Miller v. Lieutenant Governor Craig Campbell et al

Filing 26

RESPONSE in Opposition re 13 MOTION for Preliminary Injunction on Shortened Time filed by Lieutenant Governor Craig Campbell, State of Alaska, Division of Elections. (Attachments: # 1 Exhibit A, # 2 Exhibit B, # 3 Affidavit Gail Fenumiai)(Paton-Walsh, Margaret)

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Miller v. Lieutenant Governor Craig Campbell et al Doc. 26 Att. 1 STATE OF ALASKA LETTER OF INTENT WRITE-IN CANDIDATES FOR U.S. CONGRESS Please check: ____ I acknowledge that I am responsible for contacting the Federal Election Commission for federal reporting requirements: 999 E St., N.W., Washington, DC 20463 GENERAL INFORMATION (Please print or type) I, ___________________________________________________________, am a qualified voter as required by law, a resident of Alaska, and a candidate for the office of (check one): _____ UNITED STATES SENATOR OR _____ UNITED STATES REPRESENTATIVE I am a write-in candidate for the November 2, 2010 General Election ballot. I am registered under and am a candidate of the (Party Name) political party OR political group OR ____ (Please Check) I am not affiliated with a political group or party I am a candidate of the (Group Name) RESIDENCY INFORMATION My current Alaska residence address is:______________________________________ ______________, AK _______ (Use street #, mile post, or other physical location description) (City) (Zip) I have lived at this address since ___________, ________. I have been a resident of Alaska since ___________, _____. (MM/DD) (YY) (MM/DD) (YY) My mailing address: ____________________________________ ________________________ ______ ___________ (Mailing Address) (City) (State) (Zip) I am requesting voters to write my name as follows: _______________________________________, ____________________________ ____________ _______________________ (Last Name) (First Name) (MI) (Nickname and/or Suffix) CERTIFICATION I, the undersigned, certify that the information in this Letter of Intent is true and complete, and that I meet the specific residency and citizenship requirements of this office. I further certify that I shall meet the age requirements upon taking the oath of office, if elected. I am not a candidate for any other office to be voted upon at the General Election, nor am I a candidate for this office under any other Declaration of Candidacy or Nominating Petition. __________________________________________________ (Candidate's Signature) _________________________ _______________________ (Home Phone) (Work Phone) (Date) To assist staff in verifying candidate / voter identification, please provide one of the following: SSN, ADL, Voter # or DOB: __________________________ THE DIVISION OF ELECTIONS MUST RECEIVE THIS FORM NO LATER THAN THURSDAY, OCTOBER 28, 2010 RETURN THIS FORM TO: DIVISION OF ELECTIONS, PO BOX 110017, JUNEAU, AK 99811-0017 A33 (Rev. 1/21/09) Exhibit A

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