Norris- Petitions filedNOMINATION PETITION
electors of the City of Atlantic Beach, hereby nominate
7i2115 . whose residence is
for the office of City Commissioner, Seat No. s , to be voted for at the
election to be held on the 29th day of August, 2077, 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 SIGNATURE DATE
1� 17 cw �� ���i• � • :� RI/fliil v
..f,Tin,. t ♦ HQ's _4'� .(..��
• •' Signatures must be verified V"
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the fore
hereto was made in my presence aA is the
SIGNATURE OF
signatures. Each signature appended
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 Be f r at least two ars pri qua' 'ng and am qualified to be a candidate for this office.
Received
SIGNATURE
HOME PHONE
BUSINESS PHONE MAY 2 4 2017
Office of city Clerk
NOMINATION PETITION
of the City of Atlantic Beach, hereby nominate
. whose residence is
for the office of City Commissioner, Seat No. S , 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.
SME ADDRESS DATE OF BIRTH
U KKE 8q9 [A5f(gk51 DR q 2[< 19Uz
YA
is.
* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing pt
hereto was made in my presence the genuine
SIGNATURE OF
5
ning signatures. Each signature appended
of the Person whose name it purports to be.
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. -5— on the City Commission. I have been a full time resident of the
City of Atlantic B h for at least two years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE A44 Received
HOME PHO
BUSINESS PHONE 4 it MAY 2 4 2017
•' ' Office M City Clerk
1,5.2otT
NOMINATION PETITION
We, the qpdersigned electors of the City of Atlantic Beach, hereby nominate
T'rzAnylA h whose residence is
for the office of City Commissioner, Seat No. Gi , 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.
The undersigned is the circulator of
hereto was made in my presence ar
SIGNATURE OF
- ' . . Signatures must be verified •' •'
STATEMENT OF CIRCULATOR
ACCEPTANCE OF NOMINATION
res. Each signature appended
name it purports to be.
I hereby accept the nomination for Seat No. Z�—on the City Commission. I have been a full time resident of the
City of Atlantic Bea rat least two y ars p/tor to aJua�lifying and am qualified to be a candidate for this office.
SIGNATURE �/ / � Received
HOME PHONE, —ACZI:X
BUSINESS PHONE /t r / MAY 2 4 2017
Office of City Clerk
NOMINATION PETITION
electors of the City of Atlantic Beach, hereby nominate
�ll?7� C , whose residence is
for the office of City Commissioner, Seat No. ', to be voted for at the
election to be held on the 29th day of August. 2077. 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
"'signatures must be verified""'
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing —16?_ signatures. Each signature appended
hereto was made in my presence and ig the genuine signatureAthe person whose name it purports to be.
SIGNATURE OF
ACCEPTANCE OF NOMINATION
I hereby accept theAiommation for Seat No. 115 on the City Commission. I have been a full time resident of the
City of Atlantic B for at le t iw ears r qualifying andam qualified to be a candidate for this office.
SIGNATURE Received
HOME PHON
BUSINESS PHONE I! � `' MAY 2 4 2017
OMM of City Clerk
NOMINATION PETITION
electors of the City of Atlantic Beach, hereby nominate
whose residence is
s 0 rangy n actoln ,Pl,'r,2Z;t?
for the office of City Commissionlar, Seat No. S , 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
�rti�F.hE.ltit\\Srn ll(„n U,bl�.\- St-Y�klan4tGtiismL,l=LYld3 Ilf�etw�l.lzd6�/,
• ... Signatures must be verified ""
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 2 signatures. Each signature appended
hereto was made in my presence an" the genuine sigpature ofAbk person whose name it purports to be.
SIGNATURE OF
ACCEPTANCE OF NOMINATION
I hereby accept the nyr . ation for Seat No. ✓ @@@on the City Commission. I have been a full time resident of the
City of Atlantic Be'If tp 'o" am r O aliNing and am qualified to be a candidate for this office.
SIGNATURE (J//� /) Received
HOME PHONE 0112
BUSINESS PHONE v it 1, MAY 2 4 2017
OKW of Cibj Cl.,k