Downey City Council
April 12, 2022

1 +1111 IF 11111 i 1 i •
`' i '' i' � i' +' i •
By signing below,
declare and affirm that I have not been previously
Constitution Article VII, Section•
name f applicant] ` •
of i'California
Section•
68, ' i 147, • 424, 661 or 2653, or other. • i disqualify from serving on Councili i I • `' appointed. I understandand acknowled abovethat the • state laws is not✓ • it is my duty to,
verify whether
City 'these or any other state laws apply to me and �mav disqualify me fromserving on the declare underpenalty • perjury
foregoing • correct.
01111TAMMMO 940i
t California.