HomeMy WebLinkAboutNadeau_Application for Place on the Ballot_05.09.2015AW2-15,712011
Prescribed by Secretary of State
Sections 141.031, 143,004, 143,006, Texas Election Code
All information is required to be provided unless indicated as optional.
APPLICATION FOR A PLACE ON THE CITY OF Georgetown GENERAL ELECTION BALLOT
TO: City Secretary
I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT Include any place number or other distinguishing number, if any.
INDICATE TERM
Georgetown City Council District 5
Eyl FULL UNEXPIRED
FULL NAME (First, Middle, Last)
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT
Paul Nadeau
Paul Nadeau
PERMANENT RESIDENCE ADDRESS (Street address and apartment
MAILING ADDRESS (If different from residence address)
number. If none, describe location of residence. Do not include P.O.
Box or Rural Rt.)
CITY
STATE
ZIP
CITY
STATE
ZIP
Georgetown
I Texas
78628
1
1
EMAIL ADDRESS (Optional)
OCCUPATION (Do not leave blank)
DATE OFBIRTH
VOTER REGISTRATION VUID NUMBER
(if applicable)
Senior Systems Engineer
TELEPHONE NUMBER (Include area code) (Optional)
Length of Continuous Residence as of Date Application Sworn
OFFICE:
IN STATE IN CITY IN DISTRICT OR PRECINCT'
13 yr(s) 0 yr(s) 0 yr(s)
HOME: 512-348-4975
3 MOS 11 mos 11 MOS
If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further
swear that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation, I have
been commonly known by this nickname for at least three years 2rior to this election.
Before me, the undersigned authority, on this day personally appeared (name) Pat LN Nadeau who being by me
here and now duty sworn, upon oath says: 1, 1(narne)_F SOD JULhL_h[adeaU_, of Williamson
County, Texas, being a candidate for the office of V C ! j cil Distrir-t R , swear that I will support and
defend the Constitution and laws of the United States and o the State of 17exas. I am a citizen of the United States eligible to hold such office under
the Constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of
citizenship restored by other official action. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally
mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code.
I further swear that the foregoing statements included in my application are in all things true and correct."
SIGNATURE'OF CANDIDATE
Swo and subscribed before me at 0 10 this the 10 day of _3D
SEAL
Signal of administering oath' Title of OUer administering oatL.J
ffi
TO BE CO
(see Section JESSICA ERIN BRETTLE 0all a /is
NOTARY PUBLIC Date Received Signature oirCity Secretary
State of Texas