Glasser- Petitions filedNOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Ellen Glasser, whose residence is 2060 Beach Avenue, Atlantic Beach. FL
32233, 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 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 I C)_ signatures. Each signature appended
hereto was made in my presencq and is the genuine signature of the person whose name it purports to be.
SIGNATURE OF
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. I on the City Commission. I have been a full time resident of the
City of Atlantic Beacchh"f%or/
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least two years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE ' /
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HOME PHONE 9J4 fi%Z- Z(o Z Received
BUSINESS PHONE
MAY 3 0 2017
office of CRY Clerk
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Ellen Glasser, whose residence is 2060 Beach Avenue, Atlantic Beach, FL
32233, 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 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 tO 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
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seal No. I on the City Commission. I have been a full time resident of the
City of Atlantic Beach for asttttwo years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE
HOME PHONE G OL-b7-
BUSINESS PHONE
I
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Ellen Glasser, whose residence is 2060 Beach Avenue, Atlantic Beach, FL
32233, 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 DATE OF BIRTH SIGNATURE DATE
i
u SF.iS i a-` ,1 I/1 _
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I
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing (O signatures. Each signature appended
hereto was made in my presencQ and is the genuine signature of the person whose name it purports to be.
SIGNATURE OF
c -j
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. 1 on the City Commission. I have been a full time resident of the
City of Atlantic Beach forat least two years prior to qualifying and am qualified to be a candidate for this office.
SIGNATURE ///C
HOMEPHONE l'elyfi4-72-(oZLZ
BUSINESS PHONE
E -
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate
Ellen Glasser, whose residence is 2060 Beach Avenue, Atlantic Beach, FL
32233, 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.
ADDRESS DATE OF BIRTH SIGNATURE DATE
s_
I
f
Ah
Signatures must be verified "
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing —L2— signatures. Each signature appended
hereto was made in my presenceand is the genuine signature of the person whose name it purports to be.
SIGNATURE OF
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Seat No. I on the City Commission. I have been a full time resident of the
City of Atlantic Beach f at least two years prior to qualifying and am qualified to be/aa candidate for this office.
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HOME PH(
BUSINESS