Harding- Candidate Oath- 6-21-17 Received
CANDIDATE OATH -
NONPARTISAN OFFICE JUN 2 1 2017
(Not for use by Judicial or Office of City Clerk
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021,Florida Statutes)
I, Mitch Harding
(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 Atlantic Beach Commission Seat 5 , 1312
(office) (district#)
, 05 ; I am a qualified elector of Duval County, Florida;
(circuit#) (group or seat#)
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.
(904) 352-6064 harding4ab@gmail.com
rirrOfekdr.=-IXr.
Signatu - of Candi•ate Telephone Number Email Address
635 Jasmine Street • antic Beach FL 32233
Address City State ZIP Code
Candidate's Florida Voter Registration Number(located on your voter information card): 108052883
* 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):
MEE-IT-CH HAHR-DING
STATE OF FLORIDA/ 11
COUNTY OF !GtW.L
Sworn to(or affirmed)and subscribed before me this 2/s} day of fll Q/ , 20 17 .
Personally Known: y or ,l k:;e,'r1's., DONNA L.BARTLE 41PyfrYla J) e2'Eté2_
ft IA MY COMMISSION#GG 078627 Signature of Notary Public
Produced Identification: =±; EXPIRES:May 14,2021 Print,Type,or Stamp Commissioned Name of Notary Public
"'•A„os F;q.• Bonded Thru Notary Public Underwriters
Type of Identification Produced:
DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C.