CANDIDATE NOMINATION PACKAGE
C2 - Nomination Documents PLEASE PRINT IN BLOCK LETTERS
JURISDICTION (NAME OF MUNICIPALITY OR REGIONAL DISTRICT)
ELECTION AREA (NAME OF MUNICIPALITY OR REGIONAL DISTRICT ELECTORAL AREA)
Area "D"
PEACE RIVER REGIONAL DISTRICT IBMSBB^CTS^BBBEEBBffiB
li^UULWISRIBBSBBI
NOMINEE'SLASTNAME
FIRST NAME
Hiebert
MIDDLE NAME(S)
Leonard
Peter
CITY/TOWN
TwoTiw'd-' MAILING ADDRESS IF DIFFERENT FROM RESIDENTIAL ADDRESS (STREET ADDRESS/PO BOX NUMBER)
Box127
POSTAL CODE
Tomslake,BC
VOC 2LO
cnv/rowN
POSTAL CODE
Tomsiake, BC
VOC 2LO
As a Candidate for the office of: POSITION (E.G.. MAYOR, COUNCILLOR, ELECTORAL AREA DIRECTOR)
JURISDICT10N (NAME OF MUNtCIPALIT/ OR REGIONAL DISTRICT)
ELECTORAt\\AREAp. .DIRECTOR PEACE RIVER REGIONAL DISTRICTl Each of us affirms that 1^the best of dur knowledge, the above-named person nominated for office: 1.
Is orwill be on generat voting dayforthe election, 18years of age or older.
2.
Is a Canadian citizen.
3.
Has been a resident of British Columbia, as determined in accordance with section 67 of the Local Government Act, for the past six months immediately preceding today's date.
4.
Is not disqualified under the Local Government Act or any other enactment from voting in an election in British Columbia orfrom being nominated for, being elected to or holding the office or be otherwise disqualified by law. A Nominator MUST be Qualified Under the Local Government Act or Vancouver CAarferto Nominate a Nominee for Office NOMINATOR'S NAME (FIRST, MIDDLE AND LAST NAMES)
NOMINATOR'S NAME (FIRST, MIDDLE AND LAST NAMES)
E-c^c-e Jeioc-M- l\3isek-«J
^ ^'OOr^^
RESIDENTIAL ADDRESS (Cm'/TOWN, STREET ADDRESS, POSTAL CODE) IF NOMINATING AS A RESIDENT ELECTOR
)RESS (CiPf/TOWN, STREET ADDRESS, POSTAL CODE) IF NOMINATING AS A RESIDEMT ELECTOt
. Prr&s. 6C, YoClfed
Oj4o (S/c^&c^ ^.'T^s^ fic
PROPERTV ADDRESS (CIT^/TOWN, STrtEET ADDRESS, P6STAL CODE) IF NOMINATING AS A NON-RESIDENT PROPERTY ELECTOR
bSS (CfTY/TOWN, STREFT ADDRESS, POSTAL CODE) IF NOMINATING AS A WN-RESIDENT PROPERTC ELECTOR
NOMINATOR'S SIGNATURE
NOMIN
'tease see over ior additional space when more than two nominators (e.g., 10) are required. For local governments that require 25 nominators attach an additional sheet(s) as necessary.
I consent to the above nomination for office: NOMINEE'S SIGNATURE
DATE: C»^YY/MM/DD)
^^/oS/?6 ORIGINAL- Local Jurisdiction PLEASE KEEP A COPY FOR YOUR RECORDS
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