Daugherty, Jonathan- petitions 5-13-13 NOMINATION PETITION
We, the undersigned el-ctors of the C'ty of Atlantic Beach, hereby nominate
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for the office of City Commissioner, Seat No. 5- , to be voted for at the
election to be held on the , ? 7 day of August, 2013, 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 DATE OF BIRTH 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 Ise-gee -- re of the person whose name it purports to be.
SIGNATURE OF CIRCULAT•- �
ADDRESS VC) //,D f'S C U.S 51 4 44-.r eocAL F7z2z....c_l
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. S on the City Commission. I have been a full time resident of the
City of Atlantic Beach for at least one ye. • .• • sualifying and am qualified to be a candidate for this office.
SIGNATU� -� Received
HOME PHONE 7i' t 7-z
BUSINESS PHONE S4�`e MAY 1 3 2013
Office of City Clerk
NOMINATION PETITION
We, the undersigned electo of the city of Atlantic Beach, hereby nominate
�av &r hose residence is
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for the office of City Commissioner, Seat No. S , to be voted for at the
election to be held on the Z 7 day of August, 2013, 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 DATE OF BIRTH SIGNATURE DATE
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**** Signatures must be verified****
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing —7 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„------ p
ADDRESS ?-3vh`���(Sf vS �F . 4 DSP L/
72 2-43
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. on the City Commission. I have been a full time resident of the
City of Atlantic Beach for at least one — •rior to qualifying and am qualified to be a candidate for this office.
SIGNATURE ' Received
HOME PHONE Y4(-1 ,4 c9 - Z
BUSINESS PHONE MAY 1 3 2013
Office of City Clerk