Hill, James- Candidate OathCANDIDATE OATH -
NONPARTISAN OFFICE
(Not for use by Judicial or
School Board Candidates)
JUN 1 7 2013
Office of City Clerk
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
.
. I l o 1 y vi, ;
I�I',
(PLEASE PRINT NAME AS YOU WISH IT
am a candidate for the nonpartisan
' ea+. y
TO APPEAR ON THE BALLOT * -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
office of C •(. \/ C.. 7+'Yll) I `.5S , 0 f ei EN, (3 0(p ,
(office) (district #)
; I am a qualified elector of �v VCLk County, Florida;
(circuit #) (group or seat #)
I am qualified under the Constitution
elected; I have qualified for no other
concurrent with the office I seek; and
Section 99.012, Florida Statutes;
State of Florida.
------410.0":'
and the Laws of Florida to hold the office to which I desire to be nominated or
public office in the state, the term of which office or any part thereof runs
I have resigned from any office from which I am required to resign pursuant to
and I will support the Constitution of the United States and the Constitution of the
I n-eu el.,;,\Ias,fm •C'46,
Telephone Number Email Address
NKa.v0-i c.. ,(2)eac.i FL 3ZZ33
Signature of Candidate
31 a -lel S-'week-
Address City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter
information card): Y O`'2Z1 I✓1`3
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities'lit(see instructions on page 2 of this form):
Ll i'r " ee 1---\;\
STATE OF FLORIDA
COUNTY OF Dt V a,1
before me this
117+41 day of Nridoi e- , 20 1 3 .
Sworn to (or affirmed) and subscribed
Personally Known: or
..- DONNA
, ,., ' 1 MY COMMISSION
;
ry ' € EXPIRES:
. . ' • Bonded Thru Notary
��t"
L BARTLE
t FF 018392
arwria- 11r4C/41e-e
Produced Identification:
May 14, 2017
Public Underwriters
'Signature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public
Type of Identification Produced: N / /A'
DS -DE 25 (Rev. 5/11)
Rule 1S-2.0001, F.A.C.