Candidate Affidavitvon
C 0 L 0 R A D 0
Candidate 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,
I
ill q N(1 ,/, 9 _6, 6<_ am a candidate for the Town of Avon
Office of Town Council Member: %
I further certify that I am familiar wi he provision of the Avon Town Charter and Code Section 1.14: Campaign
Finance.
Signature of Candidate:
Physical Address of Candidate: l.0 uG C FL UC /
1 AZon
Mailing Add (L -
Telephone: (Z CD J (2 - 59 Email: ; e G,1. C v `
State of Colorado
County of Eagle
Before me, CH,413 S /iAry 174L)t/ 1? grsN , a notary/officer duly authorized to administer oaths, in
and for said office, personally appeared CALft f7ERry Rj:EGFR , 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.
Subscribed a affirmed to efor me this I day of .Au6uS I` , 2022.
Notary/Official Signature
AY 2 CHARLES MATTHE"WPARRISH
L > NOTARY PUaUC
STATE OF COLORADO
Commission Expiration Date NOTARY ID 20224020870
MY COMMISSION EXPIRES 06/24ON
Page 1 of 1
Revised July 2022
Item 5.1 —Candidate Affidavit