Candidate AffidavitAvon
COLORADO
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, 4 62^/a-c/ Aler`l C""Qr`1(11 , 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: Date: V112-2-
Physical Address of Candidate: (2/ q /Ju/ o g/ -20
Mailing Add b zo c 2
Telephone: q70 - 3 ?'o'-S- l? cf Email: f`c c-rz r% Q " e 7
State of Colorado
County of Eagle
Before me, -5tt, t W+ Sk-I _i" IE-4 , a notary/officer duly authorized to administer oaths, in
and for said office, personally appeared jZ0h 0,n( lit e i I e Cty v t 1 , 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
and affirmed to before me this day of , 2022. Notary/
0 . Signature JLIP )"
Commission
Expiration Date JENA
SKINNER NOTARY
PUBLIC - STATE OF COLORADO NOTARY
ID 20084007349 MY
COMMISSION EXPIRES MAR 6, 2026 Page
1 of 1 Revised
July 2022 Item
5.1— Candidate Affidavit