HomeMy WebLinkAboutLagner - Additional Nomination Petitions - Filed 5-29-26/ RECEIVED/ _�KN NOMINATION PETITION
We, the underMWAL of the City of Atlantic Beach, hereby nominate" f�l��Uv�whose residence is ,� Atlantic
Beach, Florida, for the office of Commissioner -Seat 4 to be voted for at the election(s) to be held on the 18t1 day of August, 2026 and/or the 3rd day of November, 2026, A.D.,
and we individually certify that our names appear on the rolls of registered voters, and that we are qualified to vote for a candidate for election to the Atlantic Beach City
Commission.
PRINTED NAME
ADDRESS (Number and Street)
DATE OF BIRTH
OR
VOTER REGISTRATION
NUMBER
SIGNATURE
DATE
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* * * * Signatures must be verified * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing signatures. Each signature appended hereto was made in my presence and is the genuine
signature of the person whose name it purports -to be, , ,
SIGNATURE OF CIRCULATOR: :f.' ✓'v
ADDRESS: 3 1-5f, ��2 /_ dA4f3
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner -Seat 4 on the City Commission and agree to serve if elected. I have been a full-time resident of the City of Atlantic Beach for
at least four years/pR6,rtrj qualify hg nd am qualified to be a candidate for this office.
SIGNATURE:
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