Hill- Petitiions filedcirculate in May - need 25 ligit names.
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Hill, James "Jimmy" whose residence is
07n lar. or.. 1
for the office of City Commissioner, Seat No. 4 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.
ADDRESS DATE OF BIRTH —SIWA1 01Rg DATE
• • Signatures must be verified
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 9_ signatures. Each signature appended
hereto was made in my presence and is the genuine signature
sign�L
atturee of the person whose fnamed purports to be.
SIGNATURE OF CIRCULATOR ,W,6,ig�YGle1In -HIiI
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. 4 on the City Commission. I have been a full time resident of the
City of Atlantic Be h for,at��e�J}gt tywo y�ears��" do�uegfying and am qualified to be a candidate for this office.
SIGNATURE�/,%�!//�✓
HOME PHO IJ0 46 1543 Received
BUSINESS PHONE VU4 759 2158
JUN 5 2011
ernte of City Clerk
circulate in May - need 25 ligit names.
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Hill, James "Jimmy" , whose residence is
for the office of City Commissioner, Seat No. 4 , to be voted for at tt
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
UA41ii, N W 5c4f
` w fp L-/tM t3d fc� 1123 C ,
NIA\;,ll. Gar`s II'> -3l'.
DATE OF BIRTH
10 -5-0.S
i't0 0+ -d -..:A ST 041
t
l05 `I yM Df. i
""""Signatures must be verified
The undersigned is the circulator of the
hereto was made in my prpseul a indt
SIGNATURE
/W17
�). s hq/4
_Sl him
- la -�-�
_ signatures. Each signature appended
n whose name it purports to be.
L,sq1 D. C�,be\L�-Hcrrol�f
ACCEPTANCE OF NOMINATION
3 Zz33
I hereby accept the nomination for Seat No. 4 on the City Commission. I have been a full time resident of the
City of Atlantic Beach for st two years pdorto qualifying and am qualified to be a candidate for this office.
SIGNATURE Received
HOME PHO 90,r246 1543
BUSINESS PHONE 904 759 2758 JUN 5 2017
Office of city clerk
circulate in May - need 25 ligit names.
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Hill, James "Jimmy" , whose residence is
for the office of City Commissioner, Seat No. 4 , 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_ , i DATE
ad -
IN
. • • Signatures must be verified • • •"
STATEMENT OF CIRCULATOR
/7
'417
t/,1
r -7 -
The undersigned is the circul the foreQ 1 g q per containing 113 signatures. Each signature appended
hereto was made in my p ence "s Lr� n ind si atu of the n whose name it purports to be.
_
SIGNATURE OF CIRCO TOR
AMPRSS 659 She S e . Ill ntic Beac FL 32233
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. 4 on the City Commission. I have been a full time resident of the
City of Atlantic Beach for east tw prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE ,V 91-11, Received
HOME PH 904 246 1543
BUSINESS PHONE 904 759 2758 JUN 5 2011
Office of city Clerk
circulate in May - need 25 ligit names.
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Hill, James "Jimmy" , whose residence is
for the office of City Commissioner, Seat No. 4 , 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
5-&r
Ucn M-Faj 373
3J,)33 t/I�/S9
S/mo i
M nn r WPP
kr- 373
Si
3 7_7. 3
6 A
r2233 n / �sr�' 51317
17
3aa3D
"' `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 genuipe signature of the person whose name it purports to be.
SIGNATURE OF CIRCULATOR
AnnRFSS 372 7th Street, Atlantic each FL 32233
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. 4 on the City Commission. I have been a full time resident of the
City of Atlantic Beac r at I s t o years ionto qualifying and am qualified to be a candidate for this office.
SIGNATURE ��. Received
HOME PHONE A04 246 1543
BUSINESS PHONE 904 759 2758 JUN 5 2017
office of City Clerk