NOMINATION PAPER FOR PARTISAN OFFICE

Candidate's name as it will appear on the ballot; no abbreviations or titles may be used. Street, fire, or rural route number; box number (if rural route); and name of street or road

Jessica King
Name of municipality for mailing purposes State Zip code

1523 Hazel Street

Name of municipality for voting purposes Town Village x City

Oshkosh

Oshkosh
Title of office

WI 54901

Type of election General x Special

Election date

Name of Party or Statement of Principle (5 words or less)

July12, 2011 Democratic

Name of jurisdiction or district in which candidate seeks office

State Senator

District of Jurisdiction x District number ____________________________________

18

Jurisdiction (county) ________________________________

18th Senate District

I, the undersigned, request that the candidate, whose name and address are listed above, be placed on the ballot at the election described above as a candidate representing the party or statement of principle indicated above, so that voters will have the opportunity to vote for him or x her for the office listed above. I am eligible to vote in the jurisdiction or district in which the candidate named above seeks office. I have not signed the nomination paper of any other candidate for the same office at this election. THE MUNICIPALITY USED FOR MAILING PURPOSES, WHEN DIFFERENT THAN MUNICIPALITY OF RESIDENCE, IS NOT SUFFICIENT. THE NAME OF THE MUNICIPALITY OF RESIDENCE MUST ALWAYS BE LISTED.
SIGNATURES OF ELECTORS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. PRINT NAME STREET & NUMBER OR RURAL ROUTE Rural address must also include box or fire no. MUNICIPALITY OF RESIDENCE Indicate Town, Village, or City
Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City Town Village City

DATE OF SIGNING

/2011 /2011 /2011 /2011 /2011 /2011 /2011 /2011 /2011 /2011

CERTIFICATION OF CIRCULATOR I, ___________________________________________________________________, certify: I reside at ___________________________________________________________________.

(NAME OF CIRCULATOR) (CIRCULATOR'S RESIDENCE - INCLUDE NUMBER, STREET, AND MUNICIPALITY.)

I personally circulated this nomination paper and personally obtained each of the signatures on this paper. I know that the signers are electors of the jurisdiction or district the candidate seeks to represent. I know that each person signed the paper with full knowledge of its content on the date indicated opposite his or her name. I know their respective residences given. I intend to support this candidate. I am aware that falsifying this certification is punishable under S. 12.13(3)(a), Stats.

__________________________________
(DATE)

________________________________________________________________________
(SIGNATURE OF CIRCULATOR)

EB-168 (Rev.6/2003) The information on this form is required by SS. 8.15, 8.20, 8.50, Wis. Stats. This form is prescribed by the State Elections Board, P.O. Box 2973, Madison, WI 53701-2973, 608 266-8005. http://elections.state.wi.us seb@seb.state.wi.us

Page No.

Paid for by Friends of Jessica King, Vicky Fitzgerald, Treasurer

SENATE DISTRICT 18 ASSEMBLY DISTRICTS 52, 53, AND 54

United States Highway 45

State Highway 110

Lake Poygan
ounty Highway B
C

Lake Winneconne

hw

ay

Willow Creek Pumpkin Seed Creek

POYGAN
County Highway D

Winneconne

State Highway 116

County Highway T

Pumpkinseed Creek

ty Hig

Winnebago
Cou nt yH ighw ay F
State Highway 116

WINNECONNE
hway

OSHKOSH
Lake Butte Des Morts L Butte D Mort Inlet
Coun

Un ite

Hogers Bayou

Fox River

illo w

S ou
Ma

th

Pa rk

Oregon

Hig hw ay

ou

Green Bay

nty

Roa

d 26

Gleason Bay
Old Oregon

State

County Highway B
County Highway K

41

State Highway 55

Sta

te

ig

County Highway E

Legend
Senate District 18 Counties

Stockbridge
Military
State Highway 55

STOCKBR

Lake Butte D Mort

St a
te

Spring Brook
State Highway 21

igh
w ay
110

Omro
State Highway 21

Fox River Inlet

State H ighway 21

ALGOMA

Cities, Towns and Villages Assembly District 52 Assembly District 53

Lake Winnebago

County Highway F

Main

County Highway C

Sawyer Creek

State Highway 175

OMRO
Campbell Creek
County Highway E

RUSHFORD
State Highway 116

Oshkosh

County Highway FF

Assembly District 54 Rivers Water

United States Highway 41

United States Highway 151

in

State Highway 91
Sta te

Hig

ay hw

44

County Highway E

County Highway H

BR

County Highway FF

Lake Winnebago Inlet

State Road 91

County Highway N
Uni te d

County Road I

Sta te

s Hi ghw a

County Highway FF

State Highway 175

y4

County Road HHH

NEPEUSKUN
Rush Lake

UTICA

NEKIMI
N
County Highway I

BLACK WOLF
County Highway Z

County Highway HH

County Highway N

d 23 and 49 t e Ro a Sta

RiponSilver Creek
Green Lake
Metomen

Union

S tat e High

County

METOMEN
State Road 44 and 49

SPRINGVALE
County Highway T

County Highway T

way 17 5

Highway

County Highway TC

Sta

tes

Hig

hw

ay

15 1

County Highway

Un ited

County H i

gh

County Road A

Oakfield WAUPUN
County Highway EE State Highway 49

ay

State

on

151

ay M

ighw

hw

County Highway F

ay

yH

C o unt

Sta

te

Un ite

Fox Lake

County Highway F

State Hig h way

La k
e Sh

ore

175

County Highway Q

RIPON
C ou nt

State Highway 175

County Highway Q

y
Hig
Stat e Hi gh wa

State Road 44

Fairwater
State Highway 44

hw ay FF
Sta te Hig ay hw

44

Lakeshore

FRIENDSHIP ROSENDALE
County Highway N

County Highway W

y2

ELDORADO
State Highway 149

County Highway C

Anderson Creek

TAYCHEEDAH

W Branch Fon du Lac River

County Highway KK

State Highway 23

Rosendale
State Highway 26

State Highway 23

North Fond du Lac

W
ate St
go inneba

y 17

L Winnebago Lagoon
5

Fond du Lac River

23 State Highway

Fond du Lac LAMARTINE

County Highway T

C oun

ty

Hig

hw ay

EMPIRE

County Highway T

4th Street

Devils Lake

County Highway T
County Road T

State Highway 49

Brandon
County Highway Y
County Highway TC

Lake de Neveu

FOND DU LAC
County Highway W

Fond du Lac
w

Co

u nty

hway B Hig

County Highway B

Eden
Twin Lake

Un ite

d Stat

es High

way 45

ElEcTors - only qualified electors of the jurisdiction or the district the candidate seeks to represent may sign the nomination papers. Each elector's municipality of residence must be listed on the nomination paper along with the mailing address, including any street, fire or rural route number, box number (if rural route) and street or road name. The Municipality of residence listed for each signing elector must clearly identify the town, village or city where the elector's voting residence is located. A post office box number alone does not show where the elector actually resides. The date the elector signed the nomination paper, including month, day and year, must be indicated. Ditto marks that follow correct and complete address or date information are acceptable. The circulator may add any missing or illegible address or date information before the papers are filed with the filing officer. signATurE oF circulATor - The circulator should carefully read the language of the certification of circulator. THE circulATor MusT PErsonAllY PrEsEnT THE noMinATion PAPEr To EAcH signEr. THE noMinATion PAPEr MAY noT BE lEFT unATTEnDED on counTErs or PosTED on BullETin BoArDs. The circulator's complete address (including municipality of residence) must be listed in the certification. After obtaining signatures of electors, the circulator must sign and date the certification.

County Highway I

Hi

w gh

County Highway E

County Road C

4t

tre hS

County Highway V

County Highway M

County Road E & As

ALTO

OAKFIELD
County Highway AS
County Road D

Raspberry Lake
Oak
au W pu n

BYRON
County Road F

EDEN
County Highway W

County Highway E

State Highway 175

County Highway Y

Waupun Waupun
wa High y 68

County Highway YY

ad

is

State Highway 49

Brownsville
County Highway Y

Main

State Highway 49

State Highway 26
H ig

State Road 175

ed Unit

County Highway YY

County Highway V

Colleins Ditch

LEROY

LOMIRA

Lomira

Stat
es
High

Campbellsp
C ou
nty

way 41

ay hw Hig

State Road 67

ASHFORD