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Assessment Fees to Elections Commission Trust Funds
REORDER 905 • U.S. PATENT NO. 5539290, 5575508, 5641183, 5785353, 5984364, 6030( rr A 1• a CITY OF ATLANTIC BEACH i:' t - ., jI 800 SEMINOLE ROAD `' rte i41 .j .J ATLANTIC BEACH, FLORIDA 32233-4445 ELECTIONS COMMISSION TRUST FUND 107 WEST GAINES STREET COLLINS BUILDING SUITE 224 TALLAHASSEE FL 32399- 1050 • CITY OF ATLANTIC BEACH 1 0640 800 SEMINOLE ROAD N a ATLANTIC BEACH, FLORIDA 32233-4445 z::;<: :>:;<:>::>::>:: ::>::>::;,:>::>:: ::::::.:::s:::::::: :>:>::::::: OBOHA�u ::::::> ': :#`: : ?# # I::::::> :>- < ::>::>:::: <:>::<:::::: :::....... :::::»::::>::::>::> :::> :::>:: t Af1LQ1EE... . ... ....... . . . . .. . .. .. . ... ..iii#Vf.�iCE .. . . .... .. ....... : . .. .. . . ..... ... . . . . ... . . . . . ... . .. . . . . .... . . .... ...... ..... ........ . . ........... ...... .. ....... .. . ...... . ... ... .::::::::: ::::. :: :: ::: :. :: ::: . :. .. ... ..... .... <.;.: .MBA t..... . .. ...... . .... ...... .. ... ...C1A1' ....: .:::::>:.: : :: fi fJ 1#: 1x1 1:.y4: :: ::: :...1>ri f . ..... ..... . ... . x+x,. .... ...... ..... . .. . . . . ff.:::. . . .: -.�:::: . . :: x.:.. . . . :.x.:. :::: ::::::: .x.x..:..:... . x.: ELECTION COMMIS 08 / 19 / 2015 001 - 0000 - 369 - 90 - 00 366 . 55 GROSS RETAINAGE DISCOUNT NET 366 .55 $********366 . 55 99 ELECTIONS IONS COMMISSION§TRUST FUND . , .1 : :F , r'3 wI1 - .r sug A « O -_c N, .v a4, , b.A" I AWL BACKGROUND PLUS A KNIGHT F' FitJGE PRINT WATERMARK ON THE RACK - HOLD ear AN G&, , TO WSW .1 et ,, j / ' ` .: Bank of America ®®� 63-4 Na 120640• I;_ :, CITY OF ATLANTIC BEACH Jacksonville, Florida 630 ;} R• - •=j 800 SEMINOLE ROAD Member FDIC aa• , f, ATLANTIC BEACH , FLORIDA 32233-4445 I VOID AFTER SIX MONTHS RtET:.: . _ .. . ... 99 08 /26/2015 ,ri $ * * * * * * * * 366 . 55 o THREE HUNDRED SIXTY SIX AND 55/ 100 DOLLARS * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * k ELECTIONS COMMISSION TRUST FUND ' PAY 107 WEST GAINES STREET AUTHORIZED SIGNATURE 4 TO THE COLLINS BUILDING SUITE 224 , __// // // t; ORDER OF TALLAHASSEE FL 32399- 1050 , ,cso�sv4 6/0L-L-+ tce- j AUTHORIZED SIGNATURE III L206400 I : 063000047i : 002 LoL20572 ? Hu • : Print Form j ELECTION ASSESSMENT (One Percent) Duval ' Cl Atlantic Beach 1 812 5/2 01 5 v Qualifying End Date [6/19/15 County �.--._--__.- -__.- - ._ _-___ -.._-_ .1 ' -_______ _- _____-__. . .IElection Date _- - Q fY g A . Office B . Candidate C . Party Carolyn Woods Democrat D Republican i rMayor (Name) �_. _ _.__.._._ ._ _. ._. -- • __ -- .. -... . _ ._. .- -. __ h E City Clerk (Address) 1303 6th Street ( pi Minor Party El No Party Affiliation El City Commissioner I n Nonpartisan rl Write In n Other (City,ST (Atlantic Beach, FL 32233 1 D . Annual Salary $ 19,580.80 _ I 1 % Assessment $ 195'$x----- - --- -- -I Undue Burden r Yes n No A. Office B . Candidate C . Party Fic Mayor (Name) [Mitchell E. .JReeves _ _ _ __ — + ! t Democrat fl Republican [-i City Clerk (Address) 11663 Sea Oats Drive _ I Ft Minor Party r; No Party Affiliation ✓ City Commissioner I _---1 rl Nonpartisan [1 Write In r h, FL 32233 I Atlantic Beac h,Other (cit3', ) — -______ , 9,580 80 I % 95 81 fl Yes !_^_..3 No D . Annual Salary 1 /o Assessment $ 1. . -__ ._... . _ .: Undue Burden A. Office B . Candidate C . Party (-" Mayor (Name) Maria Mark t n Democrat ri Republican (Address) r" City Clerk (Address) Lin kside Drive - - ! Minor Party IT No Party Affiliation - - - - • - •- - -- - - - r City Commissioner I . . r Nonpartisan ci Write In 1-1-1 Other (City, ) 'Atlantic Beach, FL 32233 . . . . ._ . . . . .. . . . . . . . _ D . Annual Salary $ 15s31 .16 1 1 % Assessment $ L58.31_____ Undue Burden [1 Yes 0 No . A. Office B . Candidate C . Party (Name) [John M. Stinson E Mayor - I Democrat r`; Republican ._.. El City Clerk (Address) 115012th Street_ _ ` IT Minor Party El No Party Affiliation City Commissioner 1 ____ _ ________ ___ __ __ _ _ __ _ ___ rI Nonpartisan f Write In Atlantic , I rl Other (City,ST) jAtlantic FL 32233 - _. .- _- _ _- _-- -•-• ---- _. . _ _ - D . Annual Salary $ 15,831_16 ; 1 % Assessment $ 158`31 -__! Undue Burden 0 Yes 0 No A. Office B . Candidate C . Party [` Mayor (Name) (M. Blythe Waters r Democrat El Republican inole Road City Clerk (Address) �1829 Sem -____ _ _. _______ ----_, El Minor Party El No Party Affiliation El City Commissioner __ . . -_-- _- -_ --_ - ._-.-_..-.-___. -_ ._ _ r Nonpartisan ri Write In I_i Other (Ci ST) [Atlantic Beach, FL 32233 1 D . Annual Salary $ [5,831 .16 1 % Assessment $ 1?8.31_-_._.- I Undue Burden ri Yes n No Submitted By: Name [ onna L. Bartle ] Phone Number 1(904) 247-5809 1 D 1 Zl [32233 Address [80o Seminole Road . . . .. . . . . .. . .. . . . ... .. . .. . . City !Atlantic Be a-c h---• ______ _�� __ --- -- Fom005 (2/02)