Smith- Petitions submitted 6-4-15 NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Ames' �'� i 4.n) 3 . SNt 1-r H , 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.
PRINTED NAME ADDRESS DATE OF BIRTH SIG L ,L, RE ATE
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STATEMENT OF CIRCULATOR
The undersigned is the circt ator of the fo -going paper containing 10 signatures. Each signature appended
hereto was made in my press u, e and is th- se uine signature of the person whose name it purports to be.
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SIGNATURE OF CIRCU •TOR
ADDRESS `7 '3 O cewitki ct ja A7c._ 6Ci-/( 7 2-2-33
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ACCEPTANCE OF NOMINATION
I hereby acce. the nomination for Seat No. 3 on the City Commission. I have been a full time resident of the
City of Atlantic : ch fo ..t least one year prior to qualifying and am qualified to be a candidaf Aii,crffice.
SIGN• IRE %A j•
HO E PHONE INN 67-- 100 JUN 4 2015
BUSIN - '-0 MA - Z'-(6• 5- )07)
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
J Am 0 t A) J . M I--0,-( , whose residence is
.-7 3 9cricN Sc ro'. Oft- A rLr4N C1 C &E ci- , ICC—3 2233
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 l 6 signatures. Each signature appended
hereto was made in my prese- - and is the •-nuine signature of the person whose name it purports to be.
SIGNATURE OF CIRCUL T A
ADDRESS 7 OeCiW5e0 pt- /17,4_, / (( etc 7 Z2-33
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. on the City Commission. I have been a full lime resident of the
City of Atlanti --ch for :-st one year prior to qualifying and am qualified to be a candidate for this office.
Received
SIGNA RE
HOM PHONE Mr o - /Do
4
BUSIN ' •NE L - v46 - 56a0 JUN 2015
Office of City Clerk