Beckenbach- Petitions verified 2 `I,:
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach , hereby nominate
,la ' K ctepa1Jl •12).crci<EAInP c-/-/ , whose residence is
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for the office of City Commissioner, Seat No . 3 / , to be voted for at the
election to be held on the 25th day of August, 2015, 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 . //
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J * * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing / a 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 r } ( v7 7
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,' ACCEPTANCE OF NOMINATION
I hereby accept t pornilnation for SOat No. 4} on3the City Commission. I have been.a full time resident of the
City of Atlantic aeb r at.leas�lon" year prior to qualifying and am qualified to be a candidate for this office.
,
Received
SIGNATURr r"�ti .' _ _ � ,
HOME PHONE_ J' L > 5- 3C; - .i n a
r. 1' `n iv '5 i)Th JUN _ 1 2015
BUSINESS PHONE Ti
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach , hereby nominate
/44RI< P Mil iip .f 3 ci, iv SA -I I whose residence is
2210 6cc✓IdW( .1 De . id Ai-4A N is 66, Roy i%fe gi IDA 32l33 ,
for the office of City Commissioner, Seat No . '3 , to be voted for at the
election to be held on the 25th day of August, 2015, 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 / r signatures. Each signature appended
hereto was made in my presence a Os th ,genuine siynatufe of the oaf on whose name it purports to be.
J/ , ' I ° .
SIGNATURE OF CIRCULATOR 6/ /c-,11 ) / '--`'� , /
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ACCEPTANCE OF NOMINATION
I hereby accept the Nomination for pat No. % o the City Commission. I have been,a full time resident of the
City of Atlantic B�a foi)at least i e ye r prior to sue vying and am qualified to be a candidate for this office.
7 /' `i ' Received
SIGNATURE I �C s.
HOME PHONE ty S7376 _. .;? ' S._
BUSINESS PHONE .3/i r7U: JUN .(- 1 2015
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach , hereby nominate
MARK t i'1;,1I1D BA >CGWWS/ cJ-/ , whose residence is
za is 0 C.(5fl l'iMietLV Vft . Li iv-LA my) c. , saRcJi, P.-LC I? i i.J /-1 32:3T3 ,
for the office of City Commissioner, Seat No. 3 , to be voted for at the
election to be held on the 25th day of August, 2015, 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 e� DATE
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of t e `fregoing paper containing 1t. signatures. Each signature appended
hereto was made in my presence an . th genuii signature oft, erson whose name it purports to be.
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SIGNATURE OF CIRCULATOR r L K; f -
ADDRESS 7.-t j u eStZ 4∎141A C.. d9, . . (nJ A72-11A-17 41-- 13c / ` i t
ACCEPTANCE OF NOMINATION
I hereby accept the no ination for Seat No. 3 on the? y Commission. I have been.a full time resident of the
City of Atlantic Beacl r a't least oney 9 pry , to qualify'ng nd am qualified to be a candidate for this office.
Jlli ;ce -- ..f,.'zHv l Received
SIGNATURE e , /r / _
HOME PHONE t' rP v ' -- 5_ s
BUSINESS PHONE ;A/PAC JUN i 2015
Office of City Clerk