y Is S 1ONLCS 6110.5, 105.4 ATTACH TO PETITION, Suggested | Revised July, 2007 ‘SBE No, P-1A STATEMENT OF CANDIDACY NONPARTISAN NAME ADDRESS-ZIP CODE OFFICE CITY, VILLAGE OR SPEC. BST |g Sho buts 12h Membar i “ Shreet |Poacd F Cdstaher| Ldmerant | Gonrale 5 Steen ee Mai Reyes biegi | 9 Tose) Sa i 4 ead Tom Dict Instn pes NG can be aan op nly a TT Ta TET a STATE OF ILLINOIS d . counyor__ Whe este ‘os , _Gomals S Rays being first duly sworn or affirmed), say that 1 reside at SiO _wust 1246 Soret inthe 2D) Vilage, Unincorporated Area (ctle one) of inthe tue (unincorporated, lst municipality that provides postal service) Zip Code. County ot_Wik State of tino; that | am a qualified volar therein, that am a candidate for Nomination” eteciontinecticeot_lenhar Baad of Edwwabinne SteCluag Puble Scheols 1S Stetlng Tasnsii if ssat today Rar Os Vlogs oF Sposa Oa tobe voted upon atthe election t8 be held on Abe £221] (date of election) and that lam legally qualified to hold such office and that | have filed (or | wil fle before the close ofthe petition fling period) a Statement of Economic Interests {38 required by the Illnois Governmental Ethics Act and | hereby request that my name be printed upon the offical bat for Nominationfetecton fa Budhlotie. yo DEC 42 204 5 DEC 12 208 se DANA NELSc COUNTY CLERK E Stnedand suerte oratimed) by Curiza lp S Keyes. petorome on Luedadker 4. 22Up ‘Name of Candida {wiser month day ear) uy. Cash {ly (SEAL) MeAsTILAD Wotary Public's Signaturey no PEO i