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. | Secretary of State AFFIDAVIT OF CANDIDACY / leraen eae nese vg, L| SECRETARY OF STATE }600 € Boulevard Ave Dept 108 Caste g) stn c2703 (10-2023) O SEE PAGE 2 FOR INSTRUCTIONS. | Bismarck ND 58505-0500 | Telophone: (701) 328-4146 Toll-Free: (800) 352-0867, option 6 Fax: (701) 328-3413 Ema: sosslect@ind,aov Website: Vote.ND.Gov Please print, Provisions regarding the Affidavit of Candidacy are found in North Dakota Century Code, Sections 18.1-11-10 and 16.1-12-02.1 Candidate Information Furstrame Test name FFatsone nanbar [Gaon afvenaence Sharlet Mohr 701 570-9163 | Williams: Residential address (required) City. [State [zPoode SSCS 5433 134th Ave NW ‘Witiston ND | Se801 address and address for pubic dstibution city [state |ZiP code iercgovranen nal adios Foto ea apc | statletmonr@yahoo.com | Office/Ballot information Office seeking [Term United States Congress House of Representatives [Bl Fel Unexpires (i applicable) ‘Jadgeship number (i applicable) iber (if applicable) District nar NDO1 NDOt oitical party attain of canaiate ] Republican —[] DemocratioNPL [5] Libertarian] Other independent candidate [] No-Party “Tha No-Party designation must be used for al county, judicial, multi, and ety offices, and the office of Superintendent. candidates must designate a poltcal pany or independent, ublc Instruction, All other action (elec iar ho oce wl appear on bh ha rina ad Gena ion Palo Dale gaaion Primary Ty General Spec June 11th 2024 Ballot name requested (nicknames are permited, but ities and campaign Slogans are nol) ‘Sharlet Mohr \ certiy that | am the candidate named above; and I request that my name as indicated above be printed upon the ballot as candidate to the above-referenced office at the election to be held on the date of election identified above. Ihave reviewed the requirements to hold the office identified above and certify that | am qualified to serve, if elected. | have examined this Affidavit of Candidacy, and to the best of my knowledge and belie, itis true, correct and complete, Signature of candidate t 7 = ~— 11 hath Dakole (County Notary stamp, 7 LOSLLi ays RoeTa wane 2-4 dood os My Commission Expires August 6, 2805 ober gher reed ce Helper 05 , STATEMENT OF INTERESTS i secretary of State ih State of North Dakota SECRETARY OF STATE Cot" 1600 E Boulevard Avenue Deparment 108 SEN 10172 (042014) GE” gat Bismarck ND 38805-0500 a Feoprone: (71) 3264146 pets x | Tol-Free: 1600) 352.0867, Extension 928-4146 si Fax: (701) 328-3413 oF? 6 Website: www.nd.govivote ‘SEE PAGE 4 FOR INSTRUCTIONS. References to the Statement of Interests are found in North Dakota Century Code, Chapter 16,1-09, FILING REQUIREMENTS FOR STATEMENT OF INTERESTS 1, Every candidate for elective office shall fle a Statement of Interests with the aporopriate fling office wth wham the candidate fled hisihor Cerificate of Endorsement SFN 17196 oF Patiton Certificate of Nomination SFN 2708 a. Candidates fr President and Vice President ofthe United States shall lo wth the Secratary of State other a Statoment of Interests as required by Chapter 16,1-09 ofthe North Dakota Century Code ora copy othe personal disclosure statement required by the Federal Election Commission. »b, Candidates for US Senate and US House of Roprosontatves shall fle this form with the Secretary of Stale oe a copy ofthe personal Aisclosure statement required bythe Federal Election Commission, . Candldtes for statewide offic shal fle with the Secretary of Stat. 4. Candidates fr lejsiatve office shal fie with the Secrtary of Stale, @. Ganeidates for Gartison Conservancy and Soll Consorcaton dlr shall fle withthe County Austr in thelr county of residence f. Candidates for District Judge shall fla withthe Secretary of State. 4. Candidates for county offices shal fle wih the County Autor. h, Candidates for city offices shal lo with the City Austr. |. Cancidates for school district offices shal le wit the School Business Manage ofthe school dstiet. “The Statement of Interests shall be fed al the same tie a Petiton!Certfcate of Endorsement i fled. Candidates ling a Statement of interests forthe primary election need not ole forthe gonoral election 2. Every person appointed by the Goveror toa state agency, board, bureau, commission, department, or occupation or professional icensing board shal fle & Statement of interest with the Secretary of State na later than the announcement ofthe anpoiniment lease rer fo the instructions provided on page 4 ofthe Statement of interest for answaring specific questions before completing bs form int Name of Candidate or Appontes TTafaphone Number SHARLET JEAN MOHR. 701) 570-9163 Spouse's Name Mac Mohr rRaaress cay Sate ip Cae 15433 134TH AVE NW WILLISTON IND 58801 [Oiies When Candidate Seating Postion To Wich Appaned Representative in Congress ca Ll TEMA, Ramo of BUSHES OF EMBIOVar Not Employed /PRINCIPAL OCCUPATIONSOURCE OF INCOME Farmer [J Military] Investor or Retired [J Clerical and Sales [-] Goverment Employee [Business Owner [1] Laborer [Professional i craftsman ( Student Tj other [Spouses Name of Busnes oF Employer ity of Wiliston FPRINGIPAL OCGUPATIONSOURCE OF NCOWE 1 Farmer CJ Miltary] Investor or Retired [J Clorical and Sales [Z] Goverment Employee [Business Owner [] Laborer [[] Professional (1 Craftsman Student [other SSFN 10172 (04-2014) Page 2 Please Print Tem 8 List the names of each business or trust that is NOT the prinelpal source of income in which you andlor your spouse have a finanelal interest TSUSINESS WANE OR TRUST NAME (iat city and state whore ocaTeal] SELF] SPOUSE EXAMPLE: Make Me A Lot af Money Investment Co, (Mutual Funds) Biemarck, NO x x Nothing to Report Trem c List below the associations or institutions with which you andlor your spouse are closely associated, oF setve as a director or officer, AND which may be affected by legislative action (for legislative candidates), or action ofthe officeholder of the office to which you are a candidate or appointee. Place an "X"to Indicate the Interested party ‘ASSOCIATION OR INSTITUTION CAPAC SELF | SPOUSE Nothing to Report SFN 10172 (04-2014) Page 3 Please Print remo Place an "X" to Identity below by name, any business offices, business directorships, and fiduciary relationships that indicate the you andior your spouse have held in the preceding year Interested party “RESOCIATION OR INSTITUTION CAPACITY ELF | SPOUSE Nothing to Report the undersigned, declare iis Statement of Inlorests has been examined by me and to the bestof my Knowledge Is 8 Tue, correct, and complete statement of my financial interests. | understand any intentional violation ofthe law requiring the fling of this statement shall result in my being deprived of my appointment or assuming the duties of the elective office Signature of Candidate or Appornies SHARLET JEAN MOHR ign. ? “Secrotary of Sate i % PETITION/CERTIFICATE OF NOMINATION Vv Set Merth one eee a SECRETARY OF STATE poy ane Felnghone: (701) 328-3148 Tote (800) 352.0857. phan & SEE BOTTOM OF PAGE FOR INSTRUCTIONS. PLEASE PRINT, Fon: (702) 328-3412 Era} sesetacited gor Nooscating prover we fre in Now Dskoty Camry Coxe, Sectons 18.1.71.08,16.1.91-18, 16.1. one A5T2-23, ed SONTLT CERTIFICATE OF NOMINATION [Aves wlecied ty patron ‘North Dakota Sadeate fret are - (Candidate ie: name == [Gscriniate tetegtone camber Sharict Woh 701 §70-9163 Ganddite maitrg adewss ~ Tew Site |Z coe 5433 134th Ave NW Witiston ND (5880) [Sandie rorgaverored rol ree neue | sharlelmom yahoo.com Sis cama & gosh United States Congress House of Representatives, rier (¥sppieabie) Joatretname Wage NDOT At Large G2] Reputican [7 ReroosteNPL [] Ltwtanae SY Other “Tha NasPary doxgnation must te used for n county, ution, euaine, an cy aces, te ice af Syperntercen of Pua Intact, A other |etretaion mut cage» pba pay per inci (eBay ite ates wi apse on bone Bray Sa Garin Facon Baa Tow & Pimary LL Goat] Spec [it the petiton itor the ofice of governor, compete te folowing Information: [are ot alacior | eitaizozs Rare of letonant governor carddule Acrasn (toes adaress oF 1! eu) ay "INSTRUCTIONS FOR PETITIONICERTIFICATE OF NOMINATION WEN TO CIRCULATE: Condiaanee may ror neg urang the Petipa Censtcx9 of Neca on etn Ji. aty 9 edn the wet WOW TO CIRCULATE: San edoeun! Pbanicensca af Namiescin muse eienlatnd we te ceed Mmatcn shar abe ais ast os ae valable each signs a tho toe ot grag, ‘Only paitiog locas che atlorted gine, 287 Case may be. may sign Nonnatog wehtiors. 6+ ake to sighing tm tseesnaeme petit signers a clade Me deta of eye thee compternrusornal alas. tal ose, cr general dir. wad ether ye ame ol the Nerk Dake’a Sy oro wrens | ZIP ene | compat signatures or ueeorpanyeg fon ston of out signers td ral moet he requires of Sec V7 T"Gervatese such eigraines. the tase of eto mart siete nal te vfermaion pons ad on the arevessigratare ia tarces ver does al ivalidite a egratre Sratures al Oro ro | ‘secerrpares ty a cormpele cate 2-6 nal mall! the xgnatires are precaged ard flcee hy @ igure © azcompa ed by WHO FILES: The PettonCericae af Nomnadon must be fad by I canc-cates peter lo have her names BinGeS 3 Eye Balla eis S30, Sep satve, county. mulb-2arnch and ty effses n Noon Lect WHEN TO FILE: The PemtonsGerttcate f Nomraton mus! te fies elo d p.m ofthe tty day, por In any easton Irene PesnoniCertiienle at Nom nahin = ‘raied, i mustbe in ve physical acssens on ot re appraarate Nina acer beter 4 pin of he Bal Gay eae Ihe wean Eecota, tatewce, ja ea eaeet toglaivn, county, nd 4 Sialorent ef Interests SEN 10°72, canmesees, rust AEST) II eM WAN ah AYRE TOF Caney SER 2108 900 WHERE TO FILE: FEDERAL, STATEWIDE, JUDICIAL, AND LEGISLATIVE DISTRICT CANDIDATES: | Its frm nas econo using the Onne Candidate For Camplatian an Fling Syste er Halla Acco, ae upd i lem ita he Gabe i (Cantaate Foren Compson and Fg Syctom fs Bale Reena eet tw Setety of Seah by wad dy ea le tvs tomas hanwitten ur ype, Me nth Secrelay ot Slate by al Mans delve. era, a | COUNTY ANO MULTLDISTRICY CANDIDATES - Few: | GHTY CANDIDATES . Fle wih he Cy Austr | ASSISTANCE: Gust ons nograing te Pet tuer/Cort [Etia.4 198 or 800) 352.0887 or tne aperegnate tong at Ine tieunty Avesarin ther enuny at raidenee i tet Nor rity te Seas ta Lon nt af the Seeteaey at Sin 1 0% NOMINATING PETITION ‘he Pettlon’Certiticate of Nemination may be photocopied to accommodate asitions! signatures. | brecatharest ve | tity medina Kady pene $08 rh oc \vetars Signature | alee wiedvn A etigs pot fort | (eer t4a dl © a 13 AS Bybews NePoneld Bw) 1$4% 55% SFE Ee ne Ty -Sey Dowd § R Beiew | Dat eS aa7y fer ct we bol wax Gan ia Boe. Wid Poy apse y | Teron ae =——]} 221 9% - Wh Hinds Se Ye 5-4 = EG a S22 5 Tig eB eee dee, a Cake De oh SH 77 Sele, 4 a eS Ames eye shget on Ben AL a a cane aera r PL: } t 5 CL LAT A mae sen anroe a7 D NOMINATING PETTION lof Nomination may bs photocopied to accommodate additonal sigatores. The Petition'Gert#icate LAYS Se Dalle SO a jiacies isi ste Lop suave a i oe pte eee —22y iz Bain ep 8 eee 2g Cas 2 bay Dodson Pgh Ul Cevgen tS Pa Me Rater? LeFEIT Hog wt SEN Fare 4M TE Aleese’ Aghlabee Stl i ve Apt 300 58102 fargo NIE ernie eet Cre Fare bok WS Hit © pestlerss sso 16 | | 18 ae = dt rr vars 10.7075) The Potion Carticae of Nomination may be photocopied te accommodate aio [NOMINATING PETITION (Complete Res dent [Po Box ‘Sree Ru! Rote ote Signature 2P coe Gt Sth Sp SL baanglotitl 55052 ops ta D. Bhur 1efli Mein SE (yt mawe © tA YAEE UO S8O7F Hah of Bret Farguscn y-2:3 Gene Cohnewor \79 0b Ae W, Nest forge NO $8078 Abt a5" $4-56,- Valley GlyNoxpor 2 3 a e teed pee & hq bab SBMEMP 7 8 ° } PH Aver. ae FFY-UT a Tag ey) Sey a Ler va se E Fars o VD S8e2 a a 2 US pita Keay WO Bee? _ Pheraiad 4 i | | Neonbar renin | Printed place of Wore NOMINATING PETITION @ fia Rural Route, 0° General Deivery Adnss {OK 18 NOT ACCEPTABLE] iy Siete iP coau " lotapeet_ Kear Leetase 2 ¥7-24\ ual. Molacecgas | 3 | Re nacht L2x2 Cal od, MA F608 MME ns ficou G rea flea S237 2G IIH LS Fie ND S3/@4 2. Cad ad 18D. Grote 2 L neg forge ms $8 (E> Bi 224 Sh Se Foe ND sey | Sa! at Wes, Gestted nd 9% ys ed eS “Fogo Np BNA Boa tat hSp Suu Sanestouy NDSE4O) 12450 IP cas nT, Fary, ib Seu HAN Coroy Leen =) LEM. Chel bell Ba3e NGS Ape Reno fl) sto 73 weellend bir Hor pee no SSAG WI Cae! heat Med Ch R95 Lge, SD 5B1GS GoG9 w53-4 Sb lyaut Fob OH CHIR IZZ2Y Sieee, 9, fe 230 IVE ME bp bP SE FOIE NO SROTE | ATA fubeay Maywes\ 73 (Ate West Parye,vp S607 [Gjepeae( let lserct See NG Lead Bld Haravdd a) s9o4a shreozves 110-2022) NOMINATING PETITION ‘The Peiition’Cortiécete of Nomination may ke photocopied to accommodate adaltional signatures. sansa | mn re vows soe poe a Ob ely Brocrsted io bo EN Fagg NO SBla, 2 bef Srvit [2¢07_ 35% AS Fgy VO SBr0y 3 Nee me StOtlone x Rtbwm— |B 6% Ase £, Caugp AS Siy0% + Hlabey | ty Gn | Paae LEU ben sue S Pv ge, mo SOLOS ® ywyxiltninka Leese |W Laka Xeeans VISIT SS Prego, td said u ie dale LEZ Of! ees | a LU AU, ier ze! i {Ben Eviksson | (52 0" fon $ furgy, wh SRO : if loka Dal A etben 22/7 Sbyrtve Jprace, (YD S& 9 [4-24 | vikcinid Doldiak [by A, " 4g fortlank Be. Bismarck Snip Se! 0 Wobu | Gandy Dens 7 | | iy Sarwe © Bue we © Bismarck, wD SESOI nly eh 4503 Go LuandeS Fargo,s0_ S103 12 |ys foe, Larty Mrerng fy HA sme eng caenay % Cased Sot oe steel | Le breil die ae sale che ge3 1 Plofey Yemilr Baines eves Blas Bins WX (oF pe bo M4 Tage (8 ltriet Lelealtk ale on | el adeld dha o 2™ fe ofa, 58065 [16 of fe) Rekwistae ske LOIS Gand AV upat Fhefo SETS "Yb Dad Luchb < er (07 85% she. tet ibioten, IO Sipe 8 (ee Sarah Lucbbe | Sax hubbe \)07 38% SEE wkebiole UO ss 1 URI Cred er PP Boe [7434 1S SES Fam np Swit L2 ly2e | Dane Aeon | “Pid! 1t beowe cave oe Fe we SB10% | SEN e2r06 (10 2023}, The Peviien'Caeiicate of Nominotion may be photocopied to accommodate additional signatures, HOMINATING PETITION ‘Complete Residentat, Rural Pewee. wunser|jmiativen| __ tea ame of Wate vote Signature se . Dec Conmcew Yee G24 B hopeuk Byrnes Rasp Ns Dye BHF only ine Bgned TTY 2125 HéE be AE Se Bs RO See fea) Qu ebhie aes ke E frederieke L 8 leet | atthe, Suen Ls WA fees Lehaci,el ATHY, Goh cohol eee [2° aon? D. Keon, Leer ovr Er 222% pbionstone Ln, Bemack, nip S823 WF doy Sete Sch he tenn fed SH 16" Get Title hte MD $8575 2 1327 | Rut Pred 36 10” MWe, bismand Wh, SEFB 8 4304 ferry Scheidt 4203 Treated Dr. Bsmreck VP 53503 UB AWRY Hols yn0e OF? EN ae SESBY SM | Fhr jew esq STi hsb en HIVE TEs Fe: COPSE Mos, McCAG , Wa steed 1 4-9-3# Gonooy Cksienl 170d sed fT or Fizmatce, MO SESO/ © Wied Qoveuty AGEN 8 ft Moet, Peersonv zoo sen 0270s (70.2025; NOMINATING PETITION “The Pettion/Certiicato of Nomination may be photocopled to accommodate adultional signstures alee Sianatica Compre Re ute or Ganoras Saery Across Strout Rura! Route Printed Name af Vater 22. Lay Ww as et ob, “a elev) B. s3i| Matthey Hei mon BSoi Flatrih Dr, fismene , VD Séeoz iil Potayn DB Hi rd we £FS Bo} SStT Ra a Vex S807 Va We tk kes ey Ket Keel Seely Ee 27O 166i 94 WE Fin 5 $783 ASC _Mihst NE_ Glin AD 58923 [5873 ediveS p Fergad Davy Uhh Ae Wie Ms, Lh ay edly) S873 wr Mhon new ma Se CK, WD Ss Py Hla Aeiey Sh AGM 7ER) SEN 2708 0.202%) NOMINATING PETITION ‘Tue Petition!Cectificale af Nomination may be photocopied te accarnmodate additional signatures. Yorars Signatere inery Acdeess BP Cede Neg FO 44 FT NE Colom (Pale 8 FER? Lies Antiee Be Lh ool, 51024] Ver Ce Cad off SE ies be Wy SFor% 2986 99" $+ WE Coben, WD 5832. senezras co-2n2%; ROMINATING PETITION ‘The PetitioniGertiicale of Nomination may be photocopied to accommodate adulitonal signatuees. T Dave Frinied Nave of Voter SireotRura! Ravi sumoer | (emai) att b Mence om 1it Hef me f me GE SS WA 24 | Aesrnipe Mogi 2VT 2256 We danas lwe PSE te lex2s uty 2% -Coyshl sd soaae q/s7a Dad ee ON Loner pagerperesti Fey MR SFTOR Acton Wi SE TO LS20o 12s $4 63, pack (SO Seat bs Mnf Ma sé7et yt NG at LE SESS Dp) thsi Sys Sui Veer! nip $9655 ng RO or kD Bet WB SE703 2223 tom Cr bs West By. mp SECL “hale To ttle £332 237 6 Hh She {623 “es Ae! Hind VR SE 703 ue Seu Aa ee creu me S39 taken UP SLIFY Betan Lechner k a lieth EVE ears 4? 4783 ce au Tay sen DA Dude 3 foe tnedy Mod es ée | i He dle L SaliaMTedungers Proif oui sche 1 pe NW Alar bass DSieel “Hip Canal at East Bye ® Bas ort Pp SS Sen 2704 (74.2020 : 7 pazree (19-202 Zs NOMINATING PETITION ee ‘The PatiloniCertiicata of Nomination ray be photocopied ta acconnadale asditioral signatures. | _ seein mane — * Bioia Priliney inked GRA Bao Wh Ne liek Ob Beso! | 2 Morey | Mage mani 7. SY33 137 gee wy wwilishew NO 6830) ts a on Z. He mone| g Lia uss A bac, t RY Ry M3 GSSI9 1 ton ND 58% | [a 2s Aue ed. WET £6 Lbffaa 6 PUGH Keat_balden __ 8 BAI Th Fp met > qaial Dees © 0 22H Kasey Oraper 5 Susan Drapew JG Robyn Vode [13 ary JellRey wede (ef f5t oe west Vesion £28) 23504 Sl 7 we bel hry, at), SKROL [SMe Nenaias Yue Wilistomn, 10 S360) Ls - e ts eat Ase t ae Ailsa td. 5TEA 9 le. ‘ Ps LA a ° g w sewoetoe reacas (b YY NOMINATING PETITION accammodte aiional signatures. FiCertfeata af Nomination may bo phat Cerpiata Aesisensal, Peta Name tout L ots gana sietsurarneie “ weheng vehatd wl UG Rw AveE | p 4574 145" De aw eon Suey Vox’ Gane VYigire’ Be wuc WS MSste ion yo ER Kenda Coasqen amt, dere Ne ieee tee mal 4 [bee Law 2 [5635 Carole Loo? williseon AN SPO! ehuer ob: dere pps : S167 mate Ave. AD S301 Aaekle Dash Te lad a] ) Sawa Marl w Aye | [eB Ce patvtl lays e aS fe “OS E\tgh 905 2307'S, L (fe POd az wa Wile ud o7e\ : BT IP FIN Ww Williston WFP | Stun, WOSpyo/ in ing “He — tad Wp 5686 / Mule rolwiceds 3 Laken Jdece 744) Vgskin Macmon SDatub Mohr AES KY 164 $™tvew! wy. fol Snvew # fo$-2 I SoN@ Ww at [I i- a Seu ogra r0-2020 . @® NOMINATING PETITION The Patiton’Cartiticate of Nonnation may be photocopied lo ccommodale adsitlons! signatures. (PO BOX'5 NOT ACCEPTABLE} __Sa 2PSeda Date Rarabee_tmevatinnt| zi 3 sy HA Wilh ted NOSE I STO he Of | ay L 2 yl Ba CEE ae ee ae 4 He Laicuuscin we tireande a. 6 ss Ih 5 BUN fe Wid Moa, WO 6 FH 4 PIE Brossee Aue bot 1 BB UNS AL Manton &F Bux : Hee i7e9 28>) we Will WHA Lemoces Sb is Yo 274 5+ i) Utiiis SEG) 11270 27 A) pilfisdrs Kl) SRE THIS Gam SL Wieden hb Sagsh Diss SH® Sh harden, AY BSSSY 7 ye LS SH Sy Winton ty Ssaa | SPN 92Po c0-2008 NOMINATING PETITION Tre PettontCuteate of Meminaton may he wotcopid to pecorvnedate Edens! signatures, 7 Compete Resco: Re Rout, { | {PO GGxi5 Nor Ai Pk Name ot ete { eer Sipura J stom Rua Roun cy Boile. Largs Sit, Se Hy Gexsele Vee C143) 32 Ao a lzsee 02 Ave WU Toad wh S455 hora Eh St Nur Tees we L ipa? OF WR Sisz Lees cezad Pel Ns oe Aid 6 307 143% Dakota SES. “fiegt_NDSeESy, 2 1024 Nye Way Tor AD Sgss2 ceo S CEN feel ST wa 1, W-t-29 [M af osn timbers L2 itlelau) Su 2s Chyristet Gren, Lo | alee g 2 4letes! Col Stiles | Cory Re [fe {Yeroa! Venn Boer L 8 We oi Kew 03592" 0 is fa the, LAN «prt Lome 297% § (A Fiewh syyse L282 2 5% Wa Ty HSL or we s&h Set, LOLS lade fol tity Tee St¢6 3 1285 Mylar beh Toy, VD S63 20 | Meday [ein ———BeedlhuZ, asa 8 5cna Ligne WD SBS36 L? |Ybay buscar Better x (} WwominaTING PETITION The Potten Carticat of Nornatcn may bo photocopied la ecometedst? saciiond signatures. | Complete Rosser tui Rada, ce Garuiaialvary Assan (80 80X18 NOT ACCEPTABLE) Plato! Nore of ater Yorars Sgeotace j_sraet Ruta! Rove oy Sure 2 ce Leb Lo BOS tie Hoi TE a Sar, 1200 Beding ect lozes, lake Ui 657) 16155144 Aye. Wed ud, lisbon 80 BER leses Sétst «yy Tega, ND <3g5o 40a NW. mein st. Box SSF _Creahy wy syreg i i Hole ! 210 Brac Street Lal BE van we eect i D2! Bge Nel Poarnsla be 136 Kegs Fossa Nb Sveyi Chit A JSS 4th ost Ww Ray WO SES t |4fafaa Ause: mn [Au a Hack we’ | } FN 02708 30-2023) Printed Name of Wate Ben Simons = race Simon Te yOW2- Late Ptetiond | 24) £ Che Sore [25¥0 srk ave Rw Hulten $8723) 224 AF pe W. Ly wo SERA Alle mein BY TDyickivan WP SS es Lid Ermgirn RP Dikiag, vo SFey BGS" Libbe Sf feukucn Nts S¢76L 1300 DesmerAve., Harvey ND 5834/ | Wwe Cedar turvey, WA 58341) 278i € River Road MIZS%L Es TUS (23 poe Nid Pelee, ND S863 al Medel | charles Bourn Jz 7 N~£-24/ Randal Steiha 7 (Feta seth 8 4b 24 Rend Vinee © yep Rope! Uncen 1 UM-G-24 Lise Awl Consces 2 [4-624] Donna Edinger = fofzoae Cherie! Rye “ UL AY Sue. tat € Hofed Lancer bbe Bir © dfelax Mike Soir ) 154 Blgck bo | stu ND SI | 7 lead | Shaten Aembieuct ~—~dhaww Cerrbrunt | 2408 feademy ka iilinok #0 SF703 1 (Ween | Moriah Plasele We (22, (Mal Bit hve SE bapnetocere ND SOK! # [y/éf2s] Roos Corbet Poor, TUM! [S¢y ti” Ave Si Welles Ciky msde # Wilad| Noone Semen aie Bie Gan Beka Sere Baap 18 ined SEN 29704 (10.7073) NOMIGATING PETITION & Y ‘The Petition/Certiticate of Neminstian may be phatacepied to accommadate adaitions! signatures, ia, ural Reute, ec Genarai Delsey Auérose ‘BOX IS NOT ACCEPTABLE} ne ey State 2 Cede Carat oe oe —~ | gin tartl Strut Dye Ale Siz Lslecn’ ser heapereneee GLORS, 367 Ine er ; AGS heypeug-ux tir IHIOT frog 5 L104 1S Sena a NE Fon. D SES Baye sIO6 Hintlond De Bsmarde 57605) ° bt | Man hove 6725 Apele Creek Ur Peruercky Faso a 44-24 | Weyne Had le Mirpur Hable 431 Live Oak An, Bismarck ND syed | ng Yi 5 lel y Serr® Ho, || | + _| SR p2z04 (0-200) NOMINATING PETITION ° oa) ‘The Pettin/Certeate of Nomination may be photacopied te accommodate addtional signatures ww Compite Rosicental, Rural Hava, or General Daiwory Adarese oe | Pointe war aceon tuna | ees tects civou veto ance | suerte OMEN MEEEEL cee * lo 6124 qucb mebthe ee BCE br | DEBI pyest Somretnt NO 5648 | 2 | 7 = « Lise poeersayg | $Zre ff — Yer Lieety sve. vinderucer MD 3 | SB STE 4 | j 3) | 6 I 7 | | | . — 2 i | 9 0 | +. omen 7 12 | 8 | 7 | 1s | | 16 ——— 7 | | ve f | 19 | | 2 ee | ee — SPN 02704 (10-2023) NOMINATING PE ‘Tne Patition!Gertticate of Nomination may be photocopied to accommodate additional signatures. (0 N De fie 5 me “BD Sea Mo Kippiyetnge SikKiate WL Feet [2 [300 A2alstsE minot WO £370] [927060 2| Nootgh NP 56765 | 1208 a AS. Fare WD 59/8 1 Saks Laog Rismor cfc AYI8St t [eon Cabaoct De Bismark oo Sse4 144 12" hve Sul Val eyerty NOSKOT |I4 94-3 $b & w, 3 ND Sova | Wl Affe Rade & Heien (Dab County 7, Wathen VP $8272 2 [Hfelad! Leet Drawe 1S 38. NE Suvee 572 B 8 [W/6/241| Quan Oeayee Bo! £7°"'Yo 5d) Pecthald WD €871E ale lay ere Geaedun Aled af Jorrame Bora = [Sop aA sys Tee. LLL zs00 93 $+ SE. Brernauct OY 16 Yolav tf MLLER 146, Kithe Ubi we CIRCLE MM, (Ay we [144 Cotwnloin Const? FE _Ovavd Fortes NP sig, i/o Ql_TIS Chie shack pathos perc ‘SN 92708 (10-2023 NOMINATING PETITION ‘The Petition!Certiticate of Nomination may be photocopied to accommodate additional signatures. pate | umber sowisd'yyv¥ Printed Nam of Voter sv aw ve Awmhy wD 50 EE Coto of, Ofind tty Fe 2 “Wert! See Sah ¢ 8 lures | Revekah Blarek } 8 HG fot Katheotas Walter ren ot Wott, _ p>" pase Pod willis. Aa ’ Hh fst | Ryan Reonous Pe | 400! Roosevelt dove _ Rigmocck.. ND S¥s04 COS GR ees bev Fido SPST Nal stonley, ND S87 | 2 [Cp tah Shan Boor Sen Abr [OF Some se Stmey Ad Carey | 10 | 4-624 Elton Mer eg er ta PX Pe32 Stenevinl D. Sisamee’ 40 SPTOF ut [ Leay] (ee tt Uflecesueme 1280- SrtA SHUT Peegge swey | 2 14/6) Brien Berwe a Sooo 254 Ave S 4413 Faroe (ND ssroy) 13 Ayla, Janetbe M. Warglet Fanctttry Waseglen | "S52" Street 16, betarareks, UG F#S0/ Hefad| Kristy Rose [Riu Niaras” cupple Crk Da Prismgrciendsts 's Gl | odd fl Mrchacl | Theta Ase ule st Se, CeSSelton. LD 5%5 ie ee WApee OnE | LT ~— C200 feiy 5 fanny, WO CRIES Behaad) Kok: : ree stael 3a083 SH Aa WE Sterling, 4" TRS | ere . RD $31 tive Onl’ eas, LBsite@ ch dM. Spey 227 JO ye Endulin 1D cane) SEN 02794 (10-2923) ‘The PetitiontCertiicate of Nomination may be photocopied le accommodate additional signetures. esol Carts « os 2 Wort | VickiLLarawe 9 Yea Olivia Leabéve + |u/be4 Jahn Keren IQ Mo@Mars ue. whe ZACH yD Tl STE Aan Prey Crefeenyp 58237 5 4 U/ar Roy Bauee eS (Cay Welbu pall &sry 57S avon tt | : Meld Noa Wells) me) ST 2 1 4ful2d Chels, Brasseur “erg Dosiad hose Nowan, ND Sees UA SthAve Sv tthe A S82, 424 tot le wookant 0 os vg 5 2g Beweur flor Clan NOseey Foie Scurrn Cen li * Feo oo, 602 268 SESE LF cele. Sve lieth CARY pK HARWEP WP 5822 GU bedwoe OS fesay pr Se 10/ LEI Pf fw 6 pref Libs, fo Sspere vars S68) fenge tek, Cs/aP The Petition'Gertticate of Nomination may be photocopied to accommodate aaditional signatures, NOMINATING PETITION ly 1W temo Printed Name of Votet Completa Resident, Rute Fioue, cr General Deina-y Aeron ] _, 70 8OK1S i ACCEPTABLE) | Sine i Canta fee a eral Gahorae gro we EER 27 hdl ween Mace LL EL eAiaae eo SB078 Yhhy Ela tlden |kel hile— i eee AD 58270 Nouglas 8 She rlaoar é A 17 Oe eee Plod \ LST Sada Berbwwrs Dea ® Sp So5 ae af] Del, Zinme vanes fx Ente Kichard D500 2 : ‘ [la 6 8 : 16/24, Gress, li nan : get St sé Big menk 54, AB SSO | | strom | jot sth Tos 2.10 fant Psi 0 fee Hitdaele Toundevs ae Boel Cayeye O SPO! Melt Ciondeg Huts Yo ce abt he Jie stn S005 | Wed Brg. BiH Pda Eye. BIE Fe (3592 ban ny Vania no $70 : ; [ofa Nanay Johnson 9215 Js 58750 Wc fet | Srna) CRABB Box ye Been, NB 56118 Bamibsz2 sou P35 ase vosd Q,, “Ergo SF/o> | Borie basa. ior Was" Steck Bisrard, WO F950! ase (amerSMpStS 2! 310 WinGeld S Wectdurgy Nd58078) SEN a2708 (10.2023) NOMINATING PETITION (cate of Nomination may be photocopied to accommodate additional signatures. Deivery Adress “| frie Nae Vor veers Siglo _| see Zt cone Fe-34 icky Gate (Labi ihe WS Keervtte St. Mbioe NO STI) a pit Riowmitel |376/ Vorvrenot. S. fame Ms 58/04 SustinR. LeBar e 3 Qualen Ri theBar |19 Horman ave., White Earth, ND 58794 «|e lay| Michel Rott LY fed BGO B22 SHV E frtarsene WO EI | 8 “ed Marsha Robe Avo 304 ck Ne Arrosmooeg wD 5810 6 Mieley| Tele Goons | $12 0" fe Epes vd S67 4 11300 32%. SE Meanden Np sees¢_| Aliel of Began [3377 Bheddeamt dance W)STAS/ 2 [Afel24| Poste Cnn t 7405 > alae eee x ur r Re is x e : x 1" 102 Dalek Ove N [24 ert Aa re faeaie10 faryo ND $5102 C Rismeck seset SEN 02798 (20.20231 NOMINATING PETITION ‘The PatitioniCertifcale of Nomination may be photocopied to accommodate adsitional signatures. uribor | (ramsiyyyy) del 1 Dae LG: ‘Carpio Resident. isa : {P0 BOX IS NOT ACE! ft Hoste ity ZP Cote Pe TN Ee 2 Hola 16 2 Ridy Lyreot rem [4e90 [dot FoF su Washfern UO Serer Yay) Sule Mullet, Go, PS ety Gb Ail + PC Brag AK bshbuen W) BEES ¢ Nolo | Bemete Caer PLE B49 BI"YME Gee Ree, WD Se Po? SEN c270s (30.2025} NOMINATING PETITION. ‘The PetiioniCertiieate of Nomination may be photocopied to accommodate additional signatures. ose Voters Sgraine | | Strectu-al Route rete rend Pie tons t StbaapCBadnn Yoiusas 00 Ty SSE Mor WD SEV] | 2 lat tk Teeg Keo mam leva 2 ty $8 Tagg sve] 2 ly fo4 Pawn Klein |e Carvell St, Max ND 58759 4 [oh poet Vani) ak >) abdd_do™ St SE elndt ND_SB761_ Wt Bul Chay Vas In kis SS rea Boh Sb SE mich gp 587%) 4-W24| Ronette Moss | Leia. Hate Sk 5 Fesao AD Se/o¥ Ayaan Schoen 3 354 Ave. SE Minch Pb SB7o1 opt Chseting Pandnc (LA Ga pote SH? Ave of Mirek sin FoG 14 Sdom Voth hoe det xv st Sue Brettall y¥ s977 Yea | Seat Soryelsor Be Socio De Wine AD 58%/ 1 (94/aq| Lucy &_W,A\len ) Wide oan Yiaw Ci ) u EGU Foht Fraas—e— ea z 18 [thelad [Lasse Wiliams ELLoas OUI TH SENW MeChrcge: No SBIS5" S31 Si Keceeneten WO S8O38 {ool Roosevelt “Dr. Bismarck, NB S¥S0S 6 lige? | Tray Blanes es 7 Yolea | SesdlrasHateler = Bel Rabert Martin 19 Yefay Jeanette Maton = G00 OTR ST any WO sere [4207 Souths, sy De SE Lussdass OD SESS | Woo Hwy SAS Mdmot Wd SEZO/ | | S00 May S2S Pret VO S970 2 Yalag | 5 | 3033 Stonewall Deive MD SFB) SENOZIDE (50.2029) NOMINATING PETITION ‘The Pettion!Cartticate of Nomination may be photocopied 10 accommodate sauitional signatures. (a @ \ Correlate Residential, Rural Route. cr Ganaral Deivery Adcrous (PO BOX IS NOT ACCEPTABLE) ere enema ease aaa [ae Gent Gre fens | \Z6 2nd St — Ragerss ND 58497 ae Tar ae Binge: wp 5800 Sos BY ‘Colts Rede Ra, Gane Dovey Aldro (ro BOK NOT AGCEPTABLE) = Sen Fete oy oe PCat

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