Kelly- Petitions filedNOMINATION PETITION
of the City of Atlantic Beach, hereby nominate
whose residence is
for the office of City Commissioner, Seat No. 4- District 1306, 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 DATE OF BIR 47 SIGNATURE DATE
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STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing, signatures. Each signature appended
hereto was made in my presence and is the genuine signature of the pe on whose name it purports to be.
SIGNATURE
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 least two years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE—(4 -" -"LW4t - Received
HOME PHONE R(141, dq -)'j
BUSINESS PHONi1Q6 \R�^ y32Sj- in JUN 7 2017
Once of City Clerk
NOMINATION PETITION
electors of the City of Atlantic Beach, hereby nominate
. whose residence is
for the office of City Commissioner, Seat No. 4- District 1306, to be voted for at
the election to be held on the 29th day of Auqust, 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 DATE OF BIRTH R DATE
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`* * * Signatures must be verified * "
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing _q__ signatures. Each signature appended
hereto was made in my presence and is the genuine signature of the person whose name it purports to be.
SIGNATURE OF CIRCULATOR
ADDRESS \ i \ 7 LSL' S 1�K 1 GGII iL 3123
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 least two years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE L6ft qr� L Received
HOME PHONE CT ) :21-I J-'3SS U
BUSINESS PHONEI° I U Jf G397 Q;) JUN 7 2017
Office of City Clerk
NOMINATION PETITION
We, the undersi,ggned a ctors of the City of Atlantic Beach, hereby nominate
(_2.1
1 i/1 (P. L r1V whose residence is
for the office of City Commissioner, Seat No. 4- District 1306, 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 DATE OF BIRTH SIGNATURE DATE
/ IU fAYI (1 �7C r..n o�roC `f .� �e�,lo rPv?P.I Yi 1-12 -3P Fi �n,l��7r%.a rn t
.. " Signatures must be verified . ".
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 0 signatures. Each signature appended
hereto was made in my presence and is the genuine signature of the person whose name it purports to be.
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 least two
years pno to qualifying and am qualified to be a candidate for this office
L.
SIGNATUREQV-Received
HOME PHONE SS O
BUSINESS PHONE JUN 7 2017
$59-W387rci
Once or City Clerk
NOMINATION PETITION
actors of the City of Atlantic Beach, hereby nominate
I , whose residence is
for the office of City Commissioner, Seat No. 4- District 1306, to be voted for at
the election to be held on the 29th day of August. 2017. A.D., and we individually
certify that our names appear on the rolls of registered voters, and that we are
qualified to vote for a candidate for election to the Atlantic Beach City
Commission.
" •' . Signatures must be verified ""
STATEMENT OF CIRCULATOR
ii
The undersigned is the circulator of the foregoing paper containing — signatures. Each signature appended
hereto was made in my presence and is the genuine signature of the person whose name it purports to be.
a•�c r •� i.-f�Ti'i���Ir��T� � '��SI
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. H on the City Commission. I have been a full time resident of the
City of Atlantic Beach for at least two years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE CdTfkLK& LY#4� Received
HOME PHONE — O
BUSINESSPHONE i%$S9-y3� Ld JUN 7 2017
Office of City Clerk