Glasser- Candidate Oath- 6-21-17Received
CANDIDATE OATH —
JUN 2 1 2017
NONPARTISAN OFFICE
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, ERe6 GtAaser
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 a LI 5Caei-
1
office) district#)
I am a qualified elector of DA G 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.
X ,V/0104 412- , G2 aSSer
Signature of Candidate Telephone Number Email Address
c,le- kg-el LC , "l& 't c Bed FL 3 2 233
Address City State ZIP Code
Candidate's Florida Voter Registration Number(located on your voter information card): ( 0 3 { Z 2 lei
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):
STATE OF FLORIDA
COUNTY OF f U.VA l
21 sfSwornto (or affirmed) and subscribed before me this day of 1 h e 20 1 1 .
o:; , DONNA L.BARTLE V741)1.1"-e.Personally Known: or ?' MY COMMISSION#GG 078627 • 47.wri
i nature of NotaryPublicEXPIRES:May 14,2021 g
Produced Identification: Bonded Thru Notary Public Underwriters 'rift,Type,or Stamp Commissioned Name of Notary Public
1
Type of Identification Produced:
DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C.