Anderson, Tim J. - Petitions NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Tim
J. Anderson, whose residence is 824 Sherry Drive, Atlantic Beach, FL 32233, for
the office of City Commissioner, Seat No. 4, to be voted for at the election to be
held on the 27th 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 BIR �:i.1 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
ADDRESS I 5 l AfritANA Gj/1ti� , I., 3 ZL?3
•
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. 4 on the City Commission. I have been a full time resident of the City
of Atlantic Beach for leasrone r alifying and am qualified to be a candidate for this office.
SIGNATURE ��
HOME PHONE g67'-10-.) i Received •
BUSINESS PHONE gel —a8o— 801
1
JUN 7 2013
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Tim J. Anderson , whose residence is
824 Sherry Drive, Atlantic Beach, FL 32233 , for the office of City
Commissioner, Seat No. 4 , to be voted for at the election to be held
on the 27th 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 5- 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 � Jv m£S'c6LV C
ADDRESS 2) 7J f€'Ac 11Q S ��`i 1��`G C P��, \'-L • 2) i23
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. LI on the City Commission. I have been a full time resident of the
City of Atlantic Beach for . : ,- • for to qualifying and am qualified to be a candidate for this office.
SIGNATURE Received •
HOME PHONE gol - 86 1-S'taa
BUSINESS PHONE y0`/- Q80 tggr JUN 7 2013
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Tim J. Anderson , whose residence is
824 Sherry Drive, Atlantic Beach, FL 32233 , for the office of City
Commissioner, Seat No. 4 , to be voted for at the election to be held
on the 27th 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 containing10 fr signatures. Each signature appended
hereto was made in my presence and is the I-mill a signature of the person whose name it purports to be.
SIGNATURE OF CIRCULATOR n (,�
ADDRESS 0 SI�Afr�' f1rjae �`J l4R ae,C41,■� 1 L 3aaX3
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 . -- - - . or to qualifying and am qualified to be a candidate for this office.
SIGNATURE _ Received
HOME PHONE cog - y61-5-laa
BUSINESS PHONE 50 Lt-r)80-3V1 r JUN 7 2013
•
Office of City Clerk