Q. Public 111111
I ) 1
n i /.,
_ } i i /) ./ ! ~/ t : { I
10
NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
PRINTED NAME AND ADDRESS OF PETITIONER I
INSTRUCTIONS TO THE CIRCULATOU
DATE SIGNED
N({[((
i
I ,
I ( f I
u Uld
Validity of Signatures: 1. At the time this petition is signed. each signer must be registered to vote at the address listed on the petition page or frle a change of address within ten (10) days after a challenge has been flted to the nominating petition. 2. The sIgner's pnnted name. address. and date signed must appear in tile spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator, You must attest that you witnessed ths signing of each signature in the circulator's affidavit below.
Residency of Circulator;
At the time lhe petition is circUlated. the circulator must reside at the address listed on his or her voter registraticn record. Flllna Deadline:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law, Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed In person. at the office of the D.C. Board of Elections and Ethics, 441 - 4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial SUbmission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petrtion must be accompanied by a "Declaration of Candidacy' signed by the candidate. The 'Declaralior' must be notarized by a Board Employee or District Notary.
I ;.) , 1If· AF.FIDAVIT OF PERSON CIRCUL~~JNG THIS PETI:-'ON !AGE
I, Ur ,( l-k Il (dZJ residing at t Z 17 7~,)f f(__ ~1ti J62. w OC -«W;>
Print;(1Name of CirCUlator AddrMS of Ci~tor
sW6ar-,or.afflnn:.,(a}.tl1at.l.am .. e registered qualified el.ctor of theDlltrict of..Columbla;. (b) that I personally clrculatodthi&petltlon sheet; (elthel-I pel'8onelly wltne:ssed the signing of each signature thereon; and (d) that I have determlned from each signer that he or she is a registered voter In the District of COlumbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED 0. F MAKING A FA. LSE STATE~E,NT, _.Y.OU~N BE FINED UP TO $1,000 AND/OR JAILED UP TO 180. DAY. S [D,C. OFFICIAL CODE
SECTION 22-2405J. C;;--' J?~' Z / -~ /
., ( • . j . I"') , ~
£.-//QII/ sfv' " \.j7Jl_Q._ )&/ //)0,*
; Date Signature of Circulator Circulitor's Telephone Number (Optionai)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
'--ltl4 C-C( Patrick Mara
Sheet t to
of j T7
(Name of Candidate}
For the Office of
A T -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16,2011
--,
--------------------~C~AN~D~I~DA~T=E~·S~A~D~O~R=E~S7S~(I~NC~L~U~O~IN~G~Z~IP~CO~D~E~)--------------------- II
000090259_. Republican I
VOTER REGISTRATION NUMBER
322111th Street, NW 20010
PARTY AFFILIATION
We, the undersigned, bein'g duly registered voters in the District of Columbia, request that the District of Columbia Board of Ejections and Ethicsp/ace the name of the individual nominated by this petition on the April 26, 2011 Special Ejection Ballot.
r---------------.."."..----------------------,----------_.--- -----------,----=~:::---
DATE
SIGNED
PRINTED NAME AND,iADDRESS OF PETITIONER
Q)
~ a ADDRESS III
-. SIGN HERE
SIGNATURE OF PETITIONER
1
2
3
4
5
6
7
8
CANDIDAtE'S NAME APPEARS ON THE FRONT OF THIS PAGE
.----------___:.,..._~~------,-----_r----------- .. -.--- .. --.---.-------,
DATE
SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
11
12
13
14
15
16
17
18
19
20
Validity of Signatures: 1. At the time this petition is signed, ,each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after:a"chalienge has been filed to the nOminating petition. 2. The signer's printed name, address, and date signed
must appear in the spaces provideh to assure that the Signature will be counted. 3. The Signing of each signature on this petition page must be witnessed by YOU, the circulator. ':you must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of CIrculator:
At the time the petition is circolatett~the circulator must reside at the address listed on his or her voter registration record, Flllng Deadline:'
The deadline to file this petition is 5;00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures, Petitions must be filrid in person, at the office of the D,C. Board of Elections and Ethics, 441 - 4th Street, N.W. Suite 250N.
Required Affidavits: ~'.
1. At the time of filing the initial suhmlsslon, the person filing must complete an affidavit attesUng that the petition contains the minimum number of signatures, 2. The petition mus,f,be accompanied by a "Declaration of Candidacy" signed by the candidate. The 'Declaration" must be
notarized by a Board Employee or;tJistricfNotary. ~ ,.
.$ 'I -r: /, ':~!~AVIT ~F PERSON CIRCULATIN,G THIS PETITION PAGE (?C r ,
I, C (\_J--+JV be + \ ~/~C£ residing at Sf) YO .. 1). Sr J±-. JJ 1iJrMi.. JJI( C
Printed Name of cjrcurator Address of Circu(ator
sweaLor.afflrm:-(a)thatJam.a_regi~tered.qual1fied.elector-oUhellistfict.of.co!umbla;. (t:.) thatipersonlilly Circulated this petition shaet;(c)that I personally witnessed the signing of each Signature thereon; and (d) that I have detennined from each signer that he or she is a registered voter In
the District of Columbia, .,-
WARNING! READ THE ABOVE'AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED i
~~~~t~N2~_~4~Al~SE ?~~~N~I~OU C1N BE F~. UP TO $1,000 AND/OR JAILED UP TO 180 DAYS [D.C, OFFICIAL CODE .
:~ k\~II! );/., LA- r daa~1{; c-- ~(}.'LJ
ate .:» Signature of Cire ator Circulator's TeJephon~ Number (Optional) .
~_.
d,.;,t.,
DISTRICT OF COLUMBIA
'/7) PETITION TO NOMINATE
, "/ Patrick Mara
.~/ //' _/?, / ._ .. L/i-A--\.../
Sheet It I
of ') 77
----
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
r---------__:.i-"-:-_---=-=--::::-:--:---:-:-;---::::-:-------:-----=--=-=--=--=-=-:-=-~-- ... ---.----------,
3221 11th Street, NW 20010
000090259
Republican
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATlON
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individuaJ nominated by this petition on the April 26, 2011
. . Special Election Ballot.
_.. SIGN HERE
John Q. Public 111/11
1 i
IV n. E
.,
(f)
I
PRINTED NAME AND, ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
DATE SIGNED
1 ADDRESS
2
3
4
5 8
NOTE: Any registered D.C. v
CANDIDA;fE'S NAME APPEARS ON THE FRONT OF THIS PAGE
PRINTED NAME AND'~DDRESS OF PETITIONER
r
11
12,
13
14
15 ADDRESS
16 ADDRESS
17 ADDRESS . ./
/
18 ADDRESS
PRINT NAME OF PETITIO
.>
19
,F
'20 SIGN HERE
SIGN HERE
INSTRUCTIONS TaTHE CIRCULATOR
Validity o( SIgnatures:
1. At the time this petition is signed, 'each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days afterza challenge has been filed to the nominating petltion, 2. The signers printed name, address, and date signed must appear in the spaces provided to assure that the signature will be counted, 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator.vrou must attest that you witnessed the signing of each signature in the circulator's affidavit below,
Residency of Circulator: . .. '
At the time the petition is cirClllateq,'lhe circulator must reside at the address listed on his or her voter registration record,
FIling Deadline: ;;._.'
The deadline to tile this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law_ Supplemental petition sheets may be med, but only after the candidate has made an initial filing containing the minimum numoer of signatures. Petitions must be fileU in person, at the office of the D,e.Board of Elections and Ethics, 441 _4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures, 2, The petition must_be accompanied by a "Declaration ofCandidaoy" signed by the candidate, The "Declaration" must be notarized by a Board Employee or-District Notary _
_ "d.<. t; JJ L.1.FFIDA~IT?F PERSO~ ~IRCUlA~ING~THIS PETITION PAG~" I I l
t./2~1,e J:.)._/tuf~., 1:"1.£24 /"= resldmg at ) () I 0 1) St- Sc ±±_
-fl Printed Name of Cir60iator .. Address of Circulator
5weaLor..afflrm:~(a)_thaUam:a_regl~tered.quaUfiedelector oUhe-Oistrict-of-Columbla;.(b)that.l.personallycirculated this petltlon sheet; (c) that-I .. ·· personally witnessed the slgning ofeach<slgnature thereon; and (d) that I have determined from each signer that he or she is a registered voter in
the District of Columbia, ,::'.
WARNINGI READ THE ABOVe:AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW, IF YOU ARE CONVICTED OF MAKING A FALSE STATENT'iX,'OU C~NBE FINED UPTO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C, OFFICIAL CODE
SJyTIONr22-2405], ~. 1 .. :;) ')
(.j / r~. I II ,,(., . /' . y r:
,(.,' ,Cry /,\,;; .ct
~tel ,. Signature of Clfculator Circulator's TeJephone Number (Optional)
/' I /
- I
//
DISTRICT OF COLUMBIA
,? /1'). i~) .. ~ ~: . .].. PETITION. TO NOMINATE
'. ) \ /, t, I/i ;l {, ," >' ''"(i'C'' i~' Patrick Mara
y,1..,. .............. .l ...__. j .·L· '- .I
, .. I \._-..,..::.....- "'--_
Sheet {12
of ,7/
(Name of Candidate)
For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
r-------------'-,----"'-------c-~__=_-_____:___=_=_=_~_=_=__:_::_~---.-- .. ----------~
3221 11th Street, NW 20010
000090259
Republican
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April2B, 2011
. Special Election Ballot.
t 0 ADDRESS
John Q. Public 111111
PRINTED NAME AND,'ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
DATE SIGNED
_.,.., SIGN HERE
1
2
10
NOTE: Any registered D.C. voter may sign this petition.
I:
CANDIDAtE'S NAME APPEARS ON THE FRONT OF THIS PAGE
SIGNATURE OF P~~ITI;~E~-- r DATE i
___ i SI .: GNE. D J
~--~====~~~==~------------------_'-4~S~~~N~H~E~RE I
--l--he--:_-·· /1d!%' . ii!1
PRINTED NAME AND,ADORESS OF PETITIONER
11
SIGN HERE
SIGN HERE
12
13
/ I ,/ I f
SIGN HERE
14
15
16
17
18
19
20
Validity of Signatures: _
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of addreas within ten (10) days afler,.e· challenge has been filed to the nominating petition. 2_ The signer's printed name. address, and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petiiiQn~age must be witnessed by YOU, the circulator. ~you must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator: :~';.
At the time the petition is circlllatedHhe circulator must reside at the address listed on his or her voter registration record.
FIling Deadllne:',_ ...
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum numoer .of signatures required by raw, Suppfemental petition sheets may be filed, but only afterthe candidate has made an initial tiling containing the minimum number of signatures. Petitions must be filt'ili in person, at the office of the D.C. Board of Elections and Ethics, 441 - 4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition musEbe BtXompanied by a "Declaration of Candidaoy" signed by the candidate. The "Declaration" must be notarizeo by a Board Employee orf!!)istrict'Notary.
:!c'
/12 ~,; ./."' I, ....~~~J}AVIT OF PERSON CIRCULATI~~ ~~IS PETITION ~AGE ,
I, U v 1,-, ~A\"',P (B :':r \ [A. C r residing at ) (NO J) li)rf/i:
Printed Name of Circulator Mdress of Cir6uatOr
INSTRUCTIONS TO THE CIRCULATOR
sw.ear-or_afflrm:_(a)_that_Lam_a.registered_quallfi9d elector-of-the~Di6trict.of..columbla;(b).that.1 personally circulated this petition sheatHe) that-I-· personaJJy witnessed the sIgnIng of each Signature thereon; and (d) that I have determined from each signer that he or she is a ragistered voter In the District of Columbia."
WARNINGl READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEN!etn, YOU CAN BE FINED UP TO $1,000 AND/OR JAILED UP TO 180 DAYS [D,C. OFFICIAL CODE
SECirrIO! 22-2405]. s .
'2 _5 ~ \ \ __ ~'.~.:.__' _--,----,--'-- _
Date Signature of Circulator
~k,'
Circulator's TeJElphone Number (Optional)
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DISTRICT OF COLUMBIA PETITION TO NOMINATE
t=
~: //~ .: .. Patrick Mara
Sheet
i2,) of J1"1
(Name of Candidate)
For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
3221 11th Street, NW 20010
000090259
Republican
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in tho District of Columbia, request that the District of Columbia Board afE/ections and Ethicsp/ace the name of the individuaJ nominated by this petition on the April 26, 2011 Special Election Ballot.
-+ SIGN HERE
til ti E
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o !'.OGRESS
John Q. Public I 111111
DATE SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
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NOTE: Any registered D.C. voter may sign this petition,
. (
CANDIDAtE'S NAME APPEARS ON THE FRONT OF THIS PAGE
~---------------,-------~--.--~.~-'.'-----" ... ~ ... ".-- ... _.- .. ----,------,---,
DATE
SIGNED
PRINTED NAME AND -ADDRESS OF PETrTIONER
SIGNA TURE OF PETITIONER
....... SIGN HERE
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INSTRUCTIONS TO THE CIRCULATOR
Valid ltv of Signatures: ...
1. At the time this petition IS sig-ned, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10} days after,EI challenge has been filed to the nominating petition. 2. The signer's printed name, address and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The Signing of each signature on this petition page must be witnessed by yOU, the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator:
At the time the petition is circurate~r1he circulator must reside at the address listed on his or her voter registration record.
Flllnq Deadline: .
The deadline to file this petition is S;De p.m. On Wednesday, February 16,2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but oniY after the candidate has made an Initial filing containing the minimum number of signatures. Petitions must be fiI~(i in person, at the office oi the D.C. Board of Elections and Ethics, 441 - 4th Street, N~W. Suite 250N.
RelJuired Affidavits: .
1. At the time of filing the initial sUPO'lission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition mus{:'oe accompanied by a "Declaration of Candidacy" signed by the candidate. The "Declaration" must be notarized by a Board Employee or'District Notary.
,4;,1?~·' ' .. /--3 .• ~.'. ~s~ .. v~ q~ PERSON ~IRCULA~I~G THIS PETITION PAGE ,,:/}Q
I, L2L .l JtJ Y Z1 .~. I((jlj L L residing at5cX/ (1) Sf Jt: /1 tJ}fJM_\.-:pd.. L
Printed Name of Circulator .. Address of Circulator
swsar.o r.afflrm ;~{a)that [ am.a .reg Is.tered ,qualified. elector.of-tIlEl-Distr.ictof _Columbia; . (b)tnaU .. personally ci rculalad.th ispliltitlonsheet; -( c)-thai-I· personally witnessed the Signing of each sIgnature thereon; and (d) that I have determined from each Signer that he or she is a registered voter In the District of Columbia.'
WARNING! READ THE ABOVE,AFFIDAVlT AND MAKE SURE IT IS TRUe BEFORE: YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSES~~TE~~N-T, tOUCAN }3p FINEDtl~ 10 $1,000 ANDIOR JAlLED UP TO 180 DAYS [D_C. OFFICIAL CODE
SECTION 22.2405]. . i jJ.. "\'/, , / ,-: .. .r'
(£)-ID- /1 i";~--I'c.O/k_ T?---tC"~
Date '- .: SignatUre of Circulator Circulator's Telephone Number (Oplional)
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DISTRlCT OF COLUMBIA
;' -) PETITION TO NOMINATE
___ : '~'lL ,Cpe:.ick Mara
Sheet
of
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,~. " 'C ~\.-/L- ( \ ~\_
(Name of Candidate)
For the Office of
AT .. LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26,2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
c-----------------~-----~~-----.----.-.-"--------"---
3221 11 th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMSER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26, 2011 Special Election Ballot.
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
DATE SIGNED
____.,. SIGN HERE
john Q. Public 111111
1 ADDRESS
2
3
6
ADDRESS "
SIGN HERE
SIGN HERE
5 ADDRESS
EBlliI NAME OF PETITIONER._:
ADDRESS
~.,. ._._.---SiGN HERE
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~_8~~A-~~:~:-R~:~~n:HE~O~FWP~UffiIT~~~Na~~s_.~~ /_. ~I.~S~I:~:~~=R~~~,-,-,- .. ~~~. __ . __ ,. __ ... __ ._ .. 1
.. PRINT-NAME O~PE'l'JTlON:'~7~·c..- ·--SIGN-HERE"'-.......__ _ I
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r----t PRINT NAME-OF ~ETJTIONER . . I
, ! SIGN HERE .. -~- ~.
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NOTE: Any registered D.C. voter may sign this petition.
I'"
CANDIDAtE'S NAME APPEARS ON THE FRONT OF THIS PAGE
,--- ~.' ... '.' __ "' ... ---~~' _.-. I DATE--l
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PRINTED NAME ANDADo'RESS OF PETITIONER SIGNA TURE OF PETITIONER SIGNED ..
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! EBU!H~~E OF PETlTIDN~~ ~ SIGN HERE f
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19 ADDRESS /<
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20 ADDRESS ~ Validity of Signatures: ..-:
1 At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after''oi,.ehalfenge has been filed to the nominating petition. 2. The signer's printed name, address, and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The Signing of each signature on this petition page must be witnessed by YOU, the circulator.·You f7:J!)st anest that you witnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator: -. '
At the time the petition is circulatedj.ths circulator must reside at the address listed on his or her voter registration record.
FlUng Deadline: •....
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by Jaw. SUpplemental petition Sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be file.o in person, at the office of the D,C, Board of Elections and Ethics, 441- 4'h Street, N,W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submiseion, the person filing must complete an affidavit attesting that the petition contains the minimum number oi signatures. 2. The petition muqtbe accompanied by a "Declaration of Candidacy' signed by the candidate. The "Declaration" must be notarized by a Board Employee orWistrict Notary.
r;;)\ ) 'AF AVIT OF PERSON CIRCULATING THI ,P~T1TIO~ rAGE!
1(., ,) ) .' .'1-- ~LLL residing at~O I( (), ,JT Id--/I ,>
. Printed Name of clrcutator
swear-or .afflrm:.(a}.that.Lam .uegisterecl.qualified elecmr.oUhe.Oistr.lct-of..columbia; ... (b).thatl.personally circulated this petitJonsheet,(c) thatl- .. personalty witnessed the signing of:eacli'slgl'lature thereon; and (d) that I have determined from each signer that he or she is a registered voter in the District of Columbia,
INSTRUCTIONS TO THE CIRCULATOR
WARNINGl READ THE ABOVE'AFFIDAVIT AND MAKE: SURE IT. IS T~UE BEFORE YOU SIGN BELOW, IF YOU ARE CONVICTED OF MAKING A FALSE STATEIVi~NT"yOU CAN BE_W1\IED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODE
._SECTION 22-2405]. ~1~ :!7 1).< A , 1/ .
d- I()- If ,~'MA!J.ty :L-L~
Date \/. " Signature of clrculator Circulator's Telephone Number (Optional)
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........... _ .. _--. -~~-------------------------
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Id", "7-1
Sheet • '1;V of '7 ~ 7
---
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - Dec.ember 24, 2010
Filing Deadline - February 16, 2011
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters In tn« District of Columbia, request that the Disttiot of Columbia Board of Elections and Ethics place the name of the indivldulIl nominated by this petItIon on the April 26, 2011 Special Election Ballot.
o
DATE
SIGNATURE OF PETITIONER SIGNED
--~-----.~-S-I-G-N-H-E-RE~---------~~------~~~~~~ o_ E
III C/;!
-I PRINTED NAME AND ADDRESS OF PETITIONER
PRINT NAME OF PETITIONER
John Q. Public
111111
2
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ADDRESS
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SIGN ERE
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NOTE: Any registered D. C voter may sign this oetition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
PRINTED NAME AND ADDRESS OF PETITIONER ! SIGNATURE OF PETITIO~~~---'--~~~;J~D!
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Valldln .. of Signatures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a ct\ange of address within ter. (10} days after a challenge has been med to the nominating petition. 2, The Signer's pOnted name, address. and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator, You must attest that you witnessed the Signing of each Signature in the circulatore affidavit below.
Residency of Circulator:
At the time the petition is circulated, the circulator must reside at the address listed an his or her voter registration record
filing Deadline: .
The deadline to file this petition is S;()() p.m. on Wltdn&sday. February 16, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures, Petitions must be filet! In person, at the orneeot the D.C. Board of Elections and Ethlc&, 441 - 4tn Street, N.W. Suite' 250N. Required Affidavits:
1. At the time of fiting the initial submission, the peraon filing must complete an affidavit attes(ing that the petllion contains the minimum number of signatures, 2, The petition must be accompanied by a 'Declaration of Candidacy" signed by the candidate. The "Declaration" must be notarized by a Board Employee or District Notary
INSTRUCTIONS TO THE CIRCULATOR
Jt ') Q..P P1 ~;IDAVIT_OF PERSON CIRCULATING T~,I~ ,PETI1tpN ~~Ge_. );) ... «: / / j I
& /l1c ~ f-l r7U t4&fJr) residing at !}i,I_(-) 1:IQA! (/()_ fJ! . v' i: :;::F =t:
Printed Name of Circulator Address of CIrculator
aweilf-Dr, affirm: (a)that.Lsm.a.reglstered qualified elector of theDl8trict-Df-Columbla;.(b)tllat I personally clrculatBdthi; petltion·aheet;(c)-tbat-I poraonallv witnessed the signing of Bach signature 1herean; and (d) that I have detennined from each signer that h& or she is a ~gistered voter In the District of ~Iumbia.
I,
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
I ! { II JU Sheet ¥ -vV?
~'11
of ~ I
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010
Filing Deadline - February 16,2011
.-------~---~------------.,---:------------.--------------,
322111th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOhR REGISTRATJON'NUMBER
PARTY AFFILIATION
We, the undersigned! being duly registered voters In the District of Columbia, request that the District of Columbia Board of EJections and E;thics, place the name 0' th s individual nominated by this petition on the April 26, 2011 Special Ejection Bal/ot.
PRINTED NAME AND,ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
o
John Q. Public i 1/1/11
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NOTF;_:Any registered D.C. voter may sign this petition.
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CANDIDAfj"E'S NAME APPEARS ON THE FRONT OF THIS PAGE
PRINTED NAME AND'~DDRESS OF PETITIONER [ SIGN;;'URE OF PETlTI·~O-N-E-R----'-S=?G-:-AN=T~=D-'
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Validity of Signatures: 1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after::i;i challenge has been filed to the nominating petition, 2. The signer's printed name. address, and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you witnessed the signing of each signature in the circulators affidavit below.
Residency of Circulator: ",
At the time the petition is circulated; the circulator must reside at the address listed .on his or her voter registration record.
Filing Deadline: _ _
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has' made an initial filing containing the minimum number of signatures. Petitions must be fil~q in person, at the office of the D.C. Board of Elections and Ethics, 441- 4tl1 Street, N.W. Suite 250N.
Required Affidavits: :,,:
1. At the time of filing the initial submission. the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must:be accompanied by a "Declaration of Candidacy' Signed by the candidate. The "Declaration' must be notarized by a Board Employee or:bistriCt Notary.
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swear_or...afflnn :_(a). thatlam.a_reglstered~quallfled .elector-oUhe.Olslrict..of-Columbla;. (b).thatJ personally Circulated thili petition sheet; {c)that-Ipersonally witnessed the signing cifeach'slgnature thereon; and (d) that I have determined from each Signer that he or she is a registered voter In
the District of COlumbia, ...
I (
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet 151 of > J 7
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
322111th Street, NW 20010
----------------------~C~A~N=D~ID~A~T~E~'S~A~D~D~R~E~S~S~(~IN~C~L~UD~I~N~GZ~IP~COD-E)------------
I 000090259
l===2::C?TER REGISTRATION NUMBER
Republican PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the Individual nominated by thIs petition on the April 26,2011 Special Election Ballot.
o
PRINTED NAME AND ADDRESS OF PETITIONER
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NOTf_· Any regjstered D,C. voter may sign this petition,
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
... -~~ .-.-·~--bA TEl
SIGNATURE OF PETITIONER StGNED
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INSTRUCTIONS TO THE CIRCULATOR v
validity of S Ignatytes:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the pe~iticn page or file a Change of address within ten (10) days after a challenge has been filed to the nominating petition. 2. The signers printed name, address. and date signed must appear in the spaces provided to assure that the signaturewHI be counted. 3. The signing of each signature on this petition page must be witnessed by YOU the circulator. You must attest that you wltnessed the signing of each signature in the circulator's affidavit below.
Residency of Circulator:
At the time the petition is Circulated, the circulator must reside at the address listed on his or her voter reqistration record. Elling Peac!lIne:
The deadline to file this petition is 5:00 p.m. on WflClnesdllY, February 16, 2011. The petition must contain the minmum number of signatures required by taw. Supplemental petition sheets may be filed. but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed in person, at the office of the D.C. Board of Elections and Ethics, 441 - 4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of fiting the initial submission, the person filing must complete an affidavit attesting that the petition contams the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Declaration" must be notarized by a Board Employee or Districl Notary
0). I .~ AFFIDAVIT OF PERSON CIRCULATI~G TJ-IIS PFf.ITIONPAGE p")
g_l ! O_hrlo &:nlc(elSDn residing at til)L!! fr_·/()'·f7F(J _
Printed Name of Circulator = Address of Circulator
awear-orafflnn:·,lal.that Lam areglstl!red qualified elector of the Dt.trlct of-Columbia;. (b) that I personally clrculatad this petition sheet;- (e)-that-I paraonally witnessed the signing of each signature thereon; and (d.) tt1at I "loa determined trom eacn signer that n& or sn& 'IS a registered voter In the DIstrict af Columbia.
I,
WARNINGr READ THE ABOVE AFFIDA"!J AND MAKE SURE IT IS TRUE BE~ORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FAL.SE STATEMENT, YOpt1:AN BE,FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODE
SE~~iD-2i9" II 'i:/L'-' --, (t/ eLL_!) ,do'rl (a. \ _51:.:-9·· j,()30
Date Signature of Clrcu tgr Crrculator's Telephone Number (Optional)
r \j '\ '
, /
V
I f \ Sheet 1'0'
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patri ck Mara
of 117
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010
Filing Deadline - February 16, 2011
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petItion on the April 26.2011 Special Election Ballot.
SIGNATURE OF PETITIONER
.-------------------.-----"'---.-~--.-------------~---,---=--=:-=:::::-----
DATE
SIGNED
1
i
~ 0
~
1
2
3
4
5
6
7
, 8
9
10 PRINTED NAME AND ADDRESS OF PETITIONER
John Q. Public
ADDRESS ,:; 7 0 c C) + VI --5 t-- . J,.__: /;._) I -. "<
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I PRINT NAME OF PETITIONER
! John Q Pllhlir.
-. SIGN HERE
I ADDRESS
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eB!NT~AME OF PETlT10N~R SIGN HERE
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ADDRESS
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SIGN HERE
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PRINT:!'I,MtE OF-PE-TU:'ONER---, - ,--SIGN HERE
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NOTE: Any registered D.C. voter may sign this petition,
. " I
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
~-------------------'-------------·-I DATE~i
PRINTED NAME AND ADDRESS OF PETITIONER I SIGNATURE OF PE\~IONER : SIGNED
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fNSTRUCTIONS TO THE CIRCULATOR
Validity of SI51natures:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after B challenge has been flied to the nominating petition. 2. The signer's printed name, address, and dale sioned must appear in the spaces provided to assure that the signature will be counted. 3, The signing of each signature on this petition page must be Witnessed by YOU. the circulator, You must attest that you wltnnsed the signing of each signature in the circulator's affidavit below.
Residency of Circulator;
At the time the petition is circulated, the circulator must reside at the address listed on his or her voter registration record. Elling Deadline:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed in person, at the office Of the D,C. Board of Elections and Ethics, 441- 4111 Street, N.W. Suite 250N, Required Affidavits:
1. At the time offiling the. initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures, 2, The petition must be accompanied by a ·Oeclaration of Candidacy" signed by the candidate. The "Declaration' must be notarized by a Board Employee or District Notary.
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AFFIDAVIT OF PERSON CIRCULATI ) 'i ~e.fL S i ,) residing at _~+-;;;.,__-!-..;"._..::........t::.:::..L..J.L/l1~C-=~::___iI--':__ __ 4-"-Printed Name of CIrculator
SWfNIr-Of.affmn:. (a).thiltLBm.8 registered . qualified elector ofthe.Diatrict-of--Columbla;(b) thatlpel'9Onally circulated this petition sheet;·(C).thBt-Ip8l'15onally wltneSS4!lcf the signing of each sill'nilture thereon; and (d) that I have determined from each signer that 1'1& or she is a registered voter In the District of Columbia.
WARNING! READ THE ABOVE AFFrDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED ~~~~~N2~_~:O~~SE STATEMENT, Y~~yN Bf.~ED U~TO $1'~O ANDIOR JAIL~D ~prO~~80 ~AYS rD.~, O~FrCIAL CODE
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Date _' Signature of Circu r Circulator's Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet f btf of ~ 1 '(
(Name of Candidate)
For the Office of
AT .. LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline- February 16, 2011
3221 11 th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duiy registered voters In the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26, 2011 Special Election BElIJot.
___". SIGN HERE
John Q. Public 111111
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PRINTED NAME AND-ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
DATE SIGNED
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NOTE: Any registered D.C, voter may sign this petition.
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CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
----,--- -----_-----------
DATE SIGNED
SIGNATURE OF PETITIONER
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CTIONS TO THE CIRCULATOR
ValidIty of SIgnatures: 1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after~ii challenge has been filed to the nominating petition. 2. The signer's printed name. address. and date sianed must appear in the spaces provided to assure that the signature will be counted .. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the signing of each Signature in the circulator'S affidavit below.
Residency of Circulator: c.
At ihe time the petition is circulate¢·thecirculator must reside at the address listed on his or her voter registration record.
Filing Deadline: .' _ .
The deadline to file this petition is 5!O() p.m. on Wednesday, Februllry16, 2011. The petition must contain the minimum number of signatures required by law. Supplementa! petition sheets may be filed, but only alter the candidate has-made an initial filing containing the minimum number of signatures. Petitions must be mail in person, at the office of the D.C, Board of Elections and Ethics,441-4thStreet, N.W.Suite 250N.
Required Affidavits: .
1. At the time of filing the ini1falsubmission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidaoy' signed by the candidate. The 'Declaration" must be
notarized by a Board Employee or;DistriCfNotary. -
. LJ ') t- . A:FFI~AVJ~ ~F PERSON CIRCULATI~,~THIS PETITI N PAGE
J, I U 11-: U'iJi € .. (S t Ii . residing at v~ /J ( . 1"'1 C;_.
Printed Name of Circulator. Address of Circulator
- sweaLor. .. afflrm: .. (a)_tnaLLam_a.reglstered -qualifiedelector-oUhe-Distr.lct-oLColumbla; (b) thaU personally·clrculated-this patltlon. sheeti-(e)-that·I·. personally wItnessed the signing of each Signature thereon; and (d) that I have determined from each signer that he or she is a registered voter In the District of Columbia.
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---------------------------------------------------
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet Lb 1
of >17
(Name of Candidate)
For the omce of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16,2011
3221 11 th Street, NW 2001 0
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petItion on the April 26, 2011 Special Election Bal/ot.
1/1111
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PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER
-+ SIGN HERE
o ADDRESS John Q. Public
DATE SIGNED
1
2
3
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4
NOTE: Any registered D.C. voter may sign tnis petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
DATE SfGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
12
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validity of Signatures;
1. At the time this petition IS signed, each signer must be registered to vote at the address listed on the petilion page or file a change of address within ten (10) da)'s after EI challenge has been flied to the nomlnatlng petillon. 2. The signer's I2rinted name. address, and date. signed must appear in the spaces provided to assure Ihat the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You mustattest that you Witnessed the signing of each Signature in the circulator'S affidavit below.
Residency of Clrculator:
At the time the petition is cirCUlated, the circulator must reside at tht3 address listed on his or her voter registration record, Elling Deadline:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by Jaw. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be hied in person, at the office of the D.C. Board of Elections and Ethics, 441 - 4111 Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Dsclaratlcr-" must be
notarized by a Board Employee or District Notary i
17 0 cr: /4' /'~F~.~A~! OF PERSON CIRCULA~G. T_HIS PETITION PAG~. ;.. / I. . / . 1 0,( I
I, U L&- ftJf2 ~ J [Be. £ residing at ~ Cit; (} D J r,h!l _ tIL1(;_d..f1 / tf-Y 4-
Printed Name of Circulator . Address of CtrcutJtor I
sWdr-or-ilffJnn:_(a)JhatJ.ama regl!l.teredquallfied .lector of the-Dlltrict.of-Columbla; .. (b) that! personally circulated this petItion sheet; (c)-thatcl pe1"lSDnally wftnesMd the signing of !tach signature thereon; and (d) that I have determined from each sIgner that he or sne is a registered voter In
the District of Columbia.
INSTRUCTIONS TO THe CIRCULATOR
D MAKE RE IT IS TRUE BE~ORE YOU SIGN BELOW. IF YOU ARE CONVICTED
BE F ED P TO ",000 ANDIOR JAILED UP TO 180 DAYS (D.C. OFFICIAL CODE
Circulator's Telephone Number (Optional)
-- ------------------------------------------
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet I b6 of ~ 11
(Name of CandIdate)
For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16,2011
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26,2011 Special Election Ballot.
DATE SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER
___ SIGN HERE
o ADDRESS
John Q. Public i 111111
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NOTE: Any registered D.C. voter may sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
~---------------------------------'---------------------~-~---'bATE :
PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER SIGNED I,
. "Au~ OF ""'TITIONER _. SIGN HERE
ADD'~_'S S'~~ • ~ ... - Ii!' /
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I ADDRESS ~ :
E!':ill'IT NAME OF PEn~
ADDRESS ~
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fBItlINAME OF PETITIONER ~ SIGN HERE
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SIGN HERE
ADDRESS
PRINT NAME OF PE'fmONER
ADDRESS
fBItU NAME OF PETITroNEif
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J ~ .I!BIril"'="',..,.,."NAM~-E_O-F-P-ETI_T-IO-N-ER----- /,-:r7~_---_-----1 SIGN HERE ~
ADDRESS /' ~
Validity or Slpl1!ltyres:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the pelition page or file a change of address within ten (10) days after a challenge has been filed to the nominating petition 2. The Signer's printed name address, and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witneued the signing of each signature in the circulator's affidavit below.
Residency of ClmuJator:
At the time the petition is circulated, the circulator must reside at the address listed on his or her voter registration record. Flllna Deadline:
The deadline to file this petition is 5;0() p.m. 011 WednesdiJy, Februilry16. 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after !he candidate has made an initial filing containing lhe minimum number or signatures. PetitiOns must be Wed In person, al tile office of the D.C. Board of Elections and Ethics, 441- 4th Street, N.W. Suite 250N, Required AffidavIts:
1. Altha time offiling the initial aubmiastcn, the person filing must complete an affidaliit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by e "Declaration of Candidacy' slgngd by the candidate. The 'Dec\aratiop" must be notarized by a Board Employee or District Notary
:~~.:,·?)o <'!j>? .l/¥f!PAYJT OF PERSON CIRCULATIN~ THIS PET ION P~d l.. __ (, j dill fL-.: ;~'.L/~. residing at Si;, v{) '/ S; Cb£<
~ "'Printed Name of CjrGufator ~. Address of Circulator
sWMr-or..afflnn:.(a) .. thatLama.reglstared .quallfied elector of theDlstrlct.of-Columblaj.(b).tnat I personally circulated this petltion·sheet; {e)·that-I personally witnessed the signing of each signature thereon; and (d) that I have detennlned from each Signer that he or she is a registered voter In the District of Columbia.
:::':.E 0' "',","0." 7/ ml!! HERE ~'"
PRINT NAME OF PEnTION,J
SIGN HERE
Circulator's Telephone Number (Optional)
! ADDRESS /
!
INSTRUCTIONS TO THE CIRCULATOR
DISTRJCT OF COLUMBIA PETITION TO NOMJNA IE
Patrick Mara
i \
') U lJl '2...11
Sheet t--~ I of_~-4- __
(Name of Candidate)
For the Office of
AT .. LARGE Mt::.MBER of the COUNCIL of the DiSTRICT OF COLUMBiA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
r----------------::-="::-::-~__;_:___=_::____:_""7":";:_:_:__:.::_::_=:_:_=_----~-----------,
3221 11 th Street, NW 20010
000090259
Republican
CANDiDATE'S ADDRESS (INCLUDING ZIP CODE)
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of ElectIons and Ethics place the name of the Individual nomInated by this petItion on the April 26:, 2011 Special Election Bal/ot.
........ SIGN HERE
DATE SIGNED
PRINTED NAME AND ADDRESS OF PETiTIONER
SIGNATURE OF PETITIONER
2
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1 0 ADDRESS
John Q. Public 1/1/11
1
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NOTE: Any registered D.C. voter mev sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
-- .------:---OATE-;
PRINTED NAME AND ADDRESS OF PETITIONER I SIGNA TURE OF PETITIONER , SIGNED I
I I
~E OF PEnTlONER - ~-- ---Jo.! SIGN HERE /X---I
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11 'IIDDRt;SS ~
___ "AN< or ~ SIGN HERE
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12 ADDRESS
PBlNT NAME OF PETITIONER ~ i SIGN HERE
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13 ADDRESS ~ ~--+- "-1
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PRINT NAME OF PETITIONER -. SIGN HE I
14 ADDRESS .~ I
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- -. [AlGN HERE .- I
I PRINT NAME Of PETITIONER
15 ADDRESS / r-. 1
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ffiIIIT NANE OF PETITIONER'--- --'--- 7 SIG ERE I I
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16 ADDRESS -----9 , I
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._--_._ ...... _ .•. SIGN HERE .--.--.~----. -.- .. _ ----
PRINT NAME OF PETITIONER ,
I
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17 ADDRESS /
fB!m NAME OF PETITIONER / SIGN HERE ~ 'I I
1 ADDRESS /
18 /' I
, "'HINT NAME OF PETIT~~ SIGN HERE ~ I
19 ADDRESS //
PRINfNAMErlTIONER t-,
1------- SIGN HERE -. I
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Printed Name of Clroulator
Validity of SIgnatures:
1. At the time this petition 18 signed, each signer must be registered to vote at the address listed on the peliticn page or file a change of address within ten (10) days after a challenge has been flIed to the nominating petition. 2, The Signer's gdnted name, address, and date sianed must appear in the spaces provided to assure lhal the signature will be counted_ 3. The signing of each signature on this petition page mus! be witnessed by YOU. the circulator. You must attest that you witMssed 'h& signing of eaoh signature in the cireulator's affidavit below.
Residency of Circulator:
At the time the petition is circulated. the circulator must reside at the address listed on his or her voter registration record. Elllna Deadline:
The deadline to file this petition is 5;00 p.m. 00 Wednesday, February 16, 2(J11_ The petition must contain the mmimum number of signatures requi18<l by law_ Supplemental peffiion sheets may be filed, but only after the candidate has made an initial filrng containing the minimum number of slgnatures_ Petitions must be filed in person, at the office of the D.C, Board of Elections and Ethics, 441 - 4111 Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission. the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures, 2. The petition must be accompanied by a "Declaralion of Candidacy" signed by the candidate. The 'Declaration" must be notarized by a Board Employee or District Notary_
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
resIding at¥U.i kn'fj! 141, MtI, tJ./Li1,!;:,;C___
Ad ess of Circulator
INSTRUCTIONS TO THE CIRCULATOR
sw.af-orafflrm:.(al-thatJam .. 8 regl!ltel'8d . qualified elector oftheDllltrict-of_,Columbla;.(b) that I personally circulated thill petition stleut;(e)-that-Ipersonally witnessed the signing of each signature thereon; and (d) that I have determined from each Signer that h& or Ilhe Is a reglstered voter In tht! District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BE;::QRE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FAl.SE STATEMENT, YOU CAN BE FINED UP TO $1,000 AND/OR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODe
SE~TI:r: 22-2405). -
2l~~ \. \ fZ? .... .-. vf~
Date Signature of Circulator Circulator's Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet L ~{ of ~ 11
(Name of Candidate)
For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures·- December 24,2010
Filing Deadline - February 16,2011
3221 11 th Street I NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nomlnatad by this petition on the April 26,2011 Special Election Ballot.
,--------------------------
DATE SIGNED
PRINT NAME OF PETITIONER
o ADDRESS
SIGNATURE OF PETITIONER __,. SIGN HERE
PRINTED NAME AND ADDRESS OF PETITIONER
'-
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4
5
6
7
8
9
10 John Q. Public 1/1/11
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NOTE: Any registered D.C. voter may s;~n this tietitlon.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
---------·---------,---------------DATE···
SIGNED i
11
12
13
14
15
16
17
18
19
validity of Signaturgs:
1. At the time this petition is signed, each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a challenge has been flied to the nominating petttlon. 2. The Signer's printed name, address. and date sioned must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidevit below
Resldem;y of CIrculator:
At the time the petition is circulated, the circulator must reside at the address listed on his or her voter registration record. Filing Deadline:
The deadline to file this petition is 5:00 p.m. on Wednesday, Februllry 16. 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheats may be filed, but only after fhe candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed tn person, at the office of the D.C. Board of Elections and Ethics, 441- 4th Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing 1he initial submiesion, the person filing must complete an affidavit attesting that the petition contains lhe minirnum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Deolaration' must be notarized by a Board Employee or Dislricl Notary
o AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE +J2t>1
I. f\D'$,c....O'= ul/Ll"Q-m f residing atrz'l' &1j.(h'~ ·ti. lJeJ;. ~J)c..
Printed Name of ctreuiator Add 5S 0 Circulator ~
sweilr-or..affinn:(althatLama reglst1!redquallfied et.ctor of the Dh.trlcl"of.CoJumbla;. (b) that I pel'9OnaHy clrculatud thitl petition sheet; (e)-UI8t f personally wftnessed the .'9nI09 of each signature thereon; and fa) that I have determined from each g;[gner that h& or sne is a I'3glsfered voter In the DIstrict of Columbia.
INSTRUCTIONS TO THE CIRCULATOR
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED U52- TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D,C. OFFICIAL CODE
SECTION 22-2405J. ~ ~/ ~
;2..-1(-11 ~ ~.
Date Signature of Circulator Circulators Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITiON TO NOMINATE
Patrick Mara
Sh~et ~ of 777
(Name of Candidate) For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24.2010 Filing Deadline - February 16, 2011
322111th Street, NW 20010
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CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATlON
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the individual nominated by this petition on the April 26, 2011 Special Election Ballot.
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DATE
SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER
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NOTE: Any registered D.C, voter may sign thi~ petttion.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE ----~-~-'--·DA TE -:
SIGNATURE OF PETITIONER I SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
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vaUdlty of Slgnliltures:
1.. At the time this petition ;S signed, each signer must be registered to vote at the address listed on the petition page Of file a change of address within ten (10) da~s after a challenge has been filed to the nominating petition. 2. The signer's printed name, address. and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you witnessed the signing of each signature in the circulato."'s affidavit below
Realdeney of Circulator:
At the time the petition is oirculated, the circulator must reside at the address listed on his or her voter registration record. Elling peadllno:
The deadline to file this petition is 5:()() p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed in person, at the office of lt1e D.C, Board 0' E\ections l!ond EthIcs, 441 - 4(h Street, N.W, Suite 25(}N. Reguhtl Affidavits:
1. At the time offfling the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of Signatures. 2. The petrtion must be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Declaration' must be notarized by a Board Employee or DistriCt Notary
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
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Printed Name of Circulator -AAdres& of CIrculator ,_
INSTRUCTIONS TO THE CIRCULATOR
SIMNIT_Of.affirm: (aj_that.Lam a I'tIgl!ltel'8dqualified elector of the Dlatl'lct-of.Columbla;(b) that I personally circulated thi9 petition sheat;-{c)thet-I pOlllonafly witnesNd the Ilgnlng of each Signature thereon; and Cd) that' have determined from each Signer that he or she is a registered voter In the District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE 11' IS TRUE 8E:I=ORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL CODe
SECTION 22-2405J. -:h . '
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Date Signature of Circulator Circulator's Telephone Number (Optiona:)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
(Name of Candidate) For the Office of
AT-LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26) 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
322111th Street, NW 20010
000090259
~=---------.---. --------------
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
Republican
VOTER REGISTRATION NUMBER
PARTY AFFiliATION
We, the undersigned. being duly registered voters in the District of Columbia, request that the District of Columbia Soard of Elections and Ethics place the name of the indIvidual nomInated by this petit/on on the April 26,2011 Special Election Bul/ot.
PRINTED NAME AND ADDRESS OF PETITIONER
DATE SIGNED
o ADORESS
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SIGNATURE OF PETITIONER -+ SIGN HERE
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NOTE: Any registered D.C. voter may sign this petjtion
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
! SIGNATURE OF PETITIONER------i -S~~;D
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~ NAME OF PETITIONER -+ I SIGN HERE !
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PRINTED NAME AND ADDRESS OF PETITIONER
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ADDRESS
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PRINT NAME OF p~Tl0NeR
Validity of Sign,tures:
1. At the time this petition is signed. each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a :::hallenge has been flied to the nomlnat"rng pstttlon. 2. The signers printed name address. and date signed must appear in the spaces provided to assure 1hElt the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YQU. the circulator. You must attest that you witnessed the Signing of each signature in the cir:::ulator's affidavit below
Realdern;:y of Circulator:
At the time the petition Is circUlated. the ctrcutator must reside at the address listed on his or her voter regislratlon record filing Deadllno:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 1G. 2011. The petition must contain the minimum number of sigMtures required by law. Supplemental petition sheets may be filed. but only after the candidate has made an inl1ial filing containing the minimum number of Signatures. Petitions must be flied In person. at the office of the D.C. Board of Elections and Ethics, 441- 41h Streot, N.W. Suit& 2S0N. Required Affidavits:
1_ Atthe time of filing the Initial submission, the person filing must complete an affidavit ettesiing that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a "Declaration of Candidacy" signed by the candidate. The "Declaration" must be notarized by a Board Employee or Districl Notary.
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE ~;6 I
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Printed Name of CircUlator . A ress of Circulator
awear-or.afflrm;.(a) that. Lam a regl9mred qu.Ufied elector of the District-of-Columbia;. (b) that I personally circulated this petJtlonsheeti-(e)·that-lpensonally wftnessetl the signing of eaCh sl[lnature thereon; and (d) that I have Cletennlned from each signer that he or she Is a registered voter In the District of Columbia.
INSTRUCTIONS TO THE CIRCULATOR
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BE!=ORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 ANDIOR JAILED UP TO 180 DAYS [D.C. OFFICIAL COCE
SECTION 22-2405J. - •
2-'2-11 ~ W~~
Date Signature of Circulator CIrculator's Telephone Number (Optional)
DJSTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
(Name of Candidate) For the Office of
AT·LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16, 2011
3221 11 th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the tndivkiue! nominated by this petitIon on the April 25, 2011 Special Election Ballot.
DATE SIGNED
PRINTED NAME AND ADDRESS OF PET[TIONER
i SIGNATURE OF PETITIONER
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John Q. Public i 1/1/11
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CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
V!!lidlty of Slgnatullls:
1. At the time this petition is signed. each signer must be registered to vote at the address listed on the petition page or file a change of address within ten (10) days after a challenge has been flied to the nominating petition. 2. The Signer's printed name, address, and date signed must ao pear in the spaces provided to assure that the signature will be counted. 3. The Signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the Signing of each signature in the circulator's affidavit below.
Residency of Circulator:
At the time the petition is circulated, the circulator must reside at the address listed on his or her voter registration record. Filing Deadline:
The deadline to file this petition is 5:00 p.m. on Wf1dnesday, February 16, 2011. The petition must conram the minimum number of signatures required by law, SUpplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be filed in person, at the office of the D.C. Board of Elections and Ethics, 441 - 4'h Street, N.W. Suite 250N. Required Affidavits:
1. At the time of filing ihe initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by A "Declaration of Candlcacy" signed by the candidate. The 'Declaration" must be notarized by a Board Employee or District Notary
AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
tf1 \t., 0o\"J;T t\tOO)}J residing at <d3 elk'"'!, ~{. /J;v...J ~8/J.
Printed Name of CircUlator Address of Circulator
INSTRUCTIONS TO THE CIRCULATOR
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SWfir_or .affinn: .. (a),thaU am.a reglsteredquallfHld elector of thf1 Diatrictof-Columbla;.(b) that I personally Circulated this petition sheet; (c)·that-I pft)"6onally witnessed the signing of 9st;h signature thereon; and (d) that I have determined from each signer that he or she- is a registered voter in the District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BEFORE YOU SIGN BELOW. IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU N B FINED.uP TO $1,ODO AND/OR JAILED UP TO 180 DAYS [D.C. OFFIClAL CODE SECTI,ON 2:2-2405).
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Date
CirculitOr's Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
SheetZ. 4f! of -m
{Name of Candidate} For the Office of
AT -LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24,2010 Filing Deadline - February 16,2011
3221 11th Street, NW 20010
CANDIDI\TE'S ADDRESS (INCLUDING ZIP CODE)
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PARTY AFFILIATION
000090259
VOTER REGISTRATION NUMBER
We, the undersigned, being duly registered voters in the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the Individual nominated by this petition on the April 26, 2011 Special Ejection Bsttot.
PRINTED NAME AND ADDRESS OF PETITIONER
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DATE
SIGNED
SIGNATURE OF PETITIONER
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NOTE: Any registered D.C. voter may sign this perm~n.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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PRINTED NAME AND ADDRESS OF PETITIONER SIGNATURE OF PETITIONER ! SIGNED !
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ADDRESS
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INSTRUCTIONS TO THE CIRCULATOR J
Validity of Slglllltures: t J
1. At the time this petition is signed, each signer must be registere<f to vote at the address listed on the petiuon page or file a change of address within ten (10) days after a challenge has been flied to the nominating petition. 2. The Signer's printed name, address, and date Signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU, the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below
Residency of Circulator:
At the time the petition is circUlated, the circulator must reside at the address listed on his or her voter registration record. filing Deadllnp~
The deadline to file this petition IS ~:OO p.m. on Wednesday, February 16,2011, The petition must contain the minimum number of signatures required by law. Supplemental petrtion sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures .. Petitions must be file::!," person, at the office of the D.C. Board of Elections and Ethics, 441 - 41n Street, N.W. Suite 250N, Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesting that the petition contains the minimum number of signatures. 2. The petition must be accompanied by a ·Oeclaration of Candidacy' signed by the candidate. The 'Declaration" must be notarized by a Board Employee or District Notary.
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AFFIDAVIT OF PERSON CIRCULATING THIS PETITION PAGE
-:)(2;,-\...\)0 l, (h 0 G j'J residing at 98 <v I !dL t.Sj. .... i(_ f\J ~ uJ _~_: __:_?~/d~ _
Printed Name of CirCUlator
Address of Circulator
swear-or.affirm:·,la, .. ttJatLama registered qualified electoT of the DiatriclofColumbla; (b)thaH.personally circulated this petition sheet; (c)-that-I. personally wltnes.er:l the Signing of each Signature thereon; and (d) that I have determined from each sIgner that he or she is a registered voter In the District of Columbia.
WARNING! READ THE ABOVE AFFIDAVIT AND MAKE SURE IT IS TRUE BeFORE vou SIGN BELOW, IF YOU ARE CONVICTED OF MAKING A FALSE STATEMENT, YOU CAN BE FINED UP TO $1,000 AND/OR JAILED UP TO 180 DAYS [D.C, OFFICIAL CODE
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Oa Signature 0 rculator Circulator's Telephone Number (Optional)
DISTRICT OF COLUMBIA PETITION TO NOMINATE
Patrick Mara
Sheet '1;J:oof 1;77
(Name of Candidate) For the Office of
AT.LARGE MEMBER of the COUNCIL of the DISTRICT OF COLUMBIA in the April 26, 2011 Special Election
First Day to Collect Signatures - December 24, 2010 Filing Deadline - February 16, 2011
.--------------------~---------:--------~------- .. -----
3221 11th Street, NW 20010
CANDIDATE'S ADDRESS (INCLUDING ZIP CODE)
000090259
Republican
VOTER REGISTRATION NUMBER
PARTY AFFILIATION
We, the undersigned, being duly registered voters In the District of Columbia, request that the District of Columbia Board of Elections and Ethics place the name of the IndMduel nomfnated by thIs petItion on the April 26, 2011 SpeCial Election Ba/lot,
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DATE SIGNED
PRINTED NAME AND ADDRESS OF PETITIONER
SIGNATURE OF PETITIONER -. SIGN HERE
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NOTE: Any registered D.C, voter mev sign this petition.
CANDIDATE'S NAME APPEARS ON THE FRONT OF THIS PAGE
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SIGNATURE OF PETITIONER
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PRINTED NAME AND ADDRESS OF PETITIONER
.... 4-1 SIGN HERE
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Validity of Signetures:
1. At the time this petition is signed, each signer must be register&d to vote at ihe address listed on the petition page or fite a change of address within ten (10) days after a challenge has been flied to the nominating petition. 2. The signer's printed name, ad::lress, and date signed must appear in the spaces provided to assure that the signature will be counted. 3. The signing of each signature on this petition page must be witnessed by YOU. the circulator. You must attest that you witnessed the signing of each signature in the circulator's affidavit below
Residen(;~ of Circulator:
At the time Ihe petition is circulated, ttle circulator must reside at the address listed on his Of her voter registration record. Elling Deadline:
The deadline to file this petition is 5:00 p.m. on Wednesday, February 16, 2011. The petition must contain the minimum number of signatures required by law. Supplemental petition sheets may be filed, but only after the candidate has made an initial filing containing the minimum number of signatures. Petitions must be tiled In person, at the office of the D.C. Board of Elections and Ethics, 441 - 4ttl Street, N,W. Suite 250N. Required Affidavits:
1. At the time of filing the initial submission, the person filing must complete an affidavit attesiing that the petition contains the minimum number of signatures. 2. The petition must be accompanied by B 'Declaration of Candidacy" signed by the candidate. The "Declaration" must be notarized by a Board Employee or District Notary
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INSTRUCTIONS TO THe CIRCULATOR
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Printed Name of CirCUlator
Address of Circulator
sWNr_or.affinn:.(ajthat.Lama regl!ltered qualified elector of the.District.of..columbla; (b) that I personally circulated this petition sheet; {e}thal-I personally wttnes~ the signing of Bach signature thereon; and (d) that I have detennined from each signer that he or she is a ""gislered voter In the District of Columbia.