[Don Baker Democratic Party ballot] Page: 1 of 2
[1] p. ; 28 cm.View a full description of this text.
Extracted Text
The following text was automatically extracted from the image on this page using optical character recognition software:
Prescribed by Secretary of State,
Sections 141.031. 172.021. VT.C.A.. Election Code 1186
AU information is required to be provided unless indicated as optional. e requ e todalltformnad,,.a narrAPPLICATION FOR A PLACE ON THE De2i e-v 4C- PARTY GEN PRIMARY BAL
(APLICACION PARA UN LUGAR EN LA BOLETA DE LA PRIMARIA GENERAL DEL PART
TO: State/County Chairman
(A- Nombrr o Tiulo del Propio Ofici! del Porido)I request that my name be placed on the above-named official primary ballot as a candidate for nomination to the office indicated below.
(Solicito que mu nombr est pueso en La arriba nombrada boleta oficiai de esta primaria como candidato paru La nomnnacia6 al pueswo ofcial indicado ab jo.)
OFFICE SOUGHT (PUESID OFICIAL SOLICITADO) INDICATE FULL OR UNEXPIRED TERM
Include any place number or other distinguishing number. (INDIQUE SI EL TERMINO DEL PUESTO OFICIAL
(incluya cualquaer numero de Jugar u otro numero que hace el puesto official ddferenle ES TERMINO COMPLE7O 0 NO COMPLETADO)
a otros.)
PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT
(ESCRIBA SU NOMBRE COMO DESEA QUE APAREZCA SOBRE LA
BOLETA)
PERMANENT RESIDENCE ADDRESS Street address and apartment MAILING ADDRESS (If different from residence address)
number. If none, describe location of residence (Do not Include P.O. Box (DIRECCION POSTAL Si es djferente a s w direccidn de residencia)
or Rural Rt.)
(DIRECCION DE RESIDENCIA PERMANENT Celle y Nsumero de Departamento;s no
tene. descrabib alocalidad de s residents. No incluya ni cqja postaa o rusa rum
CI . 7 // zipZCITYIP
(CIUDAD) A // s(ZONA POSTAL) (CIUDAD) (ZONA POSTAL)
OCCUPATION DATE OF BIRTH COUNTY OF RESIDENCE
EMPLOYO) (FECHA DE NACIMIEN17) (CONDADO DE RESIDENCIA)
TELEPHO NUMfER (Include area code) (Optional) length of Continuous Residence as of Date Application Sworn
INUIMERO DE TELEFONO- clauy. a codigo de La area, (No Obligatarno) Tampo en que ha Residido en un Solo Lar. ea e. Fedor en que Presd J uramento Sobe Lk Sokcirud
OFFICE :C .A7)z// IN STATE IN COUNTY IN DISTRICT OR PRECINCT
HOME: (EN EL ESTADO) (EN EL CONDADO) (EN EL DISTRITO 0 PRECINIO)
(DE SU DOMICILIO) %O Lg2y5
Before me, the undersigned authority, on this day personally appeared_ __-___ - who being by me here and now duly sworn,
upon oath says: "I' 1"'n ~c' c , of & County, Texas, being a candidate for t he office of
"-- C (- w , swear that I will support and defend the Constitution and laws of the United Suates and of the State of Texas. I am a dtizea
of the United States eligible to hold such office under the Constitution and laws of this state. I have not been declared mentally incompetent as determined
by final judgment of a court, nor have I been finally convicted of a felony for which I have not been pardoned or had my full rights of dtlzenshlp restored
by other official action. I further swear that the foregoing statements Included In my application are In all things true and correct.
(Anti mt la abojo firmado autoridad aparecid en persona to persona nombrada quien habiendo aqui y ahor prestado jurumento debidc bqjo juramento dice:
Y-_ _ del condado de Texas. siendo candidalo para el puesi official de
solemnemente juro que apoyar' y defenders la Constituci6n y las leyes de los Estodos Unidos y del Fsiado de Texas. Soy ciudadano de los
Esiados Unidos eligible part ocupar tat pueslo oficial bajo la Constiiucidn y las leyes de ese Estad& No he sido declarodo incojxciiodo de la menle como deierminado
por la decision final de una corte, ni he sido probado culpable finalmente de una felonia por la coal no he sido pernado a par coal no e me han restmuido enieromenje
mis derechos de ciudadania por medio de Otro accion oficial. Ademds juro que las precedentes declaraciones que incluya en ml solicitud son verdadenzs y esldn correclas
en todos senlidos.)
THIS APPLICATION IS ACCOMPANIED BY THE REQUIRED FILING FEE, PAID BY CASH, CHECK,, MONEY ORDER , CASHIERS
CHEC K,. OR A PETITION IN LIEU OF FILING FEE.
(INCLUYO LA C4 NTIDAD TOTAL DEL AGO REQUERIDO PARA REGiSTRARSE C'OAIQ CANDIDAT7C PA GA DO POR CHEQUE DINERO DE CONTADO
L-RANZA POSTAL-_ CHEQUE CAERO 0 UNA PETICION EN VEZ DEL PAGO REQUERIDO PARA REGISTRARSE COMO CANDIDATE
SIGNATURE OF CANDIDATE (FIRMA DEL CANDIDATE)
Sworn to and subscribed before me at / ' C' r/ , this the - day of ? a 19
(Jurado y suscrito ante mi en ese ___mde , . 1 1
(7Signature of Officer administering oaths
(Firma del oficial administrando el iuram,,'..Title of Officer dminri g oath
' '""" "o(Tiulo del of cial dminisrndo el juramento)
TO BE COMPLETED BY CHAIRMAN:
This document and S filing fee or a nominating petition of pages received.
to Signature of chairmanI
Upcoming Pages
Here’s what’s next.
Search Inside
This text can be searched. Note: Results may vary based on the legibility of text within the document.
Tools / Downloads
Get a copy of this page or view the extracted text.
Citing and Sharing
Basic information for referencing this web page. We also provide extended guidance on usage rights, references, copying or embedding.
Reference the current page of this Text.
[Don Baker Democratic Party ballot], text, January 25, 1986; (https://texashistory.unt.edu/ark:/67531/metadc947257/m1/1/: accessed July 6, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Special Collections.