Hall- Petitions filedNOMINATION PETITION
We, the under electors o the City of Atlantic Beach, hereby nominate
1 LTUrI >A19 -w" , whose residence is
for the office of Mayor -Commissioner, Seat No. 1, to be voted for at the election
to be held on the 29th day of August, 2017. A.D., and we individually certify that
our names appear on the rolls of registered voters, and that we are qualified to
vote for a candidate for election to the Atlantic Beach City Commission.
PRINTED NAME
DATE OF BIRTH SIGNATURE DATE
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".' Signatures must be verified " - -
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing p pewcontaining signatures. Each signature appended
hereto was made in my presence he g ey" a signal re of �pl
on whose name it purports to be.
SIGNATURE OF GI@CUL I OR
I hereby accept the nomination for Se .mon the City Commission. I have been a full time resident of the
City of Atlantic Beach for at lea years p or to qualifying and am qualified to be a candidate for this office.
SIGNATURE Received
HOME PHONE CC D • aS
BUSINESS PHONE O 1 (• JUN 8 2017
Office of CRY Clark
rol
to
NOMINATION PETITION
of Atlantic Beach, hereby nominate
for the office of Mayor -Commissioner. Seat No. 1, to be voted for at the election
to be held on the 29th day of August. 2017, A.D., and we individually certify that
our names appear on the rolls of registered voters, and that we are qualified to
vote for a candidate for election to the Atlantic Beach City Commission.
PRINTED NAME ADDRESS
1�1 WRTWI_1, •
"' ` Signatures must be verified ....
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing hyper containing signatures. Each signature appended
hereto was made in my presence arils the ge a gnature of the person whose name it purports to be.
SIGNATURE OFnCIRRCULATOR� ' ?
Ani-iRFSS CP) -5 V? T-��� ... > �L. >���i
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. -- on the City Commission. I have been a full time resident of the
City of Atlantic Beach for at I t two years`prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE— �y7s\��`�C1
Received
HOME PHONE r/�J �3
BUSINESSPHONE �A (0&/• �
MAY 2 2 2017
011ice of City Clerk
Reacrihe�C w/addchunQ.O >o%z�- 6/S/i�
NOMINATION PETITION
of Atlantic Beach, hereby nominate
. whose residence is
Lfz PM15EKTA-CK L- ft+;,f 7Z 57-Z,S
for the office of Mayor -Commissioner. Seat No. 1, to be voted for at the election
to be held on the 29th day of August. 2017. A.D., and we individually certify that
our names appear on the rolls of registered voters, and that we are qualified to
vote for a candidate for election to the Atlantic Be ch City C ission._
C eCajcL -7. ads x/63 5Accp M /-Y• 7Y
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QINTED NAME ADDRESS DATE OF BIRTH SIGNATURE DATE '
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W I1`"`t
"" Signatures must be verified ....
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The undersigned is the circulator of the foregoing paper containing signatures. • Each signature appended
hereto was made in my presence and is the gen ne signature of the person whose name it purports to be.
SIGNATURE OF CCIRCULATOR q
ACCEPTANCE OF NOMINATION
I hereby accept the nomination forSeat No. _;�_ on the City Commission. I have been a full time resident of the
City of Atlantic Beach
for t least tw ears prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE /y �`7C/_3
HOME PHONE Q0`, 51-(,t -1I� 1; Received
BUSINESS PHONE YU `'1 • F1 ul�r `l3
MAY 2 2 2017
Office of City Clark
NOMINATION PETITION
We, h L--Ma!undersigned electors of the ,Pit of Atlantic Beach, hereby nominate
Vi t " '5AY2/r$ f' Hwhose residence -is
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F& 22,33
for the office of Mayor -Commissioner. Seat No. 1, to be voted for at the election
to be held on the 29th day of August. 2017. A.D., and we individually certify that
our names appear on the rolls of registered voters, and that we are qualified to
10 Marva
for a candidate for election to the Atlantic Beach City Co Sion.
PRINTED N/MIE ArWADbRESS*- DATE OF B�RTH ATURE DATE
. PAVnE ER 600 IGa5 QryshardsaNLane, -1 - 9-32, .�di,{rinr;.✓1te rJ �/
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CJ/lJ� / � SSE^ I,{—' • • • S�yres must r'Ified "" ' Q— — / V^���[QQQ,'''
Thee undersigne he circulator of the foregoing paper contaimn�v sig res. Each si ature ta[ppJe►nddeeedd /J
hereto was made in my presence i natu f the p whose name it purports to be.
SIGNATURE OF CIRCULATOR
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. —L on the City Commission. I have been a full time resident of the
City of Atlantic Beach for tw prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE Received
HOME PHONE l
BUSINESS PHONE iP 3�3 MAY 22 2017
�� �/��� r:�'i�LPQ�- 6/�/�O�U•� office of Ciry Clerk