2 - Nomination Documents
PLEASE PRINT IN BLOCK LETTERS
Me BbAAD HELhbl Helse Ae)
Nees : mee
ol, 330 Mfoph puprvk | Mia piped £e| VPY Oa?
Fach of ur ffime that to thebestof our knowledge, the above names petion nominates fer offs
n general etirg day forthe sacton, 1 years of gor de
2. lea Canadian zen
3. Has been a resident of rth Columbia, determined n accordance with action 7 ofthe Loca Govemment Act
forthe pets morte mmeditely receding tay te.
4, Ienotdzqulifed under the Local Goverment Actor anyother enactment rom bang nominated fo being elected
{Wor elaing the feos not ethene agus By ne
Tastee ph
Curr arene Pwo.
[S34 Coase LON
‘Please se aver fr gto space when more than fo nominate ae requred. or ll governs
‘hot requre 25 nominator stach an addanar that sr haces.
1 2018/09ADO PL
al
Gen Ome st€2- Nomination Documents
1. 1am qualified une section 81 of the Local Goverment Act tobe nominated, elected and o hal theo of
Dano. 2 pitpdirsan
2. amor willbe on goneral voting day forthe election, 18 yeas of age role
4 thave ben a esidentof Bitsy Columbia, a determined in accordance wth scion 7 ofthe Loca Gvernment Act
fer the pastas months inmedioey preceding fodays eae
5. 1am ot dual bythe Local Government Act of ay ther enactment from being nominated fo, ele elected
{or tang the office, or thera Squaied 6
6, Tothebustof my knowledge, the nformstion provided in there nomination documents wue
2. fully mtendo accep the office if lected
8. 1am aware of and understand the requirements and resilcions of the Locl Election Campaign Francing Act nd
intend to fay comply wih tore requirements and eavictons
Akg hye
Nanaimo dog
[Dam acing 2s my ov Financ agent ‘have appointed a my Financial Agent
Li Snas7/-
ea