Hill, James- Petitions 5-29-13 NOMINATION PETITION
We the undersigned electors of the City of Atlantic Beach, hereby nominate
amp J • ■ , whose residence is
a-72_ -f 51-re e{-, )ecu_h FL 322-3 3
for the office of City Commissioner, Seat No. y , to be voted for at the
election to be held on the 21 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 CI signatures. Each signature appended
hereto was made in my presence and is the genuine sit na ure of the •erson whose name it purports to be.
SIGNATURE OF CIRCULATOR O �)�
ADDRESS .�'' IZ' rI 51 !, / C CSC+'c4'I FL 32z
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 leas .0 ar prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE ,itid/.40/ j I Received
HOME PHONE i 2-4( IS�I
BUSINESS PHON ' - 277 t
Cl D 1-1) 5� MAY 29 2013
Office of City Clerk
NOMINATION PETITION
\, the undersigned electors of the City of Atlantic Beach, hereby nominate
Uawl eS E ► yv v-v ) H \ \ , whose residence is
372 1-1-V) Sfiit-e-2-t c\-1a,+�-kC I csc1 I - 3 22 3. ,
for the office of City Commissioner, Seat No. (4 , to be voted for at the
election to be held on the `21 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 SIGNATpRE DATE
RUA-I RitgAY/7 3)7 -5 ' 4--D ./.7
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**** Signatures must be verified * ***
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 10 signatures. Each signature appended
hereto was made in my presence and is the genuine signature of the person whose name it purports to be.
JJ
SIGNATURE OF CIRCULATOR (-Q1.. # 41/ Nit,. ./ _ &)i 2 ADDRESS n2- h j p IZ fl CA A,, ti'(. R ?Z_Z ;
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 leas +ne year prior o qualifying and am qualified to be a candidate for this office.
SIGNATURE ( % ( - ""I' , Received
HOME PHONE Q c ) —( c43
BUSINESS PH* E CIO ) -7s9 - 2:132 MAY 2 9 2013
Office of City Clerk