Harding- Petitions filed NOMINATION PETITION
We, the unders,igned electors of the City of Atlantic Beach, hereby nominate
-fr% 4/ . ,L�ak ,n , whose residence is
635 �%a sm?ae / f/�G C , / 320zR ,
for the office of City Commissioner, Seat No. 5- District 1312, 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
Nan A /t/4/,!i in/ t04ACAle et /" is /TS/ /A� 4°/'/��
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.. . . Signatures must be verified * *** 1 ` lIP
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing '6 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 �r� W4^«/ �Jv1�i .)
ADDRESS /// 44,5i. C arc?r } 32233
ACCEPTANCE OF NOMINATION
I hereby accept the ngmination for Seat No. on the City Commission. I have been a full time resident of the
City of Atlantic Be.c' or - le-st ' = ear 10 for • qualifying and am qualified to be a candidate for this office.
SIGNATURE if riati k Receiv-d
SAMINME
HOME PHONE ,0 •
BUSINESS PHONE 6 •/ • JUN _ 5 2017
Office of City Clerk
NOMINATION PETITION
We, the undersigned EpIecto s of the City of Atlantic Beach, hereby nominate
44 i �, 9.)J 2, , whose residence is
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f r the office of City Commissio er, Seat No. 5- District 1312, 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 SI NATURE DATE
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containi • 9 signatures. Each signature appended
hereto was made in my presence and i the ge.uine ignature •••the •-rson whose name it purports to be.
SIGNATURE QF CIRCULATOR ���/ I •rs.
ADDRESS i' j.1 --C=
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
fit- h I . . q-rci- , whose residence is
v\e ��4-rr � /�"rG,�!••� t G ro--4-c-k4 32-2-.33 ,
for the office of City Commissioner, Seat No. 5- District 1312, 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
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* * * * Signatures must be verified * * * *
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 e genuine sig -ture • e p: son whose name it purports to be.
SIGNATURE OF CIRCO ATOR JM Lam, ,��w•
ADDRESS / 3S :1 -$› t-C. ��r 7- 47 /7-/C / 'b' �(� J ? 36
ACCEPTANCE OF NOMINATION
I hereby accept the nom; ation for Seat No. mon the City Commission. I have been a full time resident of the
City of Atlantic Beach fj at I-asto years pri r t ua�lifying and am qualified to be a candidate for this office.
SIGNATURE ,/VW �� Received
HOME PHONE 10C c 6 / /, //� JUN 5 2���
BUSINESS PHONE O y 3Sz 6 / (Q
Office of City Clerk
NOMINATION PETITION
We, the undersigned elect9rs of the City of Atlantic Beach, hereby nominate
i�t�p, R R . 1-c1 , whose residence is
(L S _\L,LS w.,h e -eL4 ,�f4-1rL -r)L7\-;ea-c.1-4 FL 3 z-233 ,
for the office of City Commissioner, Seat No. 5- District 1312, 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 AA[L,,,e/d2t—o4Z,j/20,.i.
SIGNATURE DATE
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ftraLL._ * * * * Signatures must be verified * ***
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing (I signatures. Each signature appended
hereto was made in my presence and is he genuine signature of the person whose name it purports to be.
SIGNATURE OF CIRCULATOR '' (Nan 64014474),)
ADDRESS /�(v( g &'
1c / C.AA/4'f )fQ 322.'.3
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. • the City Commission. I have been a full time resident of the
City of Atlantic Be-ch ; :st • :ars • •'to • alifying and am qualified to be a candidate for this office.
SIGNATURE , I " Ph'.. Received
HOME PHON .4 %S—Z— a i
BUSINESS PHONE •0 ' 3s z. 6 6 CO 1( JUN 5 2017
Office of City Clerk