Hill- Candidate Oath- 6-21-17DS -DE 25 (Rev. 5111) Rule 1S-2.0001, F.A.C.
Received
CANDIDATE OATH —
JUN 2 1 2017
NONPARTISAN OFFICE
Office of City Clerk
(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, Jimmy Hill
(PLEASE PRINT NAME AS 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 Commissioner - Atlantic Beach, Florida 1306
(office) (district#)
Seat 4 1 am a qualified elector of Duval County, Florida;
(circuli C) (grouporseat#)
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 ten 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 Florid .
X (904)759-2758 boattimel@yahoo.com
'gnaWre of Candidate Telephone Number Email Address
7th Street Atlantic Beach Florida 32233
Address City State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): 06767686
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):
Jim a Hill
STATE OF FLORIDA
COUNTY OF DLA va.i
before day Jkne 20 /7/q�^_
Sworn to (or affirmed) and subscribed me this of
0 V�✓r4�. 05AIX&
Personally Nnoarn: or OONNAL. aARRE --
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/� MY COMMISSION BGG OT8827 an, o/Notary Public
Produced Idenfification: E%PIRES' May 70, 2021 'rt, Type. or Stamp commissioned Name of Notary Public
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Type of Identification Produced:
DS -DE 25 (Rev. 5111) Rule 1S-2.0001, F.A.C.