RECALL PETITION

MAY 1 8 2012 tj ;5'IP

()A..,
WARNING:
IT IS AGAINST THE LAW:
EPC ELE REC'O
~ For anyone to sign this petition with any name other than one's own or to knowingly sign one's name more than once
for the same measure or to knowingly sign tbe petition when not a registered elector.
~ Do not sign tbis petition unless you are an eligible elector. To be an eligible elector you must be registered to vote and
eligible to vote in Ellicott School District 22 elections.
~ Do not sign this petition unless you have read or have had read to you the proposed recall measure in its entirety and
understand its meaning.
PETITION TO RECALL CODY DUANE CHAMBERS FROM THE OFFICE OF ELLICOTT SCHOOL DISTRICT 22
BOARD OF DIRECTORS.
We the voters of Ellicott School District 22, because of voting to limit public input at board meetings, poor fiscal oversight of
District funds, failure to improve poor performance on CSAP tests and CSAP scores, failure to correct poor high school teacher
retention, failure to adequately improve district educational performance and failure to communicate effectively, take back
responsibility for the fiscal and educational needs of the children of Ellicott School District 22.
COMMITTEE MEMBERS
Michael Dahn, 1350 Langness Circle, Ellicott, CO. 80808; Gary Dahn 13 50 Langness Circle, Ellicott, CO. 80808; Charles Howarth, 24115
McDaniels Road, Ellicott, CO. 80808, are herein referred to as the " Committee " that shall represent the signers in all matters affecting this
petition.
I am an eligible elector in the political subdivision mentioned in this petition, as shown on the registration books of the county clerk and recorder. I
have not signed any other recall petition to recall the aforementioned person for the aforementioned office.
A signature line consists oftwo lines. both ofwhich must be fully completed by the signer unless physically unable.
Signature Residence Address (Street & Number) County
1
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
2
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
3
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
4
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
5
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
6
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
7
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
8
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
9
Printed Name City {Town Date of Signing
Signature Residence Address (Street & Number) County
10
Printed Name City {Town Date of Signing
RECALL PETITION
WARNING:
IT IS AGAINST THE LAW:
For anyone to sign this petition with any name other than one's own or to knowingly sign one's name more than once
for the same measure or to knowingly sign the petition when not a registered elector.
Do not sign this petition unless you are an eligible elector. To be an eligible elector you must be registered to vote and
eligible to vote in Ellicott School District 22 elections.
Do not sign this petition unless you have read or have had read to you the proposed recall measure in its entirety and
understand its meaning.
PETITION TO RECALL CODY DUANE CHAMBERS FROM THE OFFICE OF ELLICOTT SCHOOL DISTRICT 22
BOARD OF DIRECTORS
[am an eligible elector in the political subdivision mentioned in this petition, as shown on the registration books of the county clerk and recorder. [
have not signed any other recall petition to recall the aforementioned person for the aforementioned office.
A signature line consists o/two lines, both ofwhich must be/ully completed by the signer unless physically unable.
Signature Residence Address (Street & Number) County
11
Printed Name City ITown Date of Signing
Signature Residence Address (Street & Number) County
12
Printed Name City I Town Date of Signing
Signature Residence Address (Street & Number) County
13
Printed Name City ITown Date of Signing
Signature Residence Address (Street & Number) County
14
Printed Name City I Town Date of Signing
Signature Residence Address (Street & Number) County
15
Printed Name City I Town Date of Signing
Signature Residence Address (Street & Number) County
16
Printed Name City ITown Date of Signing
Signature Residence Address (Street & Number) County
17
Printed Name City I Town Date of Signing
AFFIDAVIT OF CIRCULATOR
I, _ -=---:,--------:::'-:---:-::-:___ swear that I reside at: - ----------::c---::-:-----:-:-:---:---=---::-:--------------
Circulator-Printed Name Street Name and Number of Residence
City fTown County State Zip Code
and do further swear the following:
I was a resident of Colorado, a citizen of the United States, and at least 18 years of age at the time this section of the petition was circulated and signed by the listed
electors;
I circulated this section of the petition;
Each signature on this petition section was affixed in my presence;
Each on this petition section is the signature of the person whose name it purports to be;
To the best of my knowledge and beliefeach of the persons signing this petition section was, at the time of signing ,an eligible elector;
] have not paid or will not in the future pay and I believe that no other person has paid or will pay, directly or indirectly, any money or other thing of value to any
signer for the purpose of inducing or causing such signer to affix his or her signature to the petition;
Signature of Circulator
STATE OF COLORADO
COUNTYOF ______________
)
) SS.
)
[Seall
Date of Signing
Subscribed and sworn to before me this __day of __ 2012 by _____--:=--:-....,-:-:-_-::-:::-:--:-_______
Day Month Printed Name of Circulator
Signature (and Title) of Notary f Official Administrating Oath ___________________
My Commission Expires: _ _ ________