Candidate AffidavitAvo n
C011 0RAO0
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.
f t
This affidavit shall certify that I, % 7 RODN Gti 1—& am a candidate for the Town of Avon
Office of Town Council Member:
I further certify that I am familiar with the provision of the Avon Town Charter and Code Section 1.14: Campaign
Finance. -----
Signature of Candidate: Z 42gl Date: / / Z Physical
Address of Candidate: R, C-G Mailing
Address: 7 0X R-'%-7 3v Telephone:
9' ? ?—A c4 Email: C,V co%up:)^At cc ' • CXSM State
of Colorado County
of Eagle Before
me, Ann 4+rreo ja ( u `crrrZ a notary/officer duly authorized to administer oaths, in and
for said office, personally appeared Al kr-t T 7t,i on , 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. Subscri
nd affirmed to before me this It day of c u_Si , 2022. 1
A ANA
ARREOLA GUTIERREZ Notary/
Official Signature NOTARY PUBLIC STATE
OF COLORADO NOTARY
ID 20164043755 Commission
Expiration Date MMISSION EXPIRES 11/19/2024 Page
1 of 1 Revised
July 2022 Item
5.1—Candidate Affidavit