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Page 1: 6 2018 County Commissioner, County Clerk, County ... of Candidacy County Commissioner, County Clerk, County Treasurer, County ~sessor, County Coroner FEB 2 6 2018 (?• fg O . Cl -""'-Filing

M ... ,"_ '"/..,. • ., I\&.: -..,1:. I L:U

Declaration of Candidacy County Commissioner, County Clerk, County Treasurer,

County ~sessor, County Coroner

FEB 2 6 2018 (?• fg

O . Cl -""'-

Filing Dates Candidate Filing Candidate Withdrawal

First Day to File

Last Day to File

February 26, 2018 Primary: March 23, 2018

March 9, 2018 by 5:00 PM in the County Clerk's Office General: September 7, 2018

Office· Information Filing for the Office of: Clerk of the District Court

- - ------- --- ------ ---- -----<

Party Affiliation: n Constitution [J Democratic D Libertarian [!] Republican Y

Candidate Information Candidate Name (As it appears on your voter registration record)

- - ----- - --- ---- --First MI Last Suffix ✓ Joseph W. Larsen

Residence Address (As it appears on your voter registration record) ~ --~ - - ------ --~ -----~ ---~~~- - -~- ~-----Street Address City State Zip -Cone County

; 562 Terrace Drive, Burley ID 83318

Mailing Address Street Address City State Zip Code County

562 Terrace Drive, Burley ID 83318

How you would like your name to appear on the ballot: Joseph W. Larsen

Campaign Finance Information Have you updated or filed a C1: Appointment and Certification of Political Treasurer?

[!] Yes D No Contact the County Clerk for campaign finance filing information.

I Certification I, the undersigned, being a resident of the State of Idaho and of the County listed above, and

registered with the party selected, do hereby declare myself a candidate for the office entered above to be voted on at the Primary Election to be held on the 15th day of May, 2018 and I certify that the information on this Declaration is true and accurate.

I further certify that I possess the legal qualifications to hold said office. I submit herewith the statutory filing fee of$ J/~.IJO , or in lieu of the filing fe~, ominating petitions containing the statutory number of signatures of qualified electors. ~p

Dated: i.-- Z- b - 1 g' Candidate Signature: 'i(/41 w~ ..-e

Subscribed and sworn to before me this Zt f'/1 day of R$!Ju'b1Zf , 2,,/J 0' . Signature: ~~ ~b.dtL .. #''''''~'.'.M'.'.'~1~~ Notary Public in and for the State of Idaho, residing at (Notf~··· ·····(:/\

ctlW\.D' ro ~ / NOTARY \ ~ My Commission Expires: a, /o<l./w'1,,,f I l -·- ) I

% \,_ Pusuc .. / l EC-10 - Declaration of Candidacy for County Offices - Approved by the Secretary of State, Decem~ -~ 9-... , .. .-;'~0 i~

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Page 2: 6 2018 County Commissioner, County Clerk, County ... of Candidacy County Commissioner, County Clerk, County Treasurer, County ~sessor, County Coroner FEB 2 6 2018 (?• fg O . Cl -""'-Filing

Petition for Candidacy

RECEIVED

FEB 2 6 2018

County Commissioner, County Clerk, County Treasurer, County Assessor, County Coroner

'f?:/3 Q . r"\; ~

I Filing Dates & Information First Day to File February 26, 2018 Last Day to File March 9, 2018

In lieu of the filing fee, this petition must be filed in the County Clerk's Office with the Declaration of Candidacy by candidates for all countywide offices during the above filing period. The statutorily required number of signatures must be verified by the County Clerk prior to filing.

Office Information Filing for the Office of: c,,,1.,E Rt<- of 1r1 £ J)J:;srrtic-r (!,/) u,tf r Party: i €-f U8L:t::-CA IV

Candidate Information Candidate Name (As it will a1mear on the ballot) J/JS£Pfl JAi WRS£/V

I Signers Statement I, the undersigned, being a qualified elector of Cassia County in the State ofldaho, do

hereby certify and declare that I reside at the place set opposite my name, and that I join in the petition of the candidate for the party and office listed above to appear on the Primary Election ballot on May 15th, 2018, and that each for himself says: I have personally signed this petition; I am a qualified elector of the County listed above and the State of Idaho and my residence address is correctly written after my name.

ss. County of----'C""'a,,.,s""'s~ia"--------

I, Joseph W. Larsen • being first duly sworn say: That I am a resident of the State of Idaho and at least eighteen (18) years of age: that every person who signed this sheet of the foregoing petition signed his or her name thereto in my presence: I believe that each has stated his or her name, address and residence correctly, t at ach signer is a lifted elector of the State of Idaho, and a resident of the county of Cassia Circulator Signature: __,~~~<p'f,-""'--"'¥....,L..µ,,.."'-L...-=-- Address: 562 Terrace Drive, Burley ID 83318 Subscribed and sworn 7l-f day of fc&/Cu/Yl Y • --U-Ll- ~,,,,,,,,1111111111111,,✓, Notary Signature: _ _aJ~~~~~~ - ~~~~,::___ _ / #~s~ .. M:./r~ .. t ~ .. •····· ····~·o~ Notary Public in and for the State of Idaho, residing at (Not~ s/ ~NOTAR \ { 1 af ....u>1 J:)) ~ [ y i ~

I 7 - • -•- I -

My Commission Expires: 0? ~ 1-02..-( \_ \. Pf.J / J EC-10A- Petition for Candidacy for County Offices - Approved by the Secretary of State, Decemo~ ~ 1.7.... BU~ ..... / #

~ Af-,.,;:, ............. ~o ~ 7ltt1/ t:: OF \01),1 ~,,,~

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Page 3: 6 2018 County Commissioner, County Clerk, County ... of Candidacy County Commissioner, County Clerk, County Treasurer, County ~sessor, County Coroner FEB 2 6 2018 (?• fg O . Cl -""'-Filing

Susan Keck Elections/Social Services Director

Janel Bench

Elections and Social Services Office Joseph W. Larsen, Clerk of the District Court

Cassia County Courthouse 1459 Overland Ave. • Room 105

Burley ID 83318

Elections/Social Services Assistant Director

STATE OF IDAHO

COUNTY OF CASSIA

To Whom It May Conce1n:

Phone: (208) 878-5240

Fax: (208) 878-8825

[email protected]

[email protected]

The Elections Office of Cassia County, Idaho, does hereby certify that lQ (ten) signatures on this petition for Joseph W. Larsen, for the position of Clerk of the District Court, are those of qualified electors.

(Seal of Office)

Dated this 26 day of February , 2018

Joseph W. Larsen Cassia County Chief Elections Officer

by: ~ ~ J ~eputy Clerk

l lPa g e