Candidate AffidavitCandidate Affidavit
This form must be filed with the Town Clerk within ten (10) days, after an individual becomes a candidate as defined
by Avon Town Charter and Code Section 1.14.030. Town Clerk's Office, 100 Mikaela Way, PO Box 975, Avon, CO
81620. Office hours: 8:00 am — 5:00 pm Mon -Fri. Except legal holidays.
This affidavit shall certify that I, V"i S\rn\SAA am a candidate for the Town of Avon
Office of Town Council Member:
I further certify that I a ith the provision of the Avon Town Charter and Code Section 1.14: Campaign
Finance.
Signature of Candidate: Date: 2m22
Physical Address andidate: Rio Q 10 &CpZo
Mailing Address: - ZO
Telephone: T ?d •339cl, Email: J4t L.1 Q p.SZ++`Q
State of Colorado
County of Eagle
Before me, G-in 41 r1'e0 (--- Cu ItmZ , a notary/officer duly authorized to administer oaths, in
and for said office, personally appeared 12 ,S kh I e whose name is subscribed to the
foregoing Candidate Affidavit, and who affirms, that said statements are true and that he/she acknowledges the
execution of said instrument to be of their own free act and voluntary deed for the uses and purposes there in set forth.
Subsc ' ed and affirmed to before me this ZW day of u h , 2022.
Notary/Official Signature ANA ARREOLA GUTIERREZ
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164043755
Commission Expiration Date MY COMMISSION EXPIRES 11/19/2024
Page 1 of 1
Revised July 2022
Item 5.1— Candidate Affidavit