Petition of Nomination
For
Roza Irrigation District Director
We, the undersigned, are qualified electors of Director Division ______ being eighteen years of age, being a citizen of the United States and a resident of the State of Washington and holding title or evidence of title to lands within Roza Irrigation District.
We therefore present this Petition of Nomination of ______________________________ for the position of Director of Division ______ of the Roza Irrigation District for a term of three years, beginning January ______ , ____________.
| Date | Name | Address | |
| 1. | _______________ | ____________________________ | ____________________________ |
| 2. | _______________ | ____________________________ | ____________________________ |
| 3. | _______________ | ____________________________ | ____________________________ |
| 4. | _______________ | ____________________________ | ____________________________ |
| 5. | _______________ | ____________________________ | ____________________________ |
| 6. | _______________ | ____________________________ | ____________________________ |
| 7. | _______________ | ____________________________ | ____________________________ |
| 8. | _______________ | ____________________________ | ____________________________ |
| 9. | _______________ | ____________________________ | ____________________________ |
| 10. | _______________ | ____________________________ | ____________________________ |
| 11. | _______________ | ____________________________ | ____________________________ |
| 12. | _______________ | ____________________________ | ____________________________ |
| 13. | _______________ | ____________________________ | ____________________________ |
| 14. | _______________ | ____________________________ | ____________________________ |