Waters- Candidate Oath- 6-18-15 Received
CANDIDATE OATH —
NONPARTISAN OFFICE JUN 1 8 2015
(Not for use by Judicial or Office of City Clerk
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021,Florida Statutes)
Mb -t— y nfcr�
(PLEASE PRINT NAME A3 YOU WISH IT TO APPEAR ON THE BALLOT*-- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of C;1 (OM MISS i DO i►r Seca{'
(office) (district#)
; I am a qualified elector of DU Vti County, Florida;
(circuit#) (group or at#))
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or
elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs
concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to
Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the
State of Florida.
X 4 ,t, ", c10'i► 2-3 Li :3cr i t9■1-- wa elm t . ukv,
Signa a of Candidate Telephone Number Email Addedss
iBV( Seyvilyt6IC —cc4 #41CAt1CCjccLt I� 32 2.3
Address City State ZIP Code
Candidate's Florida Voter Registration Number(located on your voter information card): 10 41 652
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
�I L - i N- WA-14- .-T LA H-
STATE OF FLORIDA
COUNTY OF Duva I
Sworn to(or affirmed)and subscribed before me this ! +t, day of J lA-h e , 20 I
Personally Known: or GY
Signature of Notary Public
Produced Identification: Print,Type,or Stamp Commissioned Name of Notary Public
Type of Identification Produced: ■ 1101,
"s DONNA L BARTtE
* MY COMMISSION t FF018392
EXPIRES:May 14,2017
DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C.