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Candidate Intention Tv., or Print in Ink. CANDIDATE INTENTION <br /> <br /> CheckOne: [] Initial [] Amendment [] Termination <br /> <br />I Candidate Information office UseOnly <br /> <br /> FULL NAME OF CANDIDATE (LAST, FIAST, MIDOLE) <br /> CROSS, NANCY JEWELL <br /> ADDRESS (NO. AND STREET) AREA CODE/DAYTIME PHONE <br /> <br /> CITY STATE ZIP CODE <br /> Redwood Cit7 CA 94063 <br />II Office Sought <br /> <br /> Council Member, City of Redwood City <br /> PUBLIC AGENCY NAME TYPE OF ELECT1ON <br /> Redwood City (Check One if App~iceble) [] Speoal J--] Recall <br /> JURISDICTION Of ELECTIVE OFFICE SOUGHT (Check One) <br /> <br /> [] State [] County of <br /> [] Multi-County [] Cityof Redwood City <br /> <br />III Verification <br /> I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br /> <br /> [xecutedon 11/16/9~ At Redwood City, CA By <br /> DATE CITY AND STATE SIGNATURE OF CANDIDATE <br /> <br />FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMAT~(~N Iv~UJ~L A ON CAMPAIGN DISCLOSURE PROVlSBONS OF THE <br />POLITICrAL REFORM ACT. <br /> State of California Fair Political Practices Commission. <br /> <br />Campaign Bank A Type or Print in Ink. CAMPAIGN BANK ACCT. <br /> <br /> [] Redesignate the Account for Future Election to the Same Office <br /> Check <br /> One <br /> <br /> [] Amendment [] Termination (Note: In addition, file a Form 501 if you are no longer t,, ..... ~ <br /> soliciting or receiving contributions.) Office Use Only <br /> <br />I Candidate Information <br /> FULL NAME OF CANDIDATE (LAST. FIRST, MIDDLE) <br /> CROSS, NANCY JEWELL <br /> ADDRESS (NO. AND STREET) AI~A CODE/~AYTIME PHONE <br /> ( <br /> OTY STATE ZIP CODE YEAR OF ELECT1OM <br /> <br /> Redwood City: CA 94063 1995 <br /> OFFICE SOUGHT AI~D AGENCY NAME <br /> Council Member, City of Redwood City [ (CheckTYPEOFELECTIONo,eif Ale:g,cable) []Special [] Recall <br />II Account Information <br /> F~ INSTITUTION ACCOUNT NUMBER <br /> no campaign account <br /> A~SS ~O. AND STREET) AREA CODEA~NONE NUMBER DATE OP~NED (Month/Day/Year) <br /> <br /> ) <br /> <br /> CITY STATE ZIP CODE <br /> / / <br />III Verifi~tion <br /> I certify under penalty of perjury under the laws of the State of California that the foregoing i? true and correct,-- <br /> <br /> SIGNATURE OF CANDIDATE <br /> DATE CiTY ANO STATE · <br /> <br /> FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INEORMAEION PRACTICES ACT Of 1~177. SEE INFORMATION MANImL~ A ON (~AMPAI(~N DISCLOSyRE PROVISIONS 0F <br /> POLI?I$&L REFORM Ac*r. M Meca State of CaMornia Fair Political Practices Commission. <br /> <br /> T' <br /> <br /> <br />