Official Filing Petition

Nomination of Candidate

We, the undersigned voters of Reclamation District No. ____, hereby nominate ___________ (name of candidate) for the office of Trustee of the District for a term of ____ years.

Name

Date

Residence

Affidavit of Circulator

State of California??

County of ?

ss.

__________ (name of circulator), being duly sworn, deposes and says:
That __________ (he/she) circulated the foregoing petition and saw all the signa­tures appended thereto and knows that they are the signatures of the persons whose names they purport to be.

_____

_____

(Signature of circulator)

Subscribed and sworn to before me

this ___ day of ________, 20__.

Notary Public in and for the County

of ____, State of California.

My commission expires ____.

_____

Affidavit of Nominee

State of California???

County of ?

ss.

_________ (name of nominee), being duly sworn, says that he/she is the above-named nominee for the office of _____ (office), that he/she will accept the office in the event of his/her election, that he/she desires his/her name to appear on the ballot as follows:

(Print name above)

that he/she desires the following occupational designation, containing not more than three words, to appear on the ballot under his/her name, and that this designation is correct.

(Print desired designation, if any, above)

_____

_____ (Signature of nominee)

Subscribed and sworn to before me

this ___ day of ________, 20__.

Notary Public in and for the County

of ____, State of California.

My commission expires ____.

_____