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  • 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

  • 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

  • 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

    skeck@cassiacounty.org

    ibench@cassiacounty.org

    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

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