Brauninger, Andy, ballot application, 7-24-172-21
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
1/2017
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL
APPLICATION FOR A PLACE ON
TO: City Secretary/Secretary of Board
I request that my name be placed on the above-named
THE i lf'y of MuniT5VI,LLL.- GENERAL
ELECTION BALLOT
below.
official ballot as a candidate for the office indicated
OFFICE SOUGHT (Include any place number or other distinguishing number, if any.)
ith A 0 n
irst,
INDICATE
TERM
UNEXPIRED
LLL
FULL NAME Middle, Last)
4/ PeEw id, i5 u/0/n14ER-
PRINT NAME AS YOU WANK IT TO APPEAR ON THE BALLOT'
(q i y,)
4 T ,QRuN/it Ere—
PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural
Route. If you do not have a residence address, describe the address
at which you receive personal mail and location of residence.)
/4 a C�,e N 82,
gu.fk(TS U,Il-e t, TEXAS 70.4a6
PUBLIC MAILING ADDRESS (Campaign ma ing address, if available.)
215 El Ki � D4 i,
J G �-S h �2 Q
iitiA is to z G et '/
CITY
I -I u iYf J/ J Z (
STATE
lE-g&S
ZIP
0'7.5 ao
CITY
MA- NiSU/i 1
STATE
76-X115
ZIP
77Eq o
PUBLIC EMAIL ADDRESS (If available)
G.bMail ; /lie r 33@rq-meti (aC
OCCUPATION (Do not leave blank)
asTdag.D
DATE OF BIRTH
7 /3 /l94-
VOTER REGISTRATION VUID
NUMBER (Optional) 2
S26/
/o/ as ' 2
TELEPHONE CONTACT INFORM ION (Optional)
Home: q
54 _ ,:,,t5. -,a / g
J
Work:
Cell:
LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN
IN STATE
c7
/b year
(s)
IN TERRITORY
OFFICE
FROM
SOUGHT IS
D
/p year (s)
WHICH THE
ELECTED3
month(s)
1 " months)
i
If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear
that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or affiliation. I have been
commonly known by this nickname for at least three years prior to this election.s
Before me, the undersigned authority, on this day personally appeared (name)1
here and now dully, sworn, upon oath says:
"I, (name)fT1� ..ce�W ,s (2.— , of
1 °C
\�(1,C2� t.1:,.. tn1k, `w'ho
being by me
Texas, being a
and laws
and laws of
by other
incapacitated or
&\"4..( County,
candidate for the office of Qa, , swear
that I will support and defend the Constitution
to hold such office under the constitution
or had my full rights of citizenship restored
probate jurisdiction to be totally mentally
law, Chapter 573, Government Code.
true an• correct."
...
of the United States and of the State of Texas.II am a citizen
this state. I have not been finally convicted of a felony for
official action. I have not been determined by a final judgment
partially mentally incapacitated without the right to vote. I
1 further swear that the foregoing statements included in
of the United States eligible
which I have not been pardoned
of a court exercising
am aware of the nepotism
my applicait ein all things
4111t%i•
, • w• • •, . •
i
I•SIGNi�TU
Sworn to and subscribed before me at %'r, +Dwy\ , this the At day of UlU ,WIr ',MOAN KaCTENBAGri
•
is
S
14, 2020
1n,n
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I L `ILL • �s.� Nt. sE*°%
Notary
S O V
' yP
COM MAR.
:JOT 13058118.4
Signature f Officer Administering Oath4 Title of Off er A.
terin 0 - Vi
TO BE COMPLETED BY CITY SECRETARY OR SE
(See Section 1.007)
Voter Registration Status Verified
ET RY F BOARD:
r I i�
•
Da Received Si:
a ure of Secreta