Waters- Petitions submitted 6-5-15 NOMINATION PETITION
We , the undersigned electors of the City of Atlantic Beach , hereby nominate
Jl a t -t mat tR I lie , An f n ,n s . , whose residence is
Ju l S e? j ive /e pd fiat/ i s IgPacA FL-. 2 C2 3
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 SIGNATURE ' I TATE
Ask d, 36J( n1Ac� X21C dca kLKAil .3 f/gfk3 �' 6/.0.5.-gEA'(i'Z1C.& SEc1cE gltclie
2.n. to °teeny w*z-K OrtW , 3 t : 2 4� 6/415-
Saha( , L . A % , Al ) . It I c / _ AlL Si l f i . to �5 /5-
CcuiaATPeLottctt 2 I C5 4 fie . J 1961
E* ./
e t D . f4 r
Aligilliffiliniiiiiiiiiililliiiiillignirliiillingliiillit
_vanillas A
1
a . . I CY" i n e Sa n e� -5 236
eagle % :IflL23S ,,,, > ref - j' r
- iv 1 —
e. .
f ,- y `
0 f , 1..o le 3 .wC_5 G--, % r / e ./ / L-ersaZC ._ 4► t/f�4E: _ EA . .. Atil 'e7
ir((an (Le-5 11 , elandv 57o (la r n pant Ilfri p- 2 ,ez - -
* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing /b 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 M , J . C ; C� 4
ADDRESS I 2 ._ <-3- 0/f 1 / :// f> � / /jr/ 4/91 3) ,„2,9 7
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 candideige14 a office .
SIGNATURE AA-MY .- Gcc
HOME PHONE 00-1/ / 3 `1 3 3 te l JUN 5 2016 ?
BUSINESS PHONE (t 0 w lb 00 - I/ 5 g e
Office of City Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
M ar fh he‘ 61040_ WA 1-cr5 , whose residence is
I% 261 Sew,irolc yi-ooLf.{ 61--tavi+�q_ F3etci,, 1—L 322- 3 '7 ,
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 SIGNATURE DATE
la 41,c.. e, Wok ts 036,1;a0/0 kJ ( -1.3 - 14-'7 N ee,6) Wah.b 4-l-/-/-1
,,,, ,re.6 m GI vlion 0 /S2' 1 ,chl,de (Lig 2-li Oa- -7 4)-;4Yri,-- & 1 t-Ifs"
',el-ex/. ,,r'60A4-) 1i 57 ocoa%A 61, ft 2- /die/LI r 4 _ _ -L (,(1-1 15
iii:s-ei2Z 4 f , 1 7 L L. ✓et'-r= ' is/€51/3 5i-A7/"Aiotk.,Vie,. 0V0/..te if,..f" 0,,, ,�� ..20.<two us- 2-q' `07/3 - f - • �/y�%,s�
1:: ,,;(I ,5-0,4,f+l _ lef3.5 Sera. )11C 1?(A 71/6/cK ' 6/v4-
® 6/y/6--
Jp .- a /-3v Dc A ' i - Oilcil a(74--
i1
v I vi A.) Are 614 0 irL 5'r
:00-/ i,Ak
�
; ,%L_ (,� 17 / f l y7 r i//1 5
**** Signatures must be verified ****
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing / G/ 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 Olt('lb ' td ale 4,,
ADDRESS / b hi,'
i,1 c'k. k)(-)0 A- 6 S '-,) ,2 3
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 at least one year prior to qualifying and am qualified to be a candidate for this office.
Received
SIGNATURE
HOME PHONE l `7 -J) X2, 7 - 33& 1 JUN 5 2015° '
BUSINESS PHONE((90 yI 200 ''`'(5 L(`{
Office of City Clerk