Mark- Petitions submitted 5-20-15 NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
10r/-c`D , mark , whose residence is
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for the office of City Commissioner, Seat No. , , 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 SIGNA 1.1"E DATE
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* — Signatures must be verified
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 1 0 signatures. Each signature appended
hereto was made in my presence and iA, /�
is the signature of the person whose name it purports to be.
SIGNATURE OF CIRCULATOR fiCXI
ADDRESS l N% 1-11 f 1C-5 t€J C7✓; atirdic 4-QacL, , A. 3 3
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. ,2 on the City Commission. I have been a full time resident of the
City of Atlantic Beach for at least one year prior to qualifying and am qualified to be a candidate for this office.
// � /� Received
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SIGNATURE C jai. )
HOME PHONE QV- dV9-`/ `/� MAY 2 0 2015
BUSINESS PHONE %Jy y 0' 7 0 7 .. 3 S 'V
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Mario,`D Mark , whose residence is
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for the office of City Commissioner, Seat No. L , 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 SI' T DATE
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Signatures must be verified
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing T 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 C:(,/ U
ADDRESS /1Y i L n)cs,icd-e., br. , IN 1- rielc / , FL, 3")--/-3.3
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. a. on the City Commission. I have been a full time resident of the
City of Atlantic Beach for at least one year prior to qualifying and am qualified to be a candidate for this office.
/ Received
SIGNATURE �RP1�. '--lCc.�V
HOME PHONE 9 J(/ - )--y9• V O?V MAY 2 0 2015
BUSINESS PHONE 93 ' , 37 . 3��y
Office of City Clerk