here - Only In Bridgeport

Transcription

AFFIDAVIT OF COMPLAINT
Page 2 of6
STATE ELECfIONS ENFORCEMENT COMMISSION
Revised July 2012
II. IDENTITY OF RESPONDENT(S)
RESPONDENT'S NAME (Ifknown; otherwise
write "unknown")
Suffx
Last Name
MI
First Name
Ve -: 0 cS l) S.
~ch ~~(2d
RESPONDENT'S STRET ADDRESS (Ifknown)
Address
( ?; -= lo NGRL l=
AVE
Slate
City
cT
Bp+
Zip Code
06ColZ)
RESPONDENT'S TELEPHONE NUER (Ifknn)
Home
IWOd
I Cell
ST A TU(S) VIOLA TED (Ifknown)
RESPONDENT'S EMA ADDRESS (Ifknown)
§
RESPONDENT'S NAME (Ifknown, otherwise
write "unkown'J
Suffx
Last Name
MI
First Name
RESPONDENT'S STRET ADDRESS (Ifknown)
Address
Slate
City
Zip Code
RESPONDENT'S TELEPHONE NUMER (Ifknown)
¡Work
Home
I Cell
STATUTE(S) VIOLATED (flknown)
RESPONDENT'S EMAIL ADDRESS (Ifknown)
§
RESPONDENT'S NAME (Ifknn, otherwise
write "unn")
Suffx
Last Name
MI
First Name
RESPONDENT'S STRET ADDRESS (Ifknn)
Address
State
City
Zip Code
RESPONDENT'S TELEPHONE NUMBER (Ifknwn)
¡Cell
Home
IWOd
STA TUTE(S) VIOLA TED (Ifknn)
RESPONDENT'S EMAIL ADDRESS (llknn)
§
Copy and attach pagers) for additional respondents if necessary.
Please check "See attached Additonal Respondent List" and list the number of pages.
D See attached
Additional Respondent List pages
Numbe ofFage
Page 3 of 6
Resed July 2012
III. VIOLATION(S) ALLEGED
DATE(S) OF ALLEGED VIOLATION(S) (Ifknow)
CONCISE STATEMENT OF FACTS
Please be as specific as possible with regard to time, place, and the individual(s) taking actions or failng to act, and in describing their actions as well as other witnesses or persons involved. If applicable, please clearly refer to the names of identiyou have identified more than
fied respondents, witnesses, and attached evidence (e.g., See Evidentiar Attachment B.). If
one respondent, please identiry which respondent is alleged to have committed which action and which specific alleged
violation of the statutes.
If you are unable to provide the specific identity of any witnesses in the following "Witnesses" section, please provide as
Facts."
much identirying information as possible in the below "Concise Statement of
The respondent(s) allegedly violated the law as follows:
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Use attached pagers) for additonal statement of facts if necessary.
Please check "See attached Additional Statement of Facts" and list the number of pages.
D See attached
Additional Statement of
Numbe of Page
Facts pages
ST ATE ELECfIONS ENFORCEMENT COMMISSION
Revse July 2012
ADDITIONAL STATEMENT OF FACTS
Page ~ Of.CONCISE STATEMENT OF FACTS continued
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Revise July 2012
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CONCISE STATEMENT OF FACTS conled
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ST ATE ELECfIONS ENFORCEMENT COMMSSION
Revse Jul 2012
ADDITIONAL S!ATE~NT OF FACTS
page~ of ~
CONCISE STATEMENT OF FACTS contnued
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STATE ELECflONS ENFORCEMENT COMMISSION
Revse Jul 2012
Page -- of ~
CONCISE STATEMENT OF FACTS continued
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Page 4 of6
Reved Jul 2012
iv: WITNESSES
WITNESS'S NAME (Ifknown)
First Name
Suff
Last Name
MI
WITNESS'S STRET ADDRESS (lfknown)
Address
City
Slate
Zip Code
WITNSS'S TELEPHONE NUMBER (Ifknn)
Home
!WOd
I Cell
WITNSS'S EMAIL ADDRESS (Ifknown)
Lat Nam
MI
First Name
Suffx
WITNSS'S STRET ADDRESS (Ifknown)
Addrss
Zip Code
LÒ
City I
II
I
WITNSS'S TELEPHONE NUMBER (ifknn)
Home
I Cell
IWOd
WITNSS'S EMAI.L ADDRESS (Ifknn)
Ml
First Name
Suffx
Last Name
WIESS'S STRET ADDRESS (Ifknn)
Addrss
State
City
WITNESS'S TELEPHONE NUMER (1fknn)
Cell
Home
IWod
I
WITNESS'S EMAIL ADDRESS (Ifkn)
Copy and attach pagers) for additional witnesses if necessary.
Please check "See attached Additional Witness List" and list the number of pages.
Additional Witness List pages
o See attached
Nwbe of Pag
Zip Code
Page 4 of6
Revised July 2012
I~ WITNESSES
WITNESS'S NAME (Ifknn)
MI
First Name
Suff
Last Name
WISS'S STRET ADDRESS (Ifknown)
Addrss
State
City
Zip Code
WITNSS'S TELEPHONE NUMBER (Ifknn)
Home
IWOd
I Cell
l WITNESS'S NAM (Ifknn)
Suffx
Last Nam
MI
First Name
WITNSS'S STRET ADDRESS (Ifknown)
Address
lò
City I
WITNSS'S TELEPHONE NUMER (Jfknn)
rp Code
Home
IWOd
I Cell
WITNESS'S EMAIL ADDRESS (Ifknn)
WISS'S NAME (Ifknown)
First Name
MI
Last Nam
Suffx
WITNSS'S STRET ADDRESS (lfknn)
Addrss
State
City
WITNSS'S TELEPHONE NUMBER (Ifknown)
Home
Work
I Cell
I
Copy and attach pagers) for additional witnesses if necessary.
Please check "See attached Additional Witness List" and list the number of pages.
Additional Witness List pages
D See attached
Nwnbc or Page
Zip Code
I
Page 5 of6
Revise July 20lZ
V. EVIDENCE
ATTACHED DOCUMENTARY OR REAL EVIENCE
Please identify each attachment by number of pages, title, author and date if applicable. Records not identified as
the complaint. Please do not provide a website listing as evidence, as this
attachments shall not be considered a par of
you wish to provide Internet or other video or audio communications as evidence,
information is subject to change. If
please provide a pnnted or electronic copy, as appropnate, and list it as an exhibit.
Under "How Acquired" please identify your source for the evidence (e.g., delivery from an individual, Internet website,
the source is a
the source is an individual, please identify the individual in the witness list. If
public flyer location). If
the publication.
publication, such as a newspaper, please identify the publication's name and date of
-
Nwnber of
Title
c~, .
1
\Í C\:,I\ fÄ(;' ':)uS':", 6~
I
Pages
Author
~ llc!t 3
Date Acquired ¡
o \jt~vJ
c;/ro'13
.~"\ '-t ß,.~
EVIDENTIARY ATTACHMENT
Title
Nwnber of
"7 .
i L t JLdL(.L
JV\'l~J
;;
Pages
/3.
Numbe of Pages
2R_.cA:j) ¿ LQ(:r~'Y ~UJ) 1\\ LVY'r Tlf)CitÙ'L ;(
Date9/iõ7/
Pages
Title Number of
V\.\4'.t.~ Z_
(6~
Author
C¡
-
A.t''v'''.. ,)
c ,\!~_L0
Copy and attach pagers) for additional evidence if necessary.
Please check "See attached Additional Evidence List" and list the number of pages.
Additional Evidence List pages
o See attached
Numbe of £loge;
Page S of 6
Revised July 2012
V. EVIDENCE
ATTACHED DOUMENTARY OR REAL EVIENCE
Please identify each attachment by num ber of pages, title, author and date if applicable. Records not identified as
please provide a printed or electronic copy, as appropriate, and list it as an exhibit.
Under "How Acquired" please identifY your source for the evidence (e.g., delivery from an individual, Internet website,
the source is an individual, please identifY the individual in the witness list. Ifthe source is a
the publication.
publication, such as a newspaper, please identifY the publication's name and date of
Number of Pages
I
Author
P9 KJ'i J (~A J-
0("' L.ui'l'\'"j-- \,! L/)-L.,lì-\. .. I
-
How Acquied
~
¿-;\. \ ¡~
Numbe of Pages
Title
?~
..
A IIf\C H (Y(; A.) T #= L,
Autho
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~.
Date of Publication
How Acquired
Ph'
If SJ FSlò (2 'J
)&J /7 ~tJNumbe of
Author
-)'~S 1/
\L~ì,-A.Q "Tk -- Û.S i,J~
Date Ac uid
How Acquird
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(1 ,; Lf £3
Numbe of
Pages
l
(
Author C
Date oflublication
fZ-.'C1JL£V\.J De -)ú/L-t"
Date Acquired
How Acquird
t&C
Pages
13
_ OY1i I:ju:t c.-: 'L~
o See attached
Numbe of Pages
Page 5 of6
Revsed Jul 2012
~ EVIDENCE
A TTACHED DOCUMENTARY OR REAL EVIENCE
Please identify each attchment by number of pages, title, author and date if applicable. Records not identified as
the source is a
the publication.
public flyer location), Ifthe source is an individual, please identify the individual in the witness list. If
EVIDENTRY ATTACHMENT
Title
.
Á' f" Ce--a.Cìt.\.L 12k', \'t Lc
,( ¿;VL,v
Author
(Z(.'cluc1.cD ~ j v-!.uV)
How Acquired
l(.LC'
V~.-/V C.¿;
t ~il L1 ~~(~
EVIDE IARY A TT ACHMENT
Numbe of Pages
Title
( F\ "1 ¡ V~ e I~ (\1 E tJ T -t \, DJ
Q.¿
I
Date of Publication
,
Author
. n.. ~" t¡
()
1)"'1/\. I) I~~ kY/L L
/3
How AcqlÙred
(iLl' À
TJ'-,-' ~? j/)
'U~ fJ-c9 Lp.,;
EVIDE IAY ATTACHMENT
Number of Pages
Title
L¿TYVìJYVl£u'lL'.-6-L í2( C~':(A ('¡."-
1) Lì.i-~-:~ (Aì'Tl-C\~ I'V'-£iJ )"#\0 i
Date of Publication
Author
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How Acquired
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t CV\''l./I'i.uA C;. t..
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EVIDENTIARY A TTACHM
Title
~~ C 6 c- \.. c í2 111 1- tf i A
Author
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"L~O c'Copy and attach pagers) for additonal evidence if necessary.
o See attached
Ninbe of Page;
I ()
Page 5 of6
Revsed July 2012
V. EVIDENCE
ATTACHED DOCUMENTARY OR RE EVIENCE
Please identify each attchment by Dumber of pages, title, author and date if applicable. Records not identified as
attachments shall not be considered a par of the complaint. Please do not provide a website listing as evidence, as this
the source is a
the publication.
~
Title
~ TúlJÒ
How Acquired
lVlLv0 0
~
Number of
s;
Pages
Date of Publication
15 dO/3
CL1f'h.Ü:lLLJ 11 ..~
-~
Numbe of Pages
Title
~Lh l~ei 00
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M (l lL£Ü:v, C~
How Acquired
IzL' A.~J D- Cø
EVID NTIARY ATTACHMEN
Numbe of
Title
~I
L
A-lV\.uJ
N -i t115
Pages
Date ofPublication
Author
How Acquired
?tl-Vvt.J
Å (¿¿ LJ.?I. . t9-
EVIDENTIARY ATTA
Number of Pages
Title
1
(11" 1/14(1-1 V\¿ N f -# lto
Author
PÎíL
tL~
How Acquired
Copy and attach pagers) for additonal evidence if necessary.
D See attached
Numbe of Poge
Page 5 of6
STATE; ELECfIONS ENFORCEMENT COMMISSION
Revised Jul 2012
V. EVIDENCE
ATTACHED DOCUMENTARY OR REAL EVIENCE
Please identify each attchment by Dumber of pages, title, author and date if applicable. Records not identified as
attachments shall not be considered a part of
the source is a
the publication.
EVIDENTARY ATTACHMENT
Number of Pages
Title
:J~i/)
Title
iAT-,
Author
Numbe of
Pages
MEN ì :#1'1
w~
. V~tA.b
Numbe of Pages
kWt.~QÐ
,lL'i ~~L.,~ .
.ú j)~\e':~L~
;.:kiit
Please check "See attached Additonal Evidence List" and list the number of
D See attached
Numbe of Page
pages.
(
Number of Pages
~
Page 5 of6
ST A TE ELECfIONS ENFORCEMENT COMMISSION
Reved July 2012
~ EVIDENCE
ATTACHED DOCUMNTARY OR REAL EVIENCE
Please identify each attachment by number of pages, title, author and date if applicable. Records not identified as
the source is a
the publication.
, b.h
Title
iV\EN T :idi
Number of
Pages
I
(j DlsflUcf lU ~1-1bJ 'Rrfëit
ate ofPublic.ation
Title
(A 1 í r\ C )'1 E 1' T it dJ
?etJ,ùwLb -a rUÌiiki~!.J.Q)os,(.lò~'iqp
Author
'ì '
!nuL li:
\~
Title
Number of Pages
3
How Acquired
Title
(AI
Author
D See attached
Nwnbe of Page:
Page 5 of6
Revised July 2012
V. EVIDENCE
ATTACHED DOCUMNTARY OR REAL EVIENCE
Please identifY each attachment by number of pages, title, author and date if applicable. Records not identified as
Under "How Acquired" please identifY your source for the evidence (e.g., delivery from an individual, Internet website,
the source is an individual, please identifY the individual in the witness list. If
the source is a
publication, such as a newspaper, please identifY the publication's name and date of
the publication.
EVIDENTY ATTACHMENT
Title
Numbe of Pages
b'l. C) I \ 0 \ t 3
L
L.J) CL ~
Author
How Acquired
"G=~
eQ
E
Title
Number of
CA5'\-eevl V(~ r2 ( .
(AT
Pages
c2
Author
How Acquire
\j;tjJ
Title
Numher of
Author
Date ofPublicatIon
How Acquired
Date Acquired
Pages
EVIDENTIARY ATTACHMNT
Numbe of
Title
Author
Date of Publication
How Acquired
Date Acquied
o See attached
Numbe of Page
Pages
Page 6 of6
STATE ELECfrONS ENFORCEMENT COMMISSION
Revised July 2012
VI. CERTIFICATION
1) Each Complainant must sign a separate page and each signature must be separately certified. This
complaint wil not be considered fied without the name, address, and original certified signature of
at least one Complainant. Mail or hand-deliver this complaint to:
State Elections Enforcement Commission
20 Trinity Street, Suite 101
Hartford, CT 06106
the State
2) Once fied, this complaint may not be withdrawn by the Complainant(s) except by a vote of
Elections Enforcement Commission.
3) I am aware that criminal penalties may be imposed upon any Complainant who, under penalty of
false statement, knowingly fies a false complaint.
4) The State Elections Enforcement Commission's investigation of a complaint is confidential unless
and until the State Elections Enforcement Commission votes to authorize an investigation of a
complaint. Until such a vote, neither the Commission nor its staff wil release or confirm any
information about the complaint except upon written request of a treasurer, deputy treasurer,
chairperson or candidate affliated with a committee that is the subject of the complaint or
preliminary investigation.
Guides to the elections laws are available at htto://wWW.ct.2ov/seec
Connecticut General Statutes are available at htto://www.c2a.ct.2ov
CERTIFICATION
I solemnly swear (or affrm) that the above statement is true and accurate
to the best of my knowledge and belief.
COMPLAINANT'S SrGNATURE
DATE (mm/dd/yy)
,20_
Sworn and subscribed before me on this_day of
SIGNATUR OF PERSON ADMINISTERING THE OATH
Seal
NAME OF PERSON ADMINISTERING TH OATH (Plea Prnt)
TITLE OF PERSON ADMINISTERING THE OATH
Note: This oath may be administered by anyone authorized by Section 1-24 of
the Connecticut General Statutes, which includes: notaries public; justices of the peace;
town clerks and asistant town clerks; judges and clerks of any cour; and attorneys who are Commissioners of
the Superior Court of Connecticut.
THIS PAGE INTENTIONALLY LEFT BLANK
Revis Jul 2012
ADDITION~ SlA~fELNT OF FACTS
CONCISE STATEMENT OF FACTS contiued
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Do IE A LIe. !3'-ld ,? rd CT, 6&J0/Ö,
Page 6 of6
Revsed Jul 2012
VI. CERTIFICATION
complaint wil not be considered fied without the name, address, and original certifed signature of
Hartford, CT 061 06
the State
complaint. Until such a vote, neither the Commission nor its staff wil release or confirm any
chairperson or candidate affliated with a committee that is the subject of the complaint or
Guides to the elections laws are available at htto://www.ct.eov/seec
Connecticut General Statutes are available at htto://www.cea.ct.eov
CERTIICA nON
~N~8:esr: knowledge and belief.
2. c;t
Sworn and subscribed before me on this_day of
IV bey,20_
O c.+-r-i~
.~
Seal
.3"
")
i-isci M Ni ghhn go k
NAME OF PERSON ADMINIS' RING THE OATH (Pleae Print)
SIGNATUR OF PERSON ADMINIS
,J'\Jfìe
C ornrnlSS; ion eA.1 res
. .2~li
.., iO¡g.
Note: This oath may be administered by anyone authorized by Section 1-24 of
the Connecticut General Statutes, which includes: notaries public; justices of the peace;
the Superior Cour of Connecticut
town clerks and assistt town clerks; judges and clerks of any cour; and attorneys who are Commissioners of
~.
L
Page 6 of6
STATE ELECTIONS ENFORCEMENT COMMSSION
Revised July 2012
VI. CERTIFICATION
complaint wil not be considered filed without the name, address, and original certified signature of
Hartford, CT 06106
the State
complaint. Until such a vote, neither the Commission nor its staffwil release or confirm any
the complaint or
chairperson or candidate affiiated with a committee that is the subject of
Guides to the elections laws are available at htto://www.ct.!:ov/seec
Connecticut General Statutes are available at htto://www.c!:a.ct.!:ov
CERTIICA nON
~~' 0\¿ __
\02\-L3
Q ~to the best of my knowledge and belief.
DATE (mm/dd/yyyy)
COMPLA S SIGNATURE
Sworn and subscribed before me on this2i Si- day
of 0(' lo heir
,20 13,
C"_
Seal .9l
. 1\.. 'h" i ; i
.lSQ IV¡, NiQ. tlnQ.O e ~~ I
NAME OF PERSON ~STERING T~ OA rH (ploase Prin')
~otnr Pubì ie -- M . cory)i'ìl SSlOíl e;tp ¡"ce s' June 30,2.0 IS.
TITLE OF PE SON ADMINISTERING THE OATH
Note: This oath may be administered by anyone authorized by Section 1,24 of the Connecticut General Statutes, which includes: notaries public; justices of the peace;
town clerks and assistant town clerks; judges and clerks of any court; and attorneys who are Commissioners of the Superior Court of Connecticut
THIS PAGE INTENTIONALLY LEFT BLANK
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PLEASE USE PEN ' PRINT CLEARLY
. New Voter Regisllion 0 Addres9 Change
(Includes move to a new town) (within the same town)
o Name Change
Chang
O Part
EnrollmemtJ,
Will you be 18 on or before electon day? DYES D NO If you checked "NO" to either of these
questions, do not complete this form.
First Name
Middle Name or Initial
Jr. Sr.
6-3-£5 LJ5
-P? I(J-t)i~
II ill iV
CT Driver's License Number
. (If none, last 4 digit of So. Sec. No.)
/088
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State Connecticut
Gender
Male D Female
~o ou wish to enroll in a political part~
e; wr "NONE,?
YES. Name of part: _Republica Democratic Other:
NO. I do not wish to enroll in a part at is time.
Note: Delaring a part enables you to vote in that pa's primary eletion, which is open
only to part members. You may later choose to swffch enrollmet to or from a political part
State _
County
Name Under Which Registere (if different from above)
I swear or affrm that:
. i am a U.S. Citizen
Would you like to work at
· i a t least 17 y ars old ......,
the Polls on Elecon Day?
· i live at the addi;ess shown-ilí5 abe...h.
· i ha t ben n'. . ing felony, òrif
. The fo tio provided here is true
, I have ben released frm confinement and, if applicable, parle
DYES
Today's Date: L /~/~ D NO
WARNING: If you sign this sttement even though you know it is
untru, you ca be convicted and imprsoed fo up to fie ye and
fined up to $5,00.
CO
UNDElNl£
O NOTICE
RETURNED
~. ,.t~v5
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CJ:C..
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(lkAvi'VJ :W 2o j' :\ ).
AVG. :u12D/;¿ /
C~F&.
, AUGUST. 14,. 2012'
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DEMOCRÁTIC.,STA.TE PRIy'ELECTION
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AUIUI. 14,1011
State District: 128-01
ST i#
UNIT
NAME
NOBLE AVENUE (CoaL.)
. Austin James
Austin Nonna J
910-
910
910
910
915
917
917
917
923
925
925
925
3RD FL
Galbert Shiomi J
Bouknight Benjamin
Galbert Darell
Galberth Hattie D
Fosler Anisa L
2
Hicks James D
939
939
946
962
964
964
964
964
967
972
974
977
Hernandez Rosa
Torres Minerva
White Jerilyn M
Marinez Hector A
931
941
941
941
941
941
941
941
Jackson Donald R
Jackson Ellen M
· Jackman Noelle J
.Bingham Michelle
A-7
Cuadrao Sharn
.Evmonos Tawanda
Griffm James A Jr.
RM2
Habbal Yesnia R
.Quinto Demetr
Stallings Gregory J Sr.
Dejesus Richa
Murhy Elonia
Fowlke Edard M
Porlr Elonia
Port James
Portr Juliett L
Roriguez Jaselin
2ND FL
PriDted OD: 08101011
Beasley Faniesha
Simpson Jeae M
Ferr Ferdind
ST#
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985
985
987
987
987
987
990
990
992
992
992
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995
995
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1024
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1025
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1026
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1034
I 02.
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#1
A-3
#3
#2
NAME
Ferro Isabel G
Mojica Hector Sr.
~ Sanchez Luz E
Ag Mojica Hector
Ortiz Marza
Rodriguez Danisa
Sala Juan C
Daniels Terrce P .
Leal Esperanza
Ayala Adriana
Diaz Juana M
Pacheco Julissa
Mgjica Leopoldo
Mojica Raona
Pena Maria R
Callam Waldron C
Chamoro Alex T
#9
Corpral Marcus V
Moore Fraklin
IFLR
Baez Miguel
Garia Ugia I
Maldonao Sandra
Pabon Raames J
~vera Melissa Y
Rodriguez Suhail M
.Vega Wiliam
Zengotita Dolly
Campos Wanda I
.Garia Brayan
.Valle Chayan Sr.
2FL
.Valles Jorge
· Dejesus Cru E
.Mojica Janes
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Page: 33
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Bridgeport
September 04, 2012
State Distrid: 128-02
;'
~liílT
¡lotN:..VEUE (CoDL)
.í
116
884
892
892
893
893
893
893
893
893
893
893
893
893
894
894
894
894
896
896
Pizo Orlando
Thomas Gussie
-Meketa Bobi L
,r .82
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NAME
#i
Edison Sualihy
- McCray Carle
McCray Chaine D
Agosto Marisol
Alvarado Celestino
-Mercado Rafaela Sr
2FL
900
900
90
Rivera Jose A
-Rivera Luis A
-Rosa Anewdi
-Rosa Bryan
Rosa Wanda
Thorp Oneil Y
Tirado Gloria
908
910
910
910
910
910
910
91S
917
917
911
923
923
925
925
925
925
-Navaro Antonio
931
931
Wright Raona
.Wright Rausheik L
Reyes Gloria L
939
939
939
Rodriguez Zobeida
941
941
941
941
941
941
941
941
Dunba Taylor S
Lebron Jua
Lebron Madeline
Muniz-Santiago Ernesta
900
902
902
902
Pachec Alejan
Herndez Grille
90S
Cru Juan D
905
905
Strm Jane R
PrlDted OD: 08112012
STN
Pachec Alejandro
Rodriguez Canelo
Strm Roland J Jr.
UNIT
NAME
-
Jackson Ruth C
Austin James
Austin Nonna J
.'
I
Craddock Amber D '
3RD FL
,
Jackson Donald R
Jacksn Ellen M
McCray Brian T Jr.
Galbenh Shiomi J
,
Bouknight Benjaiin
Galbenh Darell
Galbert Hatie D
Foster Anisa L
Foster Debbie
2
#7
A-7
-Gonzalez Victor
Hernandez Rosa
Torres Minerva
White Jerilyn M
Marinez Hector A
Wallace Khalima
Hicks James D
- Jackman Noelle J
-Reyes Elizabeth
-Bingham Michelle
Buster Diane
Cuadrao Sharn
.Evronos Tawanda
Griffn James A Jr.
RM
Habbal Y cscnia R
-Quinto Demetr
Stallngs Gregory J Sr.
'94l)~'-'"- . _~~n - _Dejesus Richard
962
964
Murphy Elonia
Fowlkes Edward M
Pige : 43
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Bridgeport
November 06, 2011
State District: 128-02
-
ST l# UNIT NAME
NOBLE AVENUE (Cont..)
89- McCray Charmaine D
893 Agosto Marsol
893 Alvardo Celestino
893 2R i\&Garcia Janet
ST t# UNIT
910
915
917
917
91'
893 -Mercado Rafaela Sr
893 2FL Rivera Jose A
923
923
925
893 NJ -Rosa Anewdi
925
893 -Rivera Luis A
893 -Rosa Bryan
893 Rosa Wanda
893 Thorp Oneil V
893 Tirado Gloria
894 -Navaro Antonio
894- Wright Raona
894 -Wright Rausheik L
896 Reyes Gloria L
896 Rodriguez Zobeida
900 Lebron Juan
925 2
925
931
931
939
939
939
941
941 #7
941 A-7
NAME
McCray Brian T Jr.
Galberth Shiomi J
'Bouknight Benjamin
Galberth Darrell
Galberth Hattie 0
Foster Anisa L
Foster Debbie
-Gonzalez Victor
Hernandez Rosa
Torres Minerva
-wite Jerilyn M
Martinez Hecor A
Wallace Khalima
Hicks James 0
-Jackman Noelle J
-Reyes Elizabeth
-Bingham Michelle
Buster Diane
Cuadrado Shaon
941
941
-Evmonos Tawanda
Griffn James A Jr.
902 Herndez Griselle
941
941
-Quinto Demetri
902 . Rodriguez Cannelo
946
962
900 Lebron Madeline
900 MWliz-Santiago Ernesta
900 Pachec Alejandro
902 Pachec Alejandro
90S Cruz Jua 0
90S . Strom Jane R
90S Strom Roland J Jr.
908 .. :lackson Ruth C
9 io Austin Nonna J
910 Craddock Amber 0
910 Jackson Donald R
910 3RD FL Jacksn Ellen M
Printed 00: 11/02/012
941 RM2
964
964
964.~ ~_.... ... ..~,
964
964
964
967 2FL
Habbal Vesenia R
Stallngs Gregory J Sr.
Dejesus Richard
Murphy Elonia
Fowlkes Edward M
Porter Darrn R
,... 'Porter Elonia
Porter James
Porter Juliette L
Port Rashaun 0
*Abdul Wali Seifuddin S
Page: 44
Property Location: 946 NOBLE A V
Vision ID: 13879
PiTí A c¡. ¡11r¿ I- 'í lf ~P ID: 54/161 II II /
Account #RA-0060290 Bldg #:
CONSTRUCTION DETAIL
Bldg Name:
1 oft Sec #: 1 of
State Use: 225
Card
of
Print Date: 09/24/2013 14:16
CONSTRUCTION DETAIL CONTINUED
Element Cd. Ch. escription
Element Cd. Ch. escription
5 ervice Shop/Garage
5 vc Shp/Gar
8 verage
BAS
1
MIXED USE
1
15
5
Concr/CinderBI
inyl/Aluminum
4
Jat
ar + Gravel
1
linim/Masonry
1
Code
escri tion
225 Com Garage Shop
Percenta e
100
COST/MARKET VALUATION
dj. Base Rate: 9.77
2
3
2
eplace Cost
YB
1
Idg Use 25
ep Code
Com Garage Shop
emodel Rating
Year Remodeled
tl Rooms
tl Bedrms 0
Functional Obslnc
xtemal Obslnc
tI Baths
tl Half Baths
tl Xtra Fix
eat/AC 0
rame Type 3
aths/Plumbing 2
eilinglall 0
ooms/Prtns 2
48
ep%
ost Trend Factor
Status
% Complete
verall % Cond
asonry
verage
pprais Val
ep % Ovr
Dep Ovr Comment
Misc Imp Ovr
Misc Imp Ovr Comment
ostto Cure Ovr
Cost to Cure Ovr Comment
one
all Height 14
Yo Comn Wall
ode
AVI
Code escri tion
BAS First Floor
BUILDING SUB-AREA SUMMARY SECTION
Livin Area Gross Area E. Area
1,296 1,296 1,296
1296
1296
1296
Property Location: 946 NOBLE A V
MAP ID: 54/1611/1/ /
Bldg Name:
Account # RA-0060290 Bldg #:
Vision ID: 13879
rnpn
Description
43 BASSICK AVE
L.orn Land
L.orn Bldg
Code
2-1
2-2
2-5
rom Outbl
BRIDGEPORT, CT 06605
SUPPLEMENTAL DATA
Other ID:
Owners:
Heart
Abstract
Freeze
Appraised Value
Assessed Value
101,050
38,730
8,250
70,740
27,110
5,780
6015
BRIDGEPORT, CT
VISION
200
Special Dist
ASSOC PID#
GIS /D: 1611-1
BK-VOVPAGE
D & A SERVICE STATION INC
ARANA DAVID
ARANA DAVID & ANGEL L RESTO
02/17/1998 U
02/17/1998 U
08/31/1988 U
3867/ 7
3867/ 5
2549/318
Total
ulu vii SALE PRICE v.c.
DATE
SALE
I
I
I
0
Yr.
5,000
160,000
011
011
011
Code
2-1
2-2
2-5
Yr. Code
70,740 010 2-1
27,110 010 2-2
5,780 010 2-5
Amount
Code IDescrintion
Number
Yr. Code
70,740 009 2-1
27,110 009 2-2
5,780 009 2-5
Assessed Value
103630
Assessed Value
Total:
103 630
Assessed Value
70,740
27,110
5,780
103630
Total:
This signature acknowledges a visit by a Data Collector or Assessor
OTHER ASSESSMENTS
Tvne IDescrintion
103,630
148,030
PREVIOUS ASSESSMENTS fHISTOR
Total:
EXEMPTIONS
Year
Print Date: 09/24/2013 14:16
1
1611--01------CEN735
Census Tract
RECORD OF OWNERSHIP
of
1 Card
('TDT IDfI A n
, ri", ,.' " "'.'"
Additional
State Use: 225
Sec #: 1 of
1 of 1
Amount
Comm.Int.
APPRAISED VALUE SUMMARY
Appraised Bldg. Value (Card)
Appraised XF (B) Value (Bldg)
Appraised OB (L) Value (Bldg)
Appraised Land Value (Bldg)
Special Land Value
Trdnl'
ASSESSING NEIGHBORHOOD
NBHD/ SUB
NC2/A
I
NBHD NAME
I
I STREET INDEX NAME I
I
TRACING
BATCH
i
I
I
NOTES
E=lNCIMKT ADJ
38,730
0
8,250
101,050
0
Total Appraised Parcel Value
Valuation Method:
GENISIS MOTOR WORK
148,030
C
Adjustment:
0
Net Total Appraised Parcel Value
BUILDING PERMIT RECORD
Permit 1D
Issue Date
TVDe
Descrintion
Amount
Insn. Date
% ComD.
Date ComD.
148,030
VISITI CHAGE HISTORY
Iromments
Date
TVDe
6/1612008
3/31/2008
3/18/1999
4/14/1992
01
IS
1D
Cd
AD
91 ~orn Field Review
JF
DM
SU
PUrDose/Result
00 Measured & Listed
A Inside Inspection
A Inside Inspection
LAD LINE VALUATION SECTION
B
#
1
Use
Use
Description
Code
225 ¡Lorn Garage Shop
Zone D
ORN
F ron tage
DeDth
Total Card Land Units:
Units
7,426 SF
Unit
Price
i. Factor SA
12.37
1.00 0
0.17 AC Parcel Total Land Area: 0.17 AC
C. Factor ST. Idx Adi.
Notes- Adi
1.00 NC2
1.0 'W/9
I
SDecial Pricing
Adi. Unit Price
Land Value
13.61
101,050
Total Land Value:
101,050
Page 1 of2
Print Summar
A ¡iAC ¡iMt/J T Jtt.
Powered by Vision Government Solutions, Inc.
..
'.-i:
L"-
MBLU:
54/1611/1/ //
Location:
946 NOBLE AV
Ower Name:
0& A SERVICE STATION INC
Account Number:
RA-0060290
Parcel Value
Assessed Value
Item
32,890
70,740
103,630
Improvements
Land
Total:
Owner of Record
Ownership History
Owner Name
Boklage
Sale Date
3867/7
2/17/1998
o
ARANA DAVID
ARANA DAVID & ANGEL L RESTO
3867/ 5
2/171998
2549/318
8/31/1988
5,000
160,000
Sale Price
Land Use
Land Use Code
Land Use Description
225
Com Garage Shop
Land Line Valuation
Size
0.17 AC
Zone
Assessed Value
ORN
70,740
Construction Detail
Building # 1
1 : Coner/CinderBI
STYLE Serviæ Shop/Garage
Stories: 1
Extrior Wall
Exterior Wall 2: Vinyl/Aluminum
Roof Struct: Flat
Interior Floor 1: Coner-Finished
Roof Cover: Tar + Gravel
Interior Wall
1 : MinimlMasonry
Heating Type: Hot Air-No Due
Heating Fuel: Coal Or Wood
AC Type: None
Building Valuation
Living Area: 1,296 square feet
Year Built: 1952
Extra Features
Code Description
Unit
No Extra Building Features
Outbuildings
Code Description
PAV1 Paving Asph
Units
5500 SF
Building Sketch
http://data.visionappraisal.com/ridgeportCT Iprint.asp ?pid= 13 879
9/15/2013
Page 2 of2
Print Summar
t'A~
.,
Subarea Summary
Code Decription
BAS First Floor
Gross Area
1296
Living Area
1296
http://data.visionappraisaL.com/ridgeportCT /print.asp?pid= 13 879
9/15/2013
City of Bridgeport, Connecticut: Report Printer Friendly Page
ParcellD :
1611--01-------
GISID:
1611-1
Owner Name:
Property Location:
Co-Owner:
946 NOBLE AV
Owner Addr :
43 BASSICK AVE
Owner City:
Account:
RA-0060290
Land Area (Acres) :
0.1704775
$70,740
$32,890
$103,630
Land Value:
Building Value:
Total Value:
Land Use:
Style:
Rooms:
Total/Beds/Baths:
Year Built:
Page 1 of 1
Com Garage Shop
Service Shop/Garage
N/A
1952
Living Area :
Last Sale Date :
2/17/1998
Last Sale Price:
$0
Qualified Sale? :
U
Book/Page:
3867/ 7
View On-Line Vision Propert Assessment Record
View LOCAL LIVE Bird's Eye Imaç¡ery
http://gis.cdm.comlridgeportCT laccount-lPt--rint.asp
9/15/2013
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(1\-( iAC H ~t\6 i\T 1tl)
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PETITION TO THE PLAG & ZONIG COMMSION
CIT OF BRIGEPORT, CONNCTICUT
~"', _ t-,
'-',~" ¿'- "
1.
NAM OF PETIONER rÇe#€ s ,.'.j N() ~ r. 4J OY l S't ¿ L C
2.
Is the Petitioner's nae a Truee ofRecord7 Yes_ No A-.
If
yes, a sworn statement diclosing the Beneficiary shall accompany this application upon fig.
3.
Address of Propert
4.
ABsessor's
Map
Inormation
91/6' N()hk. At) e 1- /b c2 7Ú.t-Æ1tLA-' J' ¡Block
. (number) (steet)
/9
No. _ -1_
No. /(;/1 Lot
Amendments to Zonig Reguations, indicate Arcle
Attach copies bf Amendment.
5.
). /4
( ,. r ,.' I'
Section
A :-//l
Propert (Metes & Bounds)
6. Description of
XÓ ,. / ~~r;;S ,A- 60,. 3 I ?r 2-5 K 17?7G )r 9:J~'; S-
7. Exiti Zone Classifcation OK
8. Zone Classifcation
9. Describe Proposed
requested )J 0 C/Í IL N ).ß
Development of
Propert
~\ '. fl. \~'\&(~ "' / c: st~\ ~. " .
App,ovaC'lRoq"',ted _ hollr'j/dj~ ¿¿J Á~ Ù~/--r-l¡((¡)t6-t~
\) \ Date Gy( 2¿j(
Sigtue
(prit same)
IT signed by Agent, state capac'
Mailg
er, Developer, etc.)
Address C',llC: \Îòtl~, 'vA,u t- 'b~ld.t(..ÒQ.L CT D0fL/''i' pb.oneC20~'),-~.~3- I s:~ 5
EmAddress Ge'Sí~ 1N-()\ò~~o~'S €2, YA-Hco , cö~ FAX: ~t:l~ -'\~OiP-Sd.d.~
$ 6.26. Fee receIvecL*See Note* Date ¡I 2.
20 10 Ç3oi;(oSD
. Clerk J'k
I.2liCell
-D'8
THI PET1ON MUST BE SUMITTED IN PERSON AN WITH COMlLETED ÓrECKLT
o Completed & Signed Application Form
o Completed. Site Development Plan
o Written Statement of
Development and Use
o A-2 Site Surey 0 Buidig Floor Plan
o ,Propert Owner's Lis 0 Fee
o DraIage Plan 0 Buidig Elevations
o Cert OfIncorporatioD. & Organation
And
First Report
(Corporatons &lL's)
;?\C~
\ "~~/~S
_c '. 9
1J
~~LCATION
Print OWner Name Owner's s~e
Print Owner Name Owner's Signatue
*Base Fee plus $100/1 OOOsffor commercial and/or $1 DOper new dwellg unt
Rev.
2007
Cg2, çf )(
Date
Date
Lt
,,-
.. .._VANUA
lJ
L.
519 8th An., 23rd A., me. NY l001B VG# 719300,1
~1_ìJi(HMENl*'i)
(2127JFa1212173
9/02
W-926364
APPLICA TION FOR AUTOMOBILE DEALER'S
DMV USE
ONLY
OR REPAIRER'S LICENSE
STATE OF CONNECTICUT
K-7 REV. 7-2002
DEPARTMENT OF MOTOR VEHICLES
\ - Co
DMV VAUDATION BELOW
DEALERS AND REPAIRERS SECTION
On The Web At http://dmvct,org
INSTRUCTIONS:
1. SECTION 1 must be completed by APPLICANT
2. SECTION 2 must be completed and signed by locl authorities of the city or town in which the location is proposed. '
3. Submit application and supportng documents to: DEPARTMENT OF MOTOR VEHICLES, DEALERS AND
REPAIRERS SECTION, 60 STATE STREET, WETHERSFIELD, CT 06161-2011.
o
TYE OF UCENSE
LIMITED
REPAIRER
TYE OF OWNERSHIP
IF INCORPORATED OR LLC, UNDER LAWS OF WHICH STATE CONNECTICUT GASOUNE PERMIT NO.
o INDIVIDUAL 0 PARTNERSHIP 0 CORPORATION
Q-r
THE BUSINESS HOLDS A FACTORY FRANCHISE TO SELL THE FOLLOWING MAKE(S) OF VEHICLE(S) AT THE ABOVE LOCATION
If applicant finn is owned by individual or partnership. enter data below for all owners. If owned by a corporation enter data for principal offcers or major stockholders. If LLC, enter members and managers.
TITLE
NAME
HOME ADDRESS
DATE OF BIRTH
SEX
C\ CL ('
CERTIFICATION (To be '
declare that the statements madè' SIGNED (
)y me in this application or in any X
anaging Member, or Authorized Offcer in presence of Notary)
ffcer) , TITL
Jocuments attched hereto are
rue and complete to the best of
, Dr Commissoner of Superior Court)
ny knowledge and belief.
SECTION 2: CE
\pproval is hereby granted for the above named firm or ividual to conduct a business of the type C ed below at the location specified in this application. A
iublic hearing on this application has been held as indicated below and as specified by Sections 14-54 & 14-55 of the Connecticut General Statutes.
WE OF BUSINESS APP~OVE I PROPOSED LOCATION ADJOINS
J NEW
CAR DEALER
SED CAR REPAIRER
0 GENERAL REPAIRER
0 LIMITED 0HIGHWAY
STATE AID 0HIGHWA
TRUCK LINE
0 CITY 0STREET
TOWN
DEALER
Y STREET
o HELD I I
HEARING HEARING DATE LOCATION OF HEARING
HEARING ~EY VEHICLES APPROVED FOR SALE
DATA e: ALL MOTOR VEHICLES 0 MOTOR VEHICLES (Except Motorcycles)
o MOTORCYCLES ONLY
o TRAILERS ONLY
Are there any restrictions placed on ,,
the licensee's use of the propert? ~ NO 0 YES (I 'YES", a copy of the restrictions MUST be attached to this application.)
TITLE I DATE
;NATURE OF AUTHORIED OFFICIAL I
;tatemenL.by Chief of Police in town of proposed location or by Commander of nearest Connecticut State Poliæ Barracks if town has not police department.
.he applicant(s) is a proper person SIGNATURE TITLE DATE
:tt. Gen 44 19551 X
iualified to be granted a license (29 Op.
DISTRIBUTION: White - D & R Copy Canary - License Copy Pink - Audit
U~iq
City of Bridgeport
Zoning Department
PLANNING & ECONOMIC DEVELOPMENT
45 Lyon Terrace' Bridgeport, Connectici.it 06604
Telephone (203) 576,-7217
Fax (203) 576-72 i 3
ADDRESS OF PETITION:
CONTACT PERSON:
C(L¡l, J\obl e- A-ue 4- I (Q;Z Pu+ n6lrY S+.
R~ c~j bf'~ esu s,
HOW MANY SIGNS:
TELE: ;)6"3 - 333 -15JS
CELL: ~ 3 - eUs-a - o8yy
~
1. THE SIGNS SHALL BE POSTED ON THE PROPERTY SEVEN (7) DAYS PRIOR TO
THE HEARING.
2. THE APPLICANT IS RESONSIBLE FOR INSURING, ON A DAILY BASIS, THAT THE
SIGNS ARE IN PLACE. IF THE SIGNS ARE STOLEN OR DAMAGED, THEY MUST
BE REPLACED WITHIN, ONE (1) DAY. THE APPLICANT CAN OBTAIN A
REPLACEMENT SIGN FROM THE ZONING DEPARTMENT.
3. THE APPLICANT SHALL PROVIDE TO THE COMMISSION AT THE HEARING A
PHOTOGRAPH SHOWING THE SIGNS POSTED ON THE PROPERTY.
4. FAILURE TO COMPLY WITH THE SIGN POSTING REQUIREMENTS SHALL
RESULT IN THE COMMISSION POSTPONING A HEARING ON THE APPLICATION
TO THE NEXT REGULARLY SCHEDULED MEETING.
5. THE APPLICANT SHALL SIGN A COPY OF THE NOTICE ACKNOWLEDGING THE
REQUIREMENTS FOR SIGN POSTING.
NOTICE
Applicants are advised that supplemental material in support of your application must be
received ten (10) days prior to the hearing date, Material submitted subsequent to this
deadline, even if in response to the concerns of other city agencies may result in your
a~tion rr?)Sion
/íJ,/A'l~
t
i
¡/Signature of AP~or Auih~rized Agent
2, (llJUê-¿ 'J/~~¿5 l/ :s
.
Print Name
Date: 91/%1//
i0)
, City oj Bridgeport
( f\ ì TI' ( H (VlE.\lT --
Zoning Department
PLANNING & ECONOMIC DEVELOPMENT
45 Lyon TerraFe . Bridgeport, Connepicut 06604
Telephone (203) 576-7217
Fax (203) 576-7213
April 29, 2011
GENESIS MOTORWORKS, LLC
C/O RICHARD DEJESUS
946 NOBLE AVENUE
OUR FILE #11-14
RE: 946 NOBLE AVENUE & 162 PUTNAM STREET-Seeking to grant, under Sec.
14-54 of the CT. General Statutes, an amended certificate of location for a used car
dealership, and also seeking to include an additional parcel of property to the existing
licensed premise in an OR zone.
Dear Mr. Dejesus:
At a Public Hearing held on Monday, April 25, 2011 the Planning & Zoning Commission
decided the following:
DECISION: Denied without prejudice.
REASON:
1. The petitioner failed to attend the public hearing and
Commission.
~"y, ,
~ G3Jlal
Dennis Buckley, Clerk
Planning & Zoning Com 's 'on
DB/gb
make a presentation to the
Page 1 of 1
C.O.N.C.O.R.D
( It TT AC l- lV\fN L¡: 10
Secretary of the State He
Business Inquiry
L. HOME lj HELP
Business Details
Business Name: GENESIS MOTORWORKS, LLC
Citizenship/State Domestic/CT
Inc:
Last Report Filed
Year:
Bu~ness ID: 0754155
Business Address: 946 NOBLE AVE.,
BRIDGEPORT, CT, 06608
Mailing Address: NONE
Business Type: Domestic Limited Liabilty
Company
Business Status: Active
Date I nc/Registration: Jul11, 2003
Principals Details
Residence Address
NamelTitle Business Address
RICHARD DEJESUS 946 NOBLE AVE.,
MANAGER BRIDGEPORT, CT, 06608
1496 CENTRAL AVE., BRIDGEPORT, CT, 06610
Agent Summary
Agent Name RICHARD DEJESUS
Agent Business 946 NOBLE AVE., BRIDGEPORT, CT, 06608
Address
Agent Residence 1496 CENTRAL AVE., BRIDGEPORT, CT, 06610
Address
I Back I ..
http://ww.concord~sots.ct.gov/CONCORD/online?sn=PublicInquiry&eid=9740 10/11/2013
. r Ä.iTI\C f/N1r;Ur-~ (~
SEEc FORM 1
.
Do Not Mark iii This SDace For
Offcial Use Oiilv
REGISTRATION BY CANDIDATE
llEGlSTRA TION TYPE
CONNECTICliT STATE ELECTIONS ENFORCEMENT COMMISSION
~ INITIAL
3/07
Rev.
o AMENDED
Page 1 of 4
1. ELECTION DATE
2. OFFICE OR POSITION SOUGHT
3. DISTRICT NUMBER (ifapplicable)
(mm/dd/yyyy)
136
City Council
4. CANDIDATE NAME
Prefix
I First Richard
Mr
1M!
ILast
Dejesus
I Suffix
5. CANDIDATE RESIDENCE ADDRESS
6. CANDIDATE MAILING ADDRESS (ifdifJerelil)
Street Address
Address
P,O, Box 5575
1496 Central Avenue
City
City
Bridgeport
I State CT
-
06610
I Zip Code
203
)
650
CT
T State
.1 Zip Code0661 0
8. CANDIDATE E-MAIL ADDRESS
7, CANDIDATE TELEPHONE IIncllleAreaClide)
(
Bridgeport
dejesus20 13~yahoo.com
0844
9, PARTY AFFILIATION
í=¡ Republican
¡¡ Democratic
D Other
10, DESIGNATION OF CAMPAIGN FUNDING SOURCE (check one)
~
lOa. I am forming a candidate committee and I am required to fie a Candidate Committee Registration Statement.
(Go to Form lA and complete Candidate Registration Statement)
fJ
lOb. I am exempt from forming a candidate committee and I am filing a Certification of
Exemption from Forming a Candidate
Committee.
(Go to Form 1 B and complete Certifcation of Exemption)
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Important Notice: Failure of a candidate to complete this page together with either Form lA, "Registration of Candidate
Committee", or Form 1B "Certification of Exemption from Forming a Candidate Committee", within 10 days of becoming a
candidate wil subject the candidate to a mandatoi') $100 late fiing fee. See Section 9-623(b), Connecticut General Statutes.
Notice: Making a false statement on this form may subject you to criminal penalties, including hut /lot limited to, imprisonment
one year or afi/le of
up to two thousand dollars, or both.
for up to
SEEC FORM lA
Do Not Mark iii This Soace For
Offcial Use Only
REGISTRATION TYI'E
CANDIDATE COMMITTEE REGISTRATION STATEMENT
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
I! INITIAL
Re\'. 3/07 Page 2 of 4
o AMENDED
CANDIDATE NAME
Richard Dejesus
II. NAME OF COMMITTEE
Dejesus 13
12. COMMITTEE ADDRESS
Address
Bridgeport
13. COMMITTEE E-MAIL ADDRESS
Zip Code
State
City
335 William Street
06608
CT
14. COMMITTEE WEB SITE ADDRESS
dejesus13(Qyahoo,com
15, TREASURER NAME
First
Prefix
Olmo
A
17. TREASURER MAILING ADDRESS (ijiliferiil)
16. TREASURER RESIDENCE ADDRESS
Street Address
Suffx
Last
MI
John
Mr
Address
635 Grandfield Avenue
City
City
Bridgeport
I State
-
CT
203
)
685
CT
06610
I Zip Code
19. TREASURER E-MAIL ADDRESS
18. TREASURER TELEPHONE (liieliideArea Code)
(
Zip Code
State
4659
20. DEPUTY TREASURER NAME
First
Prefix
MI
Suffx
Last
21. DEPUTY TREASURER RESIDENCE ADDRESS
22. DEPUTY TREASURER MAILING ADDRESS (I(differeiil)
Street Address
Address
City
City
I State
CT
I Zip Code
23. DEPUTY TREASURER TELEPHONE
(
)
-
Zip Code
State
CT
24. DEPUTY TREASURER E-MAIL ADDRESS
Notice: Making a false statement on this form may .\ bject you to criminal penalties, including but not limited to, imprisonment for up to
oiie year or (f fine of up to nvo thousand dollars, or both.
SEEC FORM lA
Do Not Mark in This SDace For
REGISTRA TION TYPE
Offcial Use Onlv
CANDIDATE COMMITTEE REGISTRATION STATEMENT
~ INITAL
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION
o AMENDED
Rev, 3107 Page 3 of 4
COMMITTEE NAME
Dejesus 13
25. DEPOSITORY INSTITUTION NAME
People's United Bank
26. DEPOSITORY INSTITUTION ADDRESS
Address
City
Zip Code
State
CT
27. CERTIFICATION
I hereby certifY and state, under penalties of
statement are true and accurate to the best of
the designations set forth in this candidate committee registration
my knowledge and belief, and further, that this statement includes my certification to the fact
false statement, that all of
that any individual designated herein to serve as my treasurer or deputy treasurer have indicated to me their acceptance of
my appointment
ofthem to those positions.
DATE (mmJdd/yyy)
I hereby certifY and state, under penalties of false statement, that i have accepted my appointment by the candidate to serve as the
this candidate committee. I intend to comply with all the campaign finance disclosure requirements as
candidate's designated treasurer of
contained in Chapter 155 of
the General Statutes, and to abide by any prohibitions, limitations or restrictions concerning campaign
contributions and expenditures.
DATE (mm/dd/yyy)
T hereby certify and state, under penalties of false statement, that I have accepted my appointment by the candidate to serve as the
candidate's designated deputy treasurer of
this candidate committee, and I understand and accept that, in the event ofa vacancy caused by
the treasurer's death, incapacity or resignation, i shall automatically become responsible for discharging all of
the duties required of
vacating treasurer. I intend to comply with all the campaign finance disclosure requirements as contained in Chapter 155 of
the
the General
Statutes, and to abide by any prohibitions, limitations or restrictions concerning campaign contributions and expenditures.
DEPUTY TREASURER (SIGNA TURE)
DATE (mm/dd/yyyy)
Notice: Making a false statement 011 this form may subject you to criminal penalties, including but not limited to, imprisonment for up to
one year or afiiie of
up to two thousand dollars, or both.
SEEc FORM IB
Do Nol Mark in This Soace For
REGISTRATJON BY CANDIDATE
Offcial Use On Iv
CERTIFICATION OF EXEMPTION FROM FORMING A
CANDIDATE COMMITTE
CONNECTlClJT STATE ELECTIONS ENFORCEMENT COMMISSION
Rev. 3/07 Page 4 of 4
REGISTRA TION TYPE
~I INITIAL
o AMENDED
CANDIDATE NAME
11. REASON FOR EXEMPTION FROM FORMING A CANDIDATE COMMITTEE (clieck one)
I hereby certify that I am exempt from forming a candidate committee because:
o lla. I am one of a slate of candidates whose campaigns are being funded solely by a town committee or a political committee
formed for a single election or primary and expenditures made on my behalfwil be reported by the committee sponsoring my
candidacy, The name ofthis sponsoring committee is:
OR
o 11 b. I am funding my campaign entirely from my own personal funds and will not request or receive contributions from other
individuals or committees and I understand that if! make expenditures exceeding $1,000 that I shall be responsible for filing
treasurers of candidate
committees.
financial disclosure statements according to the same schedule and in the same manner as required of
OR
o 11 c. I do not intend to receive or expend funds in excess of $ 1,000.
OR
o lId. I do not intend to receive or expend any funds, including personal funds, for this campaign,
12. CERTIFICA nON
I hereby certify and state, under penalties of false statement, that this statement of exemption from forming a candidate
committee, for the reason checked above, is true, accurate and complete to the best of my knowledge and belief.
CANDIDA TE (SIGNATURE)
DATE (mm/dd/yyyy)
Important Notice: Failure of a candidate to complete this page together with either Form lA, "Registration of Candidate
Exemption from Forming a Candidate Committee", within 10 days of becoming a
candidate wil subject the candidate to a mandatory $100 late fiing fee. See Section 9-623(b), Connecticut General Statutes.
Committee", or Form IB "Certification of
Notice: Making afalse statement on tliisform may subject you to criminal penalties, including but not limited to, imprisonment for up to
up to two tliousand dollars, or both.
one year or afine of
Field crowded for upcoming primar season - Connecticut Post
Page 1 of5
Aì7Ac?H/VlENT -:13
Luiicli & Omii", .1 Days
,i J tü'~ L. .: II \\1' i ~ J'r IL. The Oriinal .
( í.,¿;/. '-/0'
RasBrvr1/f:s ACCBfIBd
51n'MdlMi. Rd .8,i""
203.71.11
$19.95
TWIN LOBSTERS
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ctpost.com
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Tuesday, September 10, 2013
6 5 . F Bridgeport,
CT
Overcast
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Field crowded for upcoming primary season
Keila Torres Ocasio
Published 12:31 am, Moday. July 15,2013
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MORE NEWS GALLERIES
The Weekend in 13th CT United Norwalk Oyster
Photos, Sept. Ride Festival
6,8, 2013
~~~r:~~~
~~MlRJ~L.~ ·
Stamford mayoral candidate Wiliam Tong greets peLe at the Seior Center in Governmet Center on Thursay, JuLy 11,
2013. Photo: Lindsay Perry I Buy This Photo
4
4
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-: Comments (4l
BRIDGEPORT -- Political parties have just begun
o
endorsement talks for upcoming City Council and
Share
Furni.h.d .\luorI i:
Board of Education races, And petition forms for
candidates seeking to wage primaries for the 20 open
~lhCf'ntcr
h.)tllt.imiu Ilmc:.
-- Email This
i.~kiinLi
!lH \t,-! \l-
council seats or five school board spots won't be
A larger I Smaller
Font
available for at least another week.
III i.ni
I ~ Printable Version
.. "ORI
the
Hispanic Chamber of Commerce, already has his
campaign supporters going door-to-door in the
council's 136th District in fluorescent green T-shirt.
DeJesus, 40, owns Genesis Motor Works and has
helped out in various capaigns, It's his first time
Yet Ricky De.Jesus, former vice chairman of
More Information
Elections calendar
July 16 to 23 .. Political parties make
endorsments between these days.
Petitions for primary candidates are made
available the day after endorsements, or
the last day for making endorsments,
whichever comes first.
Aug. 7 u Last day for primary petitions to
be tumed in and first day for write,in
,,
'")
~.;
running for office.
"We usually tiy and back the best candidate for the
LATEST NEW
job," said DeJesus, who lives in the 1371h district, but
http://ww.ctpost.com/defaultlarticle/Field-crowded- for-upcoming-pnmar-season-46653... 9/1 0/20 13
Field crowded for upcoming primary season - Connecticut Post
candidates to register.
Aug. 20 n First day absentee ballots
become available.
Sept. 4 u Last day for minor parties
nominations.
would move to the 136th ifhe won. "Just the bench
has been weak lately, so we've been forced to step up
and do a little more. We're just regular Joe Schmoes,
We're not politicians. Not the deep pockets. We're
Sept. 5 n Last day to register to vote for
regular constituents tired of not being heard. That's
primary.
who we are."
Sept. 10 u Primaries held between 6 a.m.
and 8 p,m,
Infonnation from the Connecticut seretary
of the state
OTHER NEWS
Page 2 of5
This year more than ever, some say, City Council
Monroe Oems: Vavrek email
critics and "regular Joe Schmoes" are stepping off the
'misleading'
sidelines and gearing up for a battle to unseat council
incumbents. Primary challenges are expected in at
least six of the 10 council districts.
LATEST SPORTS
L .~:..
.\,'.,
r tJ!.)
Challengers say they are tired of seeing their taxes
increase and development project stall. Some are
tk ,-"
angry about the $3 milion the council voted to
borrow last September for Sikorsky Memorial
Airport, $400,000 of which was spent on a driveway
for milionaire developer Manuel "Manny" Moutinho.
Pregnant firefighter placed on
unpaid leave
This, some claim, shows the all-Democratic council,
many of whom are city employees, too often rubberstamp Mayor Bill Finch's decisions instead of
standing up for their constituents.
Kevin Duff: Potent Yankee
offense not close to that of Red
Sox
LATEST ENTERTAINMENT
"How about poor city management, like when we
couldn't get plowing in the wintertime? Where was
that? Where is our money going?" said Mal)' Filo, 42,
a Black Rock resident who plans to run on the
New Fairfeld honors fallen son,
Republican ticket in the 130th District. "We put tons
into the school system, but they don't seem to be
overall improving. I'm watching what's going on with
that driveway issue now, ... You kind of clue into these
Sept. 11 victims
things and go, . Whoa, that's money out of my pocket.'
Hernandez pleads not guilt to
murder indictment
Filo, a single mom with two kids who works for a food
LATEST NEWS
management company in New Haven, sat in on a
Investigation begins in Oyster Fest
accident
recent council Budget Committee meeting to get a feel
for what they do.
Swing crash: Last child released from
hospital
Challengers to the status quo now have a new tool in
their campaign toolbox n a bipartisan political action
committee looking for candidates to support.
Meeting message: No to miltary
Man shot while repairing his car
Police probe Shelton crash
Woman dies from crash injuries
strike Although it has yet to endorse candidates, Citizens
Working for a Better Bridgeport has reached out to
individuals of all parties seeking to challenge
incumbents and has begun collecting contributions.
Black Rock resident Phil Blagys is the PAC's chairman. Former V.S, Comptroller Dm'id Walker,
who bought former V,S. Sen, Christopher Shays' Black Rock house several years ago, serves as
PAC treasurer.
Blagys said the PAC is looking to support Working Families Party cadidates, Republicans,
independents and "reform-minded" Democrats.
It's this shift in public opinion about the status quo that convinced Robeit Halstead, former
coordinator of the city's community gardens, that now is the time to run.
Halstead, who worked for 25 years in city government as a city planner and in other jobs, is
making his first bid for public offce alongside Trih Swain. They hope to unseat incumbents M.
Evette Brantley and .John Olson in the 132nd Distriet.
http://ww.ctpost.comldefault/article/Field-crowded-for-upcoming-primary-season-46653... 9/1 0/20 13
Page 3 of 5
"It's just not enough to just speak out," Halstead said. "Ive talked to a lot of people who feel
like I do, I think it's not going to be easy, but I think there are better conditions (to run for
office), I think people are speaking out in numbers they've never had before."
N3 usual, though, it will be the city's Democrnts who wil face off in a Sept. 10 primaiy for a
chance to get on the November ballot,
Petition forms for that rnce will be available after the divided Democratic Town Committee
makes its endorsements at its meeting on June 22 at Testo's Restaurant and Republican Tovm
Committee has its meeting June 23 at the North Branch of the Bridgepoi1 Libraiy.
John Slater, RTC chairman, said he expects to have a full slate of council and school board
candidates, but the party will put most of its focus on races in Black Rock and the North End,
high turnout areas of the city where most council
leaders live,
For example, Susan Brannelly, who represents Black Rock as a 130th Distriet eouncilwoman,
serves as co-chairwoman of the Budget Committee that voted to increase taxes, he said.
"Our issues are with what the council has done rather than with individual people," Slater said.
The Working Families Part, meanwhile, which has won several school board seats here, hasn't
yet decided whether to endorse or, as they have done in the past, cross-endorse candidates for
counciL.
Democrats in all but four of the 10 council districts -- the 130th, 131st, 133rd and 134th districts
-- have stepped up publicly to express interest in a possible ptimaiy challenge. And all would
be running against the incumbents, with the possible exception of East Side councilman
Manuel Ayala who is rumored to be opting out of a re-election run.
East Side Councilwoman Lydia Martinez wil be running with Milta Feliciano, a former
preident of the Puerto Rican Parade of Fairficld County Ine., to keep her scat in the 137th
District. But this time around, Martinez will not have her party's support,
Last year, a slate supporting former Couneilwoman Mai;a Valle won the majority in the 137th
district away from supporters of
Martinez, who has won two primaries against Valle since 2009
with the party's backing.
Valle is ninning alongside Aidee Nieves, coordinator ofthis year's Puerto Rican parade
pageant.
In the 135th District, the Rev. Maiy Lee, a city schoolteacher, said she wil run again for a seat
in the 135th Disttict -- if only to keep her councilmen on their toes. She will wage a primal)'
three councilmen who serve dual roles as disti;ct leader, and his
against Warren Blunt, one of
council partner, Richard Bonney.
"I would run even if I didn't think I could win," she said with a chuckle. "I intend to make them
at least work for the nomination."
And in the 138th District, Councilman Richard Paoletto is ninning for re-election alongside his
uncle, Michael Marella, who was chosen by the council to replace outgoing Councilman Robert
Curwen earlier this year.
Marella, however, stil owns a home in Shelton and is just renting an apartment in Bridgeport.
Challengers have not yet stepped up.
Councilman Andre Baker, D-139th, is debating whether to seek re-election or to tiy to join the
school board, The latter depends on whether he has enough support to gain the nomination.
Baker has garnered a reputation for asking questions and casting "no" votes on the allDemocrat body that can iri;tate his colleagues and Mayor Bil Finch. Yet he now has a toddler
who will soon enter the city's public sehool system.
"So I'm going to be involved with the Board of Education one way or another. I thought I could
be part of helping to improve the Board of Education -- btinging in some of my experience as a
council person," Baker said.
http://ww.ctpost.comldefault/article/F ield-crowded- for-upcoming-primary -season-46653... 9/1012013
Page 40f5
But even his council race is a bit more complicated with community activist Eneida MartinezWalker's decision to enter the race and former councilman and state Sen. Ernest Newton
contemplating a nin as well.
Newton, who gained the district nomination for his failed bid for a state Senate seat last year,
said he is waiting for Baker's decision.
"It weighs a lot if Andre decides to run for the (school) board," he said. "i haven't made a
decision but the City Council.., I haven't seen it this bad."
Both he and Martinez-Walker, who has organized several anti-crime rallies in recent years,
took issue with the fact that a handful of council members, including Baker's council partner,
.James Holloway, have city jobs.
"I'm going to be more of an Andre Baker," Martinez-Walker said, noting Baker was the only
one to oppose the airport funds. "I'm not going to say yes to everyhing because that's what the
rest of the council are voting on. I'm going to ask a lot of questions and 1 would like answers."
Martinez-Walker, a case worker in Bridgeport for the state Department of Mental Health and
Addiction Servces, said Holloway has always been helpful, but has been in offce long enough.
"Holloway's been in offce for 18 years, Time for him to retire. I don't have anything personal
against him, but it's time for him to retire," she said.
Holloway, though, has no plans to retire. "People can do what they want to do but are they up
to the task of really doing the job?" he said. "I'm not worred about it."
Staff writer Brian Lockhart contributed to this report.
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Most Popular Comments
harveyp 5:29 AMon July 15, 2013
C;
D
emon Bpt,its ttme to take back our city,we ned to get this admin out,enough with the poitical
tavos,mis-handling of city ser'vces(aka the blizzard f13SCO),the driveway Finch made the taxpayers pay for
for his friend etc.Start with FlOch,then McCarthy,and go right down the line..The time is now.
?I REPLY Ó 14)
'V (1)
","" I ~ I "" (Report Abuse 1
POPULARiTY 3
sparky 6:30 AM on July 15. 2013
I hate to say it but Bridgeporters just vote Democrat without knowing anything about the person they're
voting for. If they don't care enough. they deserve the crooks and high taxes. Don't cry .por me- when you
constantly do it to yourselves. Un-elect thiS administration completely and brng in new, fresh faces from
more than one party. A one party city works for their part and not for the peple. The driveway scam is
only one example. Don't elect or re-elect anyone who has anything to do with this administration. They're
all rubber stamps for Testo.
?I REPLY n 141
'V 11)
POPULARiTY 3
","" I ~ I.. (Report Abuse)
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Ill. . S T Connfclicul .\trilia iroul' " E.. S T 1/'lls/,lI/,..rs
http://ww.ctpost.com/default/article/F ield-crowded- for-upcoming-primar -season-4665 3...
Il
a MyvAHOO I
9/10/2013
Ty:(¡/IV\ENT ~ /,/ )
( A I
APPLICANT STATEMENT
PRIMARY
DATE: Jtll: 10/ dO/3-
I, 1(\C ~itlt~ 'J.e:k s"s member of the Democratic
Party, reside at ?~ /Ý~ - /lIIE idgeport
Connecticut.
Submit the names and addresses for the foil wing etition
candidates for the office(s) designated: SUB IVIS ON or J3~ If
ATLARGE:
l( \ c.l"t4'Rj) DE :re-) I, ~ q4 NOßL 4 -
~¿;L
~ S /2-f a úO i ,'ft /3.( 1'V
(J" D lut¡'d
A Statement of Applicant must be presented to the Democratic
Registrar of Voters before petition forms may be obtained
(AITAC HiV\ EN! -l L c: )
City
of Bridgeport Charter CHAPTER 5 - CITY COUNCIL
Section i
(a) The legislative body of
the City shall be a city council consisting of
twenty council members to
be elected at each municipal election.
(b) At the city election in the odd-numbered years, two council members shall be elected from
each aldermanic district by the electors of the city residing in such district and council members
shall be residents and electors in the district which they represent. No resident of one council
district shall vote for a council person of any district other than that in which he/she is registered.
two years from the first day of December next
succeeding their election and until their successors are elected and have qualified.
(c) Council members shall serve for a term of
the city counciL, such
vacancy shall be filed for the unexpired portion of the term by a majority vote of the city council
(d) Whenever a vacancy occurs, for any reason, in the membership of
members from the same political party as the council member vacating such offce. If there are no
other members from the same political party as the member vacating such office, the vacancy shall
be filed by majority vote of the whole number of council members. No person shall be elected to
fil a vacancy on the city council unless he/she is a resident and registered voter of the city and is a
member of the same political party as the person vacating such office. No person shall be elected
to fill a vacancy in the offce of any council member unless he/she is also a resident and registered
voter in the same council district as the person vacating such offce.
Ordinances:
2.06.010 - Districts for election of council members.
A. The town and city is hereby divided into ten districts for the election of members of the city counciL.
1, Each district for the election of members of the city council shall consist of the residents of the census
blocks listed for that district on the attached census block list.
2. The information on the census block list shall be recorded on a census block map and on a street
map of the city of Bridgeport,
3. The census block list and maps, both dated 2010 (Plan 3), shall be filed in and available to the
public in the offce of the city cleric
4. In the event of conflict between the maps and the census block listi the census block list shall
controL.
B. There shall be two members of the city council elected from each district.
C. This section shall remain in place until a new plan is adopted following the next decennial federal census
pursuant to (C,G.S. Sec. 9-169f and the) city Charter, Chapter 5, Section 2, and governing statutory and
constitutional provisions (as a result of, or as otherwise required by statute or court order).
0, The plan of districting hereby adopted, and set forth in the attached 2010 (Plan 3) census block list and
maps, and the ten districts established herein shall be utilized for the 2012 Bridgeport municipal elections.
2.34.010 - New precinct lines within new assembly districts.
Pursuant to Section 9-169 of the General Statutes of the State of Connecticut, the precinct lines for the state legislative
districts shall be in accordance with the map attached to this chapter by reference with amendments and made a part of
this chapter. (Said map shall be maintained in the city clerk's office as a permanent record of said precinct lines),
(:TTACI- M EN i
#/0 )
FOLD _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _'_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
PlEE USE PEN ' PRINT ClELY
" Check Boxes that Apply:
O New
Vote move
Registration
/\(within
Adss the
Change
(Includes
to a new town) Ll
sae town)
YES D NO Wil you be 18 on or before election day? ~ YES D NOo
Lat Name
First Name
Name Chnge
Chane
O Part
Enollment
If you checked "NO" to eiter of these
Jr. Sr.
Ã7C¡YA1RD
/I III IV
Address Where You Live
No., Street,,~t. # 7;$- ÃÍCl-AlA~.s'",.J' 5""
Town l.t;Ø¿)l.'Grb~ r Zip ~/~
State Connecticut
Telephone Number (optina)
Gender
Do you wish to enroll in a political part?
MMale 0 Female
, '. :' -".
NAE or ADDRES C~G; previ~us ~oti~~ Addre.~ iff none; wrie "NONE")
f8 YES. Name of part: _Republican -Cemocratlçher:
No Str~. Y" /YMLc- .A..
o NO. , do not wish to enroll in a part at this time.
Note: Dearing a part enables you to vote in tht pa's prima election, which is open
only to pa members. You may later choose to switch enrollment to or frm a politca pa.
Town 'I,l6¡:P~"'T County i~..n"(d State Cr
Name Under Which Registered (if different from above)
th PO/Is on Eletion Day?
or if so, my voting rights have ben restored
DYES
Tody' Date: -2 j(;iYIß 0 NO
WARNING If yo~ sign this sttemnt even though you kno it Is
ntn. you can be covict and Impred for up to five yers and
. oe up to $5,00.
OATE
O NOTICE
UNOEUVERALE
RETRNED
(A I TNHMfNi :Ii (l)
APPLICANT STATEMEN~
PRIMARY
DATE: cltpWf /0/ ¿)O/~
I~;d"~ 0.e \"-~\ member of the Democratic
Part, reside at 7:T l2,t.,Ct'1 .. , Bridgeport
Connecticut.
Submit the names and addresses for the following petition
candidates for the office(s) designated: SUBDIVISION or /5 b ,Jir
ATLARGE:
// - i-- - "/:i
;I¿;pM 0j~5
J S- ¡,(; 4¡t.u~ir ;j I-
6Ø?,;7ll-l ¿l O¿. tC..O
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(Ai Ti\cH f'\E 1"- T
lt t~ )
APPLICANT STATEMENT
PRIMARY
DATE: Sep.yýber /O,2.t'3
I, A lf 0 Ca ~ + i 110 member of the Democratic
Part, reside at , Bridgeport
Connecticut.
Submit the names and addresses for the following petition
candidates for the office(s) designated: SUBDIVISION or /3 l; -l
ATLARGE:
/t a /Y l=
/).a~c.s.5 75.D 6jn¡;fqæ.
Alr,-~do ClÃ~+lllo l137 Noble. Ave. q-S-' f
\\ii.iir"
l'
~~~\. ':.
. ()/r,¡
( ID(I;)
".. '- . r
A-r7ACH/V~~NT ~l
i. .-, -,._ i:
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0-.,'
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--,-"~;¡
-~. l"
~\
CITY OF BRIDGEPORT
í~. '-~1~,v..,,':
/.
\..
: i 4t~~h ~ c /:;
:~ ~. \~\
"~rI""'I'Jnp:. H. \1
REGISTRARS OF VOTERS
. Margaret E. Morton Government Center
999 BROAD STREET, BPT. CT 06604 / TeL. 203 576-7281
THE HONORABLE
PATRICIA A. HOWARD
SATA I. AYALA
Democtic Deputy Registrar
Democratic Registrar of Voters
of Voters
THE HONORABLE
FRANOSO R. BORRES
UNDA A. GRACE
Republican Deputy Registrar
of Voters
Republican Registrar of Voters
Ii
Date: 11 bi- LOi.
g1f(EDD cl-¡¡J¿) t?2J? jlllfi b
Name & Address
J~/~..
I have received a list of Democratic Voters in the _Qc District along with.
Petition ignature Sheets and Instructions needed to run for offce stated on Consent Form.
o
REGISTRARS OF VOTERS
CITY HALL ANNEX
=~
e: u
999 BROAD STREET
BRIDGEPORT, CONNECTICUT 06604-4804
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u.s. POSTAGE)~ PirnEY ¡¡eWES
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~t- ~ :.-::: .' ., . ,
~T ~~604 $ 000.433
0001376220 JUL 26 2013
\!v
Richard Dejesus
75 Richardson Street
Bridgeport, CT 06610-1636
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RETURN TO SENDER
ATTEMPTED - NOT KNOWN
UNASlE TO FORWARD
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II! 1111111111111 i II! I! i 1.111 i ill
Correspondence
NOTICE OF CHANGE IN YOUR VOTER REGISTRATION
AVISO DE CAMBIOS EN SU INSCRIPCIÓN PARA VOTAR
1111111111111111111111111111111
Richard Dejesus
004223048
August 02,2012
Date of Acceptance
Fecha De Su Solicitud
Date of Notice
July 24,2013
Fecha De Éste Aviso
Date of Birth
November 15, 1972
Fecha de nacimiento
District
126-1
Districto
Pollng Place
Beardsley School
Colegio Electoral Donde Usted Vota
500 Huntington Road
Bridgeport 06610
Party
Democratic
Partido
Next Election
November 05, 2013
Próxima Elección
Next Local or Primary Election
arias
Date Party Enrollment Effective (If Delayed)
Próximo Local 0 elecciones prim
Fecha Efectiva De Su Cambio De Partido (si es retrasada)
TYPE:
( L Change of
Party (l Other Change
Name (xl Change of Address ( L Change of
Cambio de Nombre Cambio de Dirección Cambio de Partido Otro cambia
Your application to change your voter registration has been accepted. The date of the next
election or primary you shall be eligible are indicated above.
Su uso para cambiar su registro de votantes se ha y se ha aceptado. Ella fecha de la elección siguiente 0
primario, eventualmente en la cual usted será elegible se indica arriba,
Voters of:
If
you have any questions about this notice,please contact the Registrars of
Si usted tiene cualquier pregunta sobre este aviso,javor de comunicarse con la oficina del Inscriptor de Volantes de:
Town IPueblo Bridgeport, CT
Address IDirección City Hall Annex
999 Broad Street
06604-4320
Telephone ITeléfono 203-576-7281
( A ì yri l- iv¡ EN Tof*State
d l) or
ReDisRe
Pr Petiti ~
(Nun) (P)
r" d DEVJ . po_
i.rPTl'~ ~~~ . ~òfVotmofth 1"--è.QH-((. Pa.
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of tæ c: ofPtl FIlDi) ~ sn i L D . .fa I1by sa pa fa th
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(Raw of Cm)
off of QJi.n.'lA I b k, . whpawe si to me
(S ar Di 0I - i__lntlÏO di iu)
. 6è.l- 'AE. 11 .. ''T O'=6'~
.. suPa) G,L-TFif£J~' . /
(Rgi ofVo1e is. reui to 2Ïve to the Der0n submitt2 Drimar DetitioD Da2e(s) a reeipt (in duplicate)
stti the Dumbe of page ficc and date an tie of filig. The peOD sh th forwd on suh copy
th n:t to th Sec of th State.)
of
CATTACHf'le"-T -:.;i~ )
(ED-619a)Rev.S/03 (Circulator: Rea separate intrction shee before cirati(;xWa(lIl~ -6O'I'el9ado) (
PRIY PEION FOR MUNCIPAL OFFCES) FROM A POLICAL SL,3 lfVISION
WARING: IT is A CR TO SIGN THS PETION IN TH NAM OF AN01IIER PERSON
WIOm LEGAL AUlORI TO DO SO AN YOU MAY NOT SIGN TIll J!l nnON IF YO
AR NOT AN ELCIOR
A REGISTRA MUST Fl OUT TilS P ART lAl BEFORE GIVG OUT THIS FORM
City
Town . BridlZeort
Political Subdvision
Ward 136TB
r".i
WJ
r !
:t' ..
Borough (Name of Muncipalty)
Democratic
Seotenber 10. 2013
(Pary)
NAMS) OF CANIDATES)
c'.
Distrct
(Date of Priar)
D.O.B OFFCESl S()UGin:~~~ TE
ADDRESS
(Note: provide suffcient space)
./, //
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() ~
TIS PElON MUST BE FILD WT Santa L Avaa
(Name of
Regis ofVote)
999 Broad Street. BridlZeoort cr not later than 4:00 p.m. on Auirt 7. 2013.
. (Addrs of sad Registr)
B.
v
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16
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£81
-619a _ Rev. 5/03 _ Prim. I'et Mun. Off. Pol. Subdiv.) (g:\fuim\c-6'.\i-i 1 ila.docl
5T A nME BY REGISTR OF VOTERS AS TO CIRCUTOR'S
ST A TUS AS ENOLLED PARTY MEMBER
. Circlator must have F'ar C filled in by pa'. Registr in town in which circulator is enrlled
before submitting it ,to pars Registr in muncipality in which the signers ar enrlled.
i
CIRCULAJOR'S RESInENCE Al)DRESSßi.,,Jlreei, town)
~; c rt d D. .t-S l. 7 f\ 1è,luJ.jld. ,rr. c-d ~ d',
I, Registr of Voterl of he par naed in Par A of this petition, in the town of
cr do hereby attest tht .the above circlator is an enlled member of said par in said town.
i . .' ,
R/z/.~3 ~¿£ ~/.d#~
, D;tc I --igntue of Registr of V oten
i
CIRCVl. TOR'S ST A TEMENT OF AUTHENTICITY OF SIGNATURES
i
I
D. Par D must be completed, by Cirlator and by Acmowlcôging Offcer, after obtaining all signatures
on this page and before fiing it with pary's Registra in municipality in which the signers of the
page ar enlled. i
I am the Cirlator of iirls petition page an I mae this statement puruat to the provisions of Chapter
ISfofthe~if\e. ofC"niticu. My addn" i. '7, ,t,¡.¡"....rt'lC ~t · io the
town of' .. I am an enlled member of the political pary designated on this
petition in sad to l~ch pen whose nae app on ths petition signatus page signed the sae
in pen in my prescml:e. I either know eah such signer or such signer satisfactonly identified hiself
I ~-
or herlf to me. The &paces for candidates supported, offces sought and the political par involved
wer Iillt io pnor to "y ohtang the .igotu.. The nomhcr of .igotu on ths peition signatu.
page is D. !
I herby declar under the PENALTIS OF FALSE STATEMEN, .that the stat ments made in the
foregoing Cirulator's ~:tatement of Authenticity of Signtues -truè.,\
",I --
Signtu 01 'ctator
CERTmCATION OF ACKNOWLEDGING OFFCER
State of Connecticut) Il , :~ t
,\tj
ss:~ity.'
~ ,L ID,.
County of
fi itYi):I
town)
On this th 2L day of J u.l Lf . 20~ before me, the undersigned offcer, .
persnally
appe e. ¡ch~tu Ji.'"U.S. . known to me (or satisfactorily proven) to be the
(Nam of Cirula~)
persn whose nae is subscbe to the foregoing Statement of Circulator and acknowledged that he
executed the sae for the purse contained therein.
l
i
In witncss wheref. i have hereto set my hand.
Judg ofa cour ofrcrd or famly support
magistrte; clerk or deputy clerk of a court
My co~ssion expues: having_~issioner of dees or town
... !
~~,. f ~I g (Dste~ clerk; ~; ~-lce of the pe~
(Nota Pulic only) cT g SD ~~ or attorney admtted to the Connecticut Bar
.. ............... ..................... .................. .............. ..............
CEKTMCA110N BY REGISTR OF VOTER OF NUER OF SIGNERS
WHO AR ON ENOllEN UST
I
g. The followig is 10 be filled in by the Registr of V otc in the town in which the iii~er of ths
petition signtu. page
ar enlled, before Regist files with the Clerk of such muncipality:
i
i. Regist of V otcri of the pa naed in Par A of ths petition in the muncipality also naed in Par
A hereby c;ify thllt. ~e ~umbe of ~i~er on .~~ pri ~tition page who
~ enrlled membe of
.
such par m the mUi1cipahty and political subdVlsion naed 10 Par A is: /1./.
(Number)
Dated al __,1!2l:tt; J , Conneccut, this ir day
of æ/(r 20£3,
=--#~
~l'C--A
. Signatue of
Registr ofl-~rs
(ED-l19a)Rev.5/03 (Circuator: Rea separe intrcton shee before ciatig)~.i-I9LcIJ
PRIY PE10N FOR MUCIAL OFFCES) FROM A POLICAL SUBDMSION
WARING: IT is A CR TO SIGN TH PETION IN TH NAM OF ANOTHR PERO
WIOm LEGAL AUfORI TO DO SO AN YOU MAY NOT SIGN TH PETION IF Y
AR NOT AN ELOR
A. REGISTR MUST Fß ,. OUT nu PART lAl BEFORE GIVG OUT nu FORM
i-"
--=1
City
Town BridlZeort
t.
Politica Subdviiion
War 136TB
: ..
:-...
. ~...
.
..
..
Borough (Name of Muncipaty)
...
Distrct
Democratic
-
-- -.
r,.:.
Seotcmbe 10. 201 J
(Par)
(Date of
NAMS) OF CANIDATES)
ADDRESS
.r
c.')
Priar)
TE
D.O.B OFFCESl SOUOHf
~
(Note: provide suffcient spac)
l~UIx'1 I
1
2
TIS PETON MUST BE FIL wm Santa L Ava
(Nam ofReofVotm)
999 Broad Str BridlZeort cr not later th 4:00 p.rn on AUllt 7. 2013.
(Ad~i of ~d Re~8Ua)
B. W e. the underiimed bei2 enlled member of the abve Dar in the above litica suvisio of
the above muncioaltv. do herebvoetion tht there be orted on the volin machie balot label to
be used in the tlriar of said Dar in said oolitica subdiviion to he held on the dae ab e
s ecified the names of
the above individuas as cadidates for nomiation to the oft s ïi
SIGNATUR OF ENROLLED PRITED NAME OF BlRm
ELECTOR ELECTOR DATE
~Û¿
STRET ADDRES
l7 ö c.Jws+riut- Ss .
.. .
~ \0
-
Q.~ ,ÁvQ.
7/13 j~ 32- oak,V, ti..) QiV'
S/5/'1ES' 13.l ..kVleJ, ,"Üe i
(81
( 0-61 9a _ Rø. 5/03 _ Pri. Pim. Mun. Off. Pol. Subdiv.) ii:\f'JmlJ\od,~.\c.5i ?Il.doc)
ST A TE~æN BY REGISTR OF VOTERS AS TO CIRCUTOR'S
STATUS AS ENOLLED PARTY MEMBER
. Cirlator mus have Pert C filled in by pa'. Registr in town in which circulator is enlled
before IUbmitting it to pa. Registr in muncipality in which the signers ar enrlled.
IRCULTOR'S NAME CIRCULATOR'S RESIDENCE ADDRESS (no., Jtnet. town) -+
~ic.hA
f2!:u.
~
.c./;~l-j50rJ
Srl'd
~
o,.l
Registr of Voterl 0 the pa na in Par A of ths peition. in the town 0
do herby att tht i!te above cirlator is an enlled membe of øad pa in øad town
_¿;q'$.4/¿J/fÚ~
Signtu of Rcgistn of Voteri
ÇIRCUI.ATOR'S STATEMEN OF AlIHENICITY OF SIGNATURES
i
D. Par D must be compli:tcd by Cirator and by Acknowledgig Offcer. after obtag all signtu
on ths page and bef.ore filing it with pas Registr in muncipality in which the signers of the
page ar enlled i
I am the Cirtor of th. peition page an I mae ths statement p~uat to the provisions of Chapter
Connticut. My ads is 7 ') tl'Ui\ll,ÜV\ "j r . in the
lS3'ofthe Gener Statut~. of
town of M i.y luV \- . i am an enlled membe of the politica pa designted on ths
peition in øad town Elich pen whose nae app on ths petition signtu page signed the sae
in pen in my pr:. I eith know eah such signer or such signer satisfaconly identified bilf
or herlf to Dl. Th spa for cadidates supported offce sought and the politica pa involved
wer filled in pnor to my obtag the signtu.. The numbe of signtu on ths peition signtu
page is iic . !
I herby dela un th PENALTIS OF F ALSB ST A TEEJ.
foregoing Cirlator's Stateent
of Authticity of Signtu an ti .
i
ÇERTmCATION OF ACKNOWLEDING OFFCE
State of Conneccut It I!' It .J
.1J 1J :i IS: Vt.i 7' pbr 'f
County of rr- ). (city or town)
On thi th "3 ( di,y of Ju I if
penally app ßi c hJ' '! d i De ~4!b4.s
. 20 ß . before me, the undersigned offcer, .
. knwn to me (or satisfactoóly proven) to be the
(Nai of Cirto)
persn whose nae iii,ubscbc to th foregoing Statement of Cirulator and acknowledged tht he
executed the sae for the purse contained therin
In witnl wbcf, I have herto se my bad.
udge of a cour of rerd or famly support
magistrte; clerk or deputy clerk of a cour
My commssion expin:s: havig a se; commssioner of dee or town
3 ~ IJ t¡.¡ I d orR (Dt~ 55 clerk; nota public; justice of the pe;
(Nota
Pulic only) ~ T §50 or attorn admtted to the Connecticut Bar
.................. .................................................... ...... ..... ...
...
ca(FCATlON BY REGISTR OF VOTER OF NUER OF SIGNERS
t WHO AR ON ENOLLEN UST
g. The followig is to be fied in by th Regist of Vote in the town in which the ihmcr of ths
peition signtu page ar enii~ before Regist files with the Clerk of such muncipality:
i. Regist ofVote of
the par naed in Par A ofthi peition in the muncipaity also naed in Par
A. herby ceify tht the numbe of sign on thi pri peition page who ar enlled membe of
such pa in th mwiicipality an politicalubdvision naed in Par A is: (Numbe)
2- 0 .
Dated at
aor .Concu~tb. Z da~~ ~~
/ Sigitu of
Regi.tn of ~
(ED-6 I 9a)Rev.5/03 (Circulator: Rea separate intrction shee before circuatiiaWouJtc -61('.~i9ado) r )
PRIY PETON FOR MUCIPAL OFFCES) FROM A POLICAL SEa irVlSION
WARING: IT is A CR TO SIGN THS PETION IN TH NAM OF AN01IIER PERSON
WIOUT LEGAL AUTORI TO DO SO AN YOU MAY NOT SIGN 'DD 1'1 nnON IF YO
AR NOT AN ELCTOR
A REGISTRA MUST Fll OUT TilS PART (A) BEFORE GNIG OUT THIS FORM.
r..-"."I
Political Subdvisioii
City
'--'
War 136m
Town Bridlleort
( .
','
Distrct
Borough (Name of Muncipalty)
Democratic
(Pary)
NAMS) OF CANIDATES)
Seotenbe 10.2013
j" .,
(Date of Priar)
J."
D.O.B
ADDRESS
OffCES) SOUGH!:
(Note: provide sucient space)
(~U(iC
1 ((ì
TE
~
riLl_~
2
THS PETON MUST BE FILED wr Santa L Avaa
(Name of
Registr of
Vote)
999 Broad Street. Bridiieort cr not later than 4:00 p.rn on AURUt 7. 2013.
. (Addrs of sad Registr)
the above Par in the above J!Q~ ¡cll subdivisio of
the above muncipalty. do hereby pettion that there be prited on the voiinE m¡'å ioe balot label to
be used in the Priar of said Par in said oolitica subdivision to 'be hclç~ in the date ab ve
B. We. the underimed beinE enlled member of
s ecified the names of the above individuas as cadidates for nomiation to tl~g lit s s ecifi :
SIGNATUR OF ENROLLED PRITED NAME OF BIRTH
ELECTOR ELECTOR DATE
l ~L\.
b
4\..., J
8
9
10
ii
12
\3.
14
i~
16
17
IS
19
20
¿
,
(8)
0-619a _ Rev. 5/03 _ Pri 1'c: MUD. Off. Pol. Subdlv.) (g:\form\c-6a\c-6 I 9a.docl
~T A nME BY REGISTR OF VOTERS AS TO CIRCUTOR'S
I
. Circlator must have I'ar C filled in by pa'. Registr in town in which circulator is enrlled
before submitting it to pars Registr in muncipality in which the signel1 ar enrolled.
I
, ~ '.\rrr 1)(~~:: -, ... t\T
(q~TOR'S NAME L CIRCULTOR'S RESIDENCE ADDRESS (no., ~""'. iown) .
I, Registr of V oters of the par na in Par A of ths petition. in the town of .~ ;d. í:t p''-Cr.
cr do hereby attest tht j:he above cirlator is an enlled member of said par in said town.
~/Z-)::"J ~4/Ø:Á'd ~~
, ,61llC I Signtue of Registr of Volers
CIRCULATOR'S STATEMENT OF AUTHENTICITY OF SIGNATURES
I
D. Par D must be completed, by Cirlator and by Acknowledging Offcer, after obtainig all signatures
on ths page and before filing it with pars Registr in municipality in which the signers of the
page ar enlled. ¡
!
I ~ the Cirlator of tb11 petition page an I ma this itatement ~uruant to the provisions of Chapter
Connecticut. My addrs is '15" t&4~ -filA . in the
153 oftbe Gen~ Statu\es of
tow or Ò/~ tu:'r . I am an cilled mebe or the political par designted on ths
petition in sad wu. Each pen whose nae app on ths petltion signtus page signed the sae
in pen in my prece. i either know eah such signer or such signer satisfactorily identified himself
or herlf to me. The IIp for cadidates supported offce sought and the political par involved
wère filled in prior to Ily obtaing the signtus. The number of signtu on this petition signatus
page is 5. I
i ....--.-..
I herby declar under, the PENALTIS OF FALSE STATEMEN, that the, s atements made in the
foregoing Cirulator's S~tement of Authenticity of Signtu! ! e.
,i--
!
i
i
CERTIFC TIO OF
SUJlcOfl)C¡l I ss: ~rJ
or
Countyof rr ;), (çity
town)
On this the a dny of J Ll t!:
.20L . before me, the undersigned offcer, '
peonally appe g ()-~ $1f.L fJ.t,l i. SL.5
I (Nam of Cir'1to)
. known to me (or satisfactorily proven) to be the
Circulator and acknowledged that he
persn whose nae iSlIubscbe to the foregoing Statement of
executed the sae for t he purse contained therein.
In witns wherf. I have hereto set my hand.
Ju ge of a cour of reord or famly support
My ~ommssi99 cxpir:s: having a ,mmssioner of d r town
l) Nl- I /,)''L (Da~e) clerk; otar publi . . 0 the pe ,
(NotJU
Pulic only) ..............................
e/r t! gt; ss or attorney...
admtted
to the..............
icut Bar
. ......................
....... .......
...
Cl!KTIFICA nON BY REGISTR OF VOTES OF NUER OF SIGNERS
WHO AR ON ENOLLEN UST
g. The followig is tei be filled in by th Registr of V ote in the town in which the signer of trus
peition signtus page ar enlled. before Regist files with the Clerk of such muncipality:
the pa naed in Par A of
i. Regist ofVoten of
ths petition in the muncipality also naed in Par
A. herby ceify tht the numbe of iignen on thi pri petition page who ar enrlled membe of
such par in the municipality and political subdvision naed in Par A is: Ó .
(Numbe)
Dated at-4i1
,
. Connecticut, ths ~ day of a. I~¿ / ~ .
i2d it . ~ - :;.~.
Signatu of Registr of V 0 en
(ED-619a)Rev.5103 (Circuator: Rea seare intrcton shee before ciatin)(~.'Gi9adøi ( 1
PRIY PETON FOR MUCIAL OFFCES) FROM A POLICAL SUBDMSION
WARG: IT is A CR TO SIGN TH PETION IN TH NAM (iF ANOTH PERSON
WIOUT LEGAL AUfORI TO DO SO AN yOU MAY NOT SIGN 'rHIS PETION IF YO
AR NOT AN ELCIOR
A REGISTR MUST m J our TI PART (Al BEFORE GIVG our TI FORM
Politica Subdviiion
War 136TB
City
Town Bridiicort
I
,
:.,
I
i
:
Muncipaty)
Borough (Name of
Distrct
SCD~be 10. 2013
Democratic
~
(Par)
NAMSl OF CANIDATESl
i
I
.
;
(Date of Pri)
ADDRES
. "V
D.O.B OFFCFSl SOUGir : :. TE
(Note: provide sucient sp)
V 1 ((ìrh(l(rl ~ \\t~, JS. '1, 'R;i.l'~ iii ~~i I st. 111,\ I '12. l~U(K.11 ~
)
, , V
iAit(trl'1 CÛ,4ill() 11J1 Nnh~Ali1 ~'5'l'1l. r.AllrL'" ~u('S.
TIS PETON MUST BE FIL wr Santa L Ava
(N1I ofRe ofVotm)
999 Broad Str BridilCOrt cr Dot later th 4:00 p.ol OD AUllt 7. 2013.
(Addri of sad Regist)
B. We. the underimed beg; enlled member of
the abve par in the above oolitica subdvision "if
the above muncioaltv. do hereby ~tion tht there be orted on the votin2 mache balot labels to
be used in the Drar of said Dar in said oolitica subdviion to beheld on the dae ab e
the above individuasAl cadidates for nomition to the offces) mecfied
I ~IGNATUR OF ENROLLED PRITED NAME OF BIRm
sDecified the names of
1/ ELECTOR ELECTOR DATE STRET ADDRES
; \ ~/r-~/ /J~-: N.(Îlú ~tv'fJIJrz yJvJ~¿ 1737 AÐbk. Av(. HIJæ3
-:\11~;Z~K:~ úit.l.. l £tl..IAl-iJ /'ar.iin i"/~/'t8 e'l Riilãl--tJ Çfth S"¡
\~)' /'-: ~ ¿-~.. Ti l'Q+Av Mar.lå l' /0'1 Y ¡'.a Be¡ ~;ckQ".J ~tJ" ~..
-lVi,~YL,,l:. v~ ~k\V"~\dA2~1' fy IÖ/~t4 ~l .¡~ ~~l
~ ~~,\ ~ f), re ~UMt) ()t ~L (.La! lO~ ~ i1 l)', ~à--"W cr,
: ~V0 icYID ~'? ~~'Av,, (t. --- ! )Vi/iy I-¡s- ~\.,,-.~ r-l
v~~ 'IA (.:~ ~ A'Mcvilv5lt:l-r-~~c- 5Á7J~3 lç)!J~//ltSf
\~ ~I J),l /~l- 1\CM.. ~~~ l ù ~ ~/~~s- (&3 Al~J~; S~t.
,/J / ~ r\~&ì ri/-J7Z.~5D I\loìf\o:s
\ ~~l\l..~~ A\oriID G\i1 D ~ii:¡rq:; \Sb A\~nt 0t.
\l\ /h1~roM J ß'l V(~(\ctSS ~u I~I~~I\L\L\~~ÄV"P~.
\ 12 \l~~¡'LJ.~~/ CÁa,.!t í?flL-J. ~/~./ý.f l4 ~~~e.~
lilr
i
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j
.
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(' ~ A g- ',,"7 1. ,- .A . \..,,~ ~'i (G ~ tfLØ" J.ßI'" I .J.. "&.1' 'OsL.Jø. :: \
'JIA- /..- 1 ~1 i ¿ ~ i, ¡'i/" 1\..1 ~... ,J .l-illt/ ~ ~ AåJlIl /t i 'L
..
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~ ~ Y/tvJ c/,~:. /,. JoJU/.' G. 2. J".'~ ~ c~/.z .- - ~ 1#7 /; ~L' /-" ~,- ~.A~c f' _~,
\. '.../ L¥~ - I~-.g~ '_~'N'.. './L../~ go~.7úr'l' ~
A1f
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T .Ã
: 18~1!~ AlL~7i() ~ iz(/?øfd~i7Æ¡;ZtPl,;¡7 L i 13/1-"~/A Sf
· il. &. \ lta ~ ~ 1';7, ~ tJ \' ~ . II ß (a - CI-~ IlJ 0 ß. \.~ ((__0 .LdJ1
\i'io~l rAfttQ 1ft MOf\~(~ CCl~+i \\0 1J~ 13 \lll Nob\f A\Je.
~
(8)
D-619a. Re. 5/01 - Pri F ci MUD. Off. Pol. Subdiv.)(ii:\fon\c..tiv &.c-619Ldoc)
:;T ATE~ BY REGlSTR OF VOTERS AS TO CIRCULATOR'S
. Cirlator mus havo Put C filled in by pa'. Rcgi.tr in town in which circulator i. enrlled
before iubmitting it to pars Registr in muncipality in which the iignen ar enrlled.
; 0 ~.L 'l ). ) uS ~ - ....
TOR'S RESIDENCE ADDRESS (no., street, town)
i. Registr of V otc 0 the par naed in Par A of ths petition, in the town 0
CT do herby att tht ihe above cirlator is an enlled membe of l8id pa in said town.
írlz-l; ~d"/tAt-#~
Registr ofVoterø ..
/ Da' i . ...Signtu of
ÇIRCULATOR'S STATEMEN OF AUTHENICITY OF SIGNATURES
D. Par D must be completed. by Cirtor and by Acknowledging Offcer. after obtag all signatues
on th page and before filing it with pary's Registr in muncipality in which the signers of the
page ar enlled.
I am the Cirtor ofthli peition page and I mae ths statement puruat to the provisions of Chapter
Connticut. My ads is 1'Ç ¿( \"1Ar'l,.,~'V\ r !~ . in the
153 'ofthe Gener Stall~:e. of
town of ~ . I am an enlled membe of the politica par designted on ths
,peition ~ Ellh pen whose nae app on ths petition signatu page signed the sae
in pen in my prec:. I eith know eah such signer or such signer I8tisfactonly idetified hilf
i l-
or henlf to me. 1' iip for cadidates supported offce iought and the politica pa involved
were filled in pnor to a y obtag the signtus. The numbe of signtu on ths peition signtu
page is a c . I
I herby dela unde th PENALTIS OF FALSE STATEEN. tht thë"statents made in the
i . ./ l, ¡
foregoing Cirlator's S'iateent of Authticity of Signtu' c. n " ,.)
Signtu of
I
i
,
ÇERTICATlON OF ACKNOWLEDING OFFCE
State of Cocut )
) IS: ~l 'J) l-l ) 7' (-
Coty of If! l i. (city or -i)
On ths th JL diiy of I l; t ~ . 20lL before me, the undersigned offce, .
penaly app jJcJ)~-i ~g¿.s~s . known to me (or ~tisfactonly provcn) to be the
. .' . '.' (Nam of Cinto) .
persn wnosé ñaè" ii iiub~bc to tl fptegoin: Statement.or Cirulator an4 acknowledged. tht he
.. ¡ . . .. thin.
r.. It..
" exeeled the WIe for'lhcf p~ ,contained
. "': ¡,.. , .
In witn whef, I have heto se my had.
Judg of a cour of rerd or famly support
magistrte; clerk or deputy clerk of a cour .'.
My c:ioo exin,.: bavig . ~ion of de or 1m:
~ Il p'" i.?o 13 (Daie) cler n~ justice of the pe:
(Nota
Pulic ony) or attorn admtted to the Connecticut Bar
.................4..................................................... .....~........
...
cmlFCATION BY REGISTR OF VOTERS OF NUER OF SIGNES
.. WHO AR ON ENOLLEN UST
ths
I
g. Th followi is to be.filled in byth Regist ofVote in the town in which the iimen of
peition iign. page ar enlled \efore Regist files with the Clerk.ofsuch muncipality:
.
in Par'A ofthpepon in th,muncipaity aIlo Iw~ ip Par
1. Regist ofVotc oftlt Pa na
A heby cefy tht th~ Dumbe of.iign on ths pnm peition page who ~ enlled membe 'of
IUh pa in th muIlcipaty an paliticaiubdviilon IU in Par A is: óI C/, . .
Dated at .
I , . " (Numbe)
. l:
..¿W,
, ~ Conìcut~ ths
, 0"
.'
, :¡ 'j,4- 20L1.
'.
Signtu of Registr of
..
9a)Rev.5103 (Circuator: Rea separe intIcton shee before ciatigl(~.~19a) r
(EI1
PRIY PETON FOR MUCIAL OFFCES) FROM A POLICAL SUBDMSION
WARG: IT is A CR TO SIGN TH PETION IN TH NAM OF ANOTHR PERSON
WIOUT LEGAL AUTORI TO DO SO AN YOU MAY NOT SIGN THIS PETON IF YO
AR NOT AN ELOR
A. REGISTR MUST m.l. OUT TI PART (A) BEFORE GIVG C?Ul TI FORM
-.'
'-
Politica Subdvision
City
Town Brid(icort
Borough (Name of
War 136TB
Distrct
Muncipaty)
I')
Septembe 10. 2013
Democratic
(Par)
NAMS) OF CANIDATES)
(,l
(Date of Priar)
ADDRESS
0.0.8
TE
OFFCES) SOUOlI
~
(Note: provide suffcient space)
C~U(\'1 I
1 ((ì
2
TIS PETON MUST BE FIL wr Santa L Ava
(Nam ofRq of
Vote)
999 Broad Str Bridiicort cr not later th 4:00 p.m on AUllt 7. 2013.
(Addrs of sad Registr)
B.
STRET ADDRES
./
S"
./
..../
'8( ;''/1/;1
S ~c.vc".J
51Ç 1I,4~r
cf(C¡ I!AlT
..s~
sr
5T
5
6
7
8
9
10
11
12
\3.
14
15
16
17
18
'" ,
19
20
I
/
"
(8)
~ 19a _ Re. 5103 _ Pni IJdn Muo. OLf. Pol. Subdlv.) (1;\formJl\id-óOl\e-6 I 9a.doc)
nIME BY REGISTR OF VOTERS AS TO CIRCUTOR'S
C. Cirlator moo have F'ar C filled in by pa'. Registr in town in which circulator is en11ed
before iubmitting it to pal Regilltr in muncipality in which the iigners ar enro11ed.
CIRCULTOR'S RESIDENCE ADDRESS (li., .Jtrut, town)
r. ": \. cý" Sü
1. Registr of V otc of tli pa na in Par A of ths peition, in the town 0
CT do herby att tht ihe above cilator is an enlled membe of said par in said town
8j.z)b ~Læ~.+LAVote
Rcgistn of
~te I / Signtw of
, Ç1RCULATOR'S STATEMENT OF AlTHENTICITY OF SIGNATURES
¡
D. Par D must be completed, by Cirator and by Acknowledging Offcer, after obtag all signtus
on this page and be fore fiing it with pars Registr in muncipality in which the signers of the
page ar enlled. Ii
I
I am the Cirtor of thl. peition page an I ma thi statement puruat to the provisions of Chpter
I S30f
th pcn Statu~ofCoiicu. My iii is -i r 1&( l.~Irl\O ¿¡t-- , in the
town of ~L . i am an enlled membe of the political par designted on ths
petition ~ Each pen whose nae app on ths petition signtu page signed the sae
in pen in my prcce. I eith know eah such signer or such signer satisfactorily idetified lilf
or herlf to IO. Th 1ip for cadidatea IUpported offce sought and the politica pa involved
were filled in prior to my obtag the signtus. The numbe of signtu on ths peition signtu
page is ::. I
. \
: J
i . ~ '"
the PENALTIS OF FALSE SJ'AT-M~tlt.th~ statrents made in the
I herby dela unde,
Signtu
foregoing Cirlator's S'tatemcnt of Authticity of
,
I Signtu of C' látor
CERTICATION OF ACKNOWLING OFFCER
State Ofeo : II: 15 ¡.id 'j ¡? I'd) f
County of II I. left or town)
On ths th 1L di~ ~of J L. I f1 . 20J: before me, the undersigned offcer, .
known to me (or satisfactorily proven) to be the
persnally appe -lI 1C;:ft'¿d / j)£-r~"l .
i (Nam of Cirto)
persn whose nae is i;ubscbc to the foregoing Statement of Circlator and acknowledged tht he
executed the sae for the purse contained therin.
In wi.. wlif. I have hcr ii my, ha. M
rerd or famly support
Judge of. cour of
M)1coropinion expirs: havig a sel; commssioner of dee orpe;
town
justice
public;
of
the
tJ H/;./I lJtJlY (D~~ clerk; nota
.................. ............................................................... ...
...
(Nota Public ony) (!/ i' ff 53 S-S- or attorn admtted to the Connecticut Bar
cmFlCATION BY REGISTR OF VOTER OF NUER OF SIGNERS
WHO AR ON ENOLLEN UST
th Regist of
Vote in the town in which the si~er of
ths
B,. The fonowig is te' be fined in by
peition iign page ar enlled before Regst files with the Clerk of such muncipality:
i. Regist ofVotc of
the pa naed in Par A of
ths peition in the muncipaity also naed in Par
A. heby cefy tht th numbe of iign on ths pri peition page who ar enlled membe of
suh pa in th mun,cipaty an politicaiubdvision naed in Par A is: r~.
(Numbe)
Dated at
,&ld- Cocut,dui 2. diy~v!~~-gi
.
'Signtu of
Registr of
Voters
REGISTRAS OF VOTERS
CITY HALL ANNEX
999 BROAD STREET
BRIDGEPORT, CONNECTICUT 06604-4804
ADDRESS SERVICE REQUESTED
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READ CAREFULLY * DO NOT RISK YOUR RIGHT TO VOTE
SU DERECHO A VOTAR CORR PELIGRO - LEA CUIDADOSAMENTE
Name and Address
on last list of
Registered Voters
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Richard Dejesus
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RETURN TO SENDER
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ßC: 05604432ß'99 *14B3-0=5130-18-0~
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Correspondence
District
Voters
Confirmation of Voting Residence From: Retstrar of
Town of ridgeport
ED-642 (PART A) (2/99)
LAST DATE to return this form:
September 01, 2012
District: i 36-
City Hall Annex
999 Broad Street
CT,06604-4320
01
We believe you no longer live at address below.
If
If you have chanf:ed your residence to a different town.
you did not change your residence, OR:
you must register to vote in your new town.
chanf:ed your address to a new address within this town.
* If
* Fill out Part B & mail in enclosed envelope, or deliver to us
by date above.
you need a Mail-In Voter Registration Card, let us know.
* Please fill out Part B, Mail in enclosed envelope or deliver it to
us by the date above,
If Part B is not returned:
your address may be required
1. Affirmation or Confirmation of
before you can vote,
Birth Date: 11/15/1972
AND
2. In four years, your name wil be removed from the voters list
if you do not vote in the election or primary, or do not restore
your voting rights
Richard Dejesus
Name and Address
on last list of
Don't Risk your Right to VOTE!
Fil out and Return Part B
Registered Voters
Any Questions? Please call Registrars at the number below:
Registrars
of Voters
Date Notice Sent:
August 02, 2012
203-576-7281
-------------------------------------------------------- (cu there )-----------------------------------------------------------
Confirmation of Voting IFrom: Registrar of
Bridgeport
frown of
Residence RETURN
City
Hall
Annex
FORM (PART B)
District
Voters
September 01, 2012
District: 13601
&99 Broad Street
leT,
LAST DATE to return this form:
1111111111111111111111111111111
004223048
06604-4320
Please check all appropriate boxes and enter information requested.
1. ( ) I Still live at the address shown on this form
5. ( ) I am temporarily absent from the town,
but I intend to return.
2, ( ) i have moved to a different address within this town
(Reason for your absence)
3. ( ) I have moved out of town
4. ( ) Send me a Mail-In Card to register in my new town
NEW ADDRESS IS(No., street, town, state)
DATE MOVED
Birth Date: 11/15/1972
Don't Risk your Right to VOTE!
Name and Address
on last list of
Registered Voters
Richard Dejesus
Bridgeport, CT 06610- 1 636
FiJ out and Return to the Registrars!!!
DATE SIGNED
SIGNATURE OF VOTER
Correspondence
De: Oficina de Inscripción de V otantes
Confirmación de
Residencia para V otar ED642sp (PARTE A) (2/99)
own of
Bridgeport
City Hall Annex
999 Broad Street
CT,06604-4320
Número
del
District:
ÚL TIMO DÍA para Devolver éste
formulario:
September 01, 2012
136-01
Nosotros creemos que ya usted no vive en la dirección indicada abajo.
Si usted no se ha mudado.
0:
Si usted se ha mudado a un pueblo diferente.
usted tiene que inscribirse para votar en el nuevo pueblo.
Se mudó a una direcCÎón en el mi.imo pueblo
* Favor Ilenar la Parte B y envíela por correo en el sobre que
incluimos, 0 entréguela personalmente a nosotros en 0 antes del
dia arriba señalado.
* Si no devuelve la Parte B:
L Puede ser requerido que confirme su dirección antes de que
pueda votar.
* Si usted necesita una Tarjeta de Inscripción para Enviar por
Correo, déjenos saber.
* Favor de \1enar la Parte B y envíela por correo en el sobre
adjunto, 0 entréguela personalmente a nosotros en 0 antes del día
y
señalado arriba.
2. Si usted no vota en una elección 0 primaria, 0 si no restablece
su derecho al voto, en cuatro años su nombre será removido de
las lista de votantes.
Fecha de Nacimiento:: 11/15/1972
Nombre y Dirección
en la Ú1tima Lista
Richard Dejesus
¡SU Derecho a Votar COITe Peligro!
Uene y devuelva la Parte B.
de V otantes
Inscripción de V otantes
Día en que Se Envió
Éste Aviso:
August 02, 2012
Si tiene alguna pregunta, Ilámenos al número abajo:
203-576-7281
-------------------------------------------------------- (corte aq ui )-----------------------------------------------------------
De: Oficina de Inscripción de Votantes
Confirmación de
Town of
Residencia para V otar -
Formulario a ser Enviado
PARTE B
Bridgeport
Número
~
ÚL TIMO DÍA para Devolver éste
formulario:
September 01, 2012
District:
City Hall Annex
999 Broad Street
CT,06604-4320
136-01
1111111111111111111111111111111
004223048
Favor de cotejar en lugar apropiado y Ilene la información que se Ie pide.
5. ( ) Temporeramente ausente de mi pueblo,
L ( ) Todavia vivo en la dirección que se ve en ésta
pero intento regresar.
2, ( ) Me mudé a otro dirección dentro del mismo pueblo.
3. ( ) Me mudé fuera del
(Razón de su ausencia)
4. ( ) Envíeme la Tarjeta para Inscribinne por Correo para
inscribirse en mi nuevo pueblo.
Ml NUEVA DIRECCIÓN ES: (Numero, Calle,
Pueblo, Estado)
FECHA QUE SE
MUDÓ
Fecha de Nacimiento:: 11/15/1972
jSU Derecho a Votar Corre Peligro! Devuelva a la
Nombre y Dirección Richard Dejesus
en la Última Lista de 75 Richardson Street
V otantes
Oficina de Inscripción!
FIRMA DEL VOT ANTE
Fecha de la Firma
./lA17AC/fMfNT :f ) Y )
INACTIVE LIST
DEMOCRATIC MUNICIPAL
PRIMARY
SEPTEMBER 101 2013
-~ ~,~..
-"
..
~~- --l- --
. ~.~'-.
-..- ~
136-01
BEARDSLEY SCHOOL
INACTIVE LIST
Bridgeport
September 10, 2013
Local District: 136-01
ST II UNIT NAME
ALPINE STREET
120 Cennamo-Wallis Dorothy
BOSTON AVENUE
33 # 6 Anthony Gerane
215 Baez Julio
DEAN PLACE
42 *Barlle Ducine S
42 B-20 1 Giordao Tina M
EAST MAIN STRET
2051 2. Henderson Latoya C
2315 Rivera Christine L
HAWTHORNE STRET
98 1 C Singleton Jerr Jr
170 Santaa Lylene T
HICKORY STRET
169 Tardy Sar M
HUNTINGTON ROAD
782 Conquest Grace E
808 Dicks Tanya
808 Eady Avery J
LOCUST STRET
55 Vazuez Idalia
NOBLE AVENUE
1656
1670
1670
Parell Audre M
Fragoso Fernando
McAllster Deirt D
PALM STRET
25 Hampton Joel B
95 Angione Kan
116 #2 Ruiz Amarilys
RICHARDSON STRET
75 Ðejesus Richard - R .
84 Lopez Marluz
ROSE STRET
38 #3 Bayuk Rebecca A
DIST/PCN: 136-01 Total Voten: 23 D=23 R=O U=O
0=0
Page: 1
Printed on: 09/0712013
~~
5 TAT E 0 F CON NEe TIC utfA-¡ /A.Crl¡V/6'('0~ible en E~b~~~
MAil-IN VOTER REGI5TRAWN #c2¿; / (CG~~~-~~
. YOU MAY USE THIS EASY FORM TO:
" register to vote in Connecticut
" change your name andlor address on current registration
" enroll in a political party or change part enrollment
(Changing parties may result in losing rights in all parties
for 3 months)
IMPORTANT! Keep your voter record up to date
. REGISTRATION INSTRUCTIONS:
1. Fill in all boxes that apply to you on this application.
2, Place a first-class stamp on the application card, fold,
and mail it to the town hall where you live (or deliver it to
your town hall or voter registration agency).
3. You are not a voter until your application is
approved by the Registrar of Voters.
4. You should receive a confirmation within 3 weeks.
If you do not, contact the Registrar in your town halL.
5. If (1) you submit this fonn by mail and (2) you are
.TO REGISTER TO VOTE IN CONNECTICUT
YOU .MUST:
" be a United States citizen;
" be a resident of a Connecticut town;
registering for the firs time in town, you may wish to
submit wi this applicaon your drier's license numbei
or if none, the last four digits of your social securi
" be at least 17 years old (must turn 18 before election day)
number; or (a) a copy of a currnt and valid photo 1.0.
17 year oldsi who will turn 18 on or before election day, may
or (b) a copy of a currnt utility bil, bank statement,
government check, paycheck, or government document
participate in general primary; see section 1 b below
" have completed confinement and parole if previously
convicted of a disfranchising felony
that shows your name and addre, in order to avoid
1.0. reuirements the first time you vote.
additional
. IF YOU MOVE:
You must fill out a new voter registration card if you have
moved to a new town. Also, use this form to change
address within town. (See section 1a and section 10 below)
. REGISTRATION DEADLINES FOR NEW VOTERS:
PR IMAR Y: Your applicaon must be postarked by the 5ti-
day before a primary (O reived by yor Registr of Voe
or a voter reison agen by the 5th day before a primar'
You may apply in pen to your town clerk or reistr untl
12:00 noon on the last busines da beore a prmary.
ELECTION: Your application must be postmarked or
. QUESTIONS?
Call your local Registrar of Voters or the Secretary of the
received by a voter registtion agency by the 14 t h day
State at (BO) 54-3764 or (86) 509-6100
before an election (OR you may register in person with
your Regisr of Votrs by the 7th day before an e lectior
(TOO, 800-303-3161)
FO~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ rn
PLEE USE PEN . PRINT CLEARLY
Check Boxes that Apply' D New Voter Registrtion D Addre Change
. . (Includes move to a new town) (wrthin the sae town)
Change
D Part
Enrollment
D Name Change
Wil you be 18 on or before electon day? DYES D NO If you checked "NO" to either of these
First Name
Jr, S
II II
State Connectici
Gender
~Male D Femi
Do you wish to enroll in a political part?
~ES. Name of part: )cemocratic _Republican Other:
Coumy Stæe
o NO. I do not wish to enroll in a part at this time,
Note: Delaring a part enables you to vote in that part's primar election, which is opan
only to part members, You may later choose to switch enrollment to or frm a political part
Name Under Which Registered (if different from above)
the Polls on Election Day?
o " so, I am eligible to register to vote DYES
Today's Date: 9 I /1 i Ù gNO
NOTE: Th soial seice off at WARNING: If you sign this statement even though you know it is
or whe you decline to reister ins confidential untrue, you can be convicted and imprisoned for up to five years and
and wi be use only for voter stratlon purposes. !lned up to $5,000.
THIS SECTION COMPLED ONLY BY AGENCY THIS SECTON COMPLED ONLY BY REGIST OF VOTERS
(OR SPECIAL ASSISTANT REGISTR OR TOWN CLERKl DATE RECEIVED BY REGISTRA REGIS1R INmA APPUCAnON IS HEREBv: DATE NonCE MAILED
. eo UNDEUVERALE
(Date Received by Agenc1')/' I 0 ACCEPTD 0 REJECTD 0 NOnCE RETRNED
, . - DATE ENROLLENT EFFECTIVE IF CHAGING PART REAN FOR REJECTION
Connecticut Voter Registration System
( AITACHMeNT
Inquiries )) Voter Information ))
View Voter
Bridgeport
Prefix Name:
Voter's Name:
Address:
Richard
11/15/1972
Voter 10:
004223048
Male
Telephone:
Special Status:
Bridgeport
City:
Perm Absentee Ballot:
No
CT
11/06/2012
Voted:
Democratic
Current Party:
Gender:
Unit:
State:
Date Last
Enrollment Information
75
Richardson
Street
Dejesus
Date of Birth:
fr Jiv)
Logged in as: PHO.WARD / ~'~I9I.1I1:"''1:r"l:U¡J (x.J
Residence Address
Voter Information
Page 1 of2
06610 1636
Zip:
Status Information Memo
Mailing Address
Street No,:
Street
Name1/P a
Box:
Privilege
Date:
08/02/2012
Reg.
Effective
08/02/2012
Date:
Street
Current
Name2:
Status :
Unit:
Town:
Last
Active
State:
Date:
Zip Code:
Off
Inactive
08/21/2013
Reason:
Country:
Districts:
004
Congressional:
Senatorial:
Assembly:
023
126
Precinct
Pollng Place
State: 126
01
Beardsley School
Local: 136
01
Beardsley School
District/Ward
Special:
Previous Names
Last Name
Date Changed
Change Date
Number
Street
07/24/2013
946
Noble Avenue
Date Changed
Middle Name
First Name
Unit
Suffix
City
State
Zip Code
Bridgeport
CT
06608-1019
Party Name ( From - To )
Change Audit History
Type
Change Date
Change Reason
Changed User ID
Type of Change
08/21/2013 03:04 PM
Change
08/21/2013
Registrar Correct
LGRACE
Status, Other
08/06/2013 02:21 PM
Change
08/06/2013
Print CVR Notice
LGRACE
Other
07/24/201302:36 PM
Change
07/24/2013
Voter
PHOWARD
Address
http://www.cvrs-sots.ct.gov/connVERSe/Inquiries 9/16/2013
Page 2 of2
Connecticut Voter Registration System
Election Date
Election Type
How Voted
11/06/2012
General
In Person
09/04/2012
Special
In Person
08/14/2012
Primary
In Person
History Date
Type
Move Code
Action
User
Type
Change Reason
Type of Change
o 08/06/2013
LGRACE
Change
Print CVR Notice
Other
o 07/24/2013
PHOWARD
Change
Voter
Address
Select Change Date
Notice Sent Returned By
Return Date
rÐëiete 11 Generat~~ Lot Ì'er
Date Changed
User
Memo Description
Reoort a oroblem?
http://www .cvrs-sots.ct.gov / conn VERSe/Inquiries
9/16/2013

here - Only In Bridgeport

Transcription

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