Norris- Candidate OathDS -DE 25 (Rev. 5111) Rule 1S-2.0001. F.A.C.
Received
CANDIDATE OATH -
NONPARTISAN OFFICE
JUN 2 3 2017
(Not for use by Judicial or
Office of City Clerk
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, Brittany Norris
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT' - NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a Candidate for the nonpartisan office of Atlantic Beach City Commission . 1312
(office) (distrkt i)
• 5 ; 1 am a qualified elector of Duval County, Florida;
(circuit M) (group or seat d)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or
elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs
concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to
Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the
State of Flo
X (904) 452 5066 brittmarie.norris@gmail.com
Logrtira Of date Telephone Number Email Address
1183 Violet Street Atlantic Beach Florida 32233
Addreu city state ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card):
. Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities (see instructions on page 2 of this form):
b r S14t-•r(Al -n le NAlru11S
STATE OF FLORIDA
COUNTY OF Duva
T ) �J
before this 23 fid day J iti�,� 201_.
Sworn to (or affirmed) and subscribed me of .
//+//•��
°•'y`k.� BARTLE �amnal /&/
Personally Known: "/ or q DONNAL. (y
MY COMMISSION %GD 018fi2T
21 Signature of Notary Public
EXPIRES: May td, 202':
Pratlucetl Identification: y Bmtletl RM Noor PU UMRwdne Print, Type, or Stamp Commissioned Name of Notary Public
Type of Identification Produced:
DS -DE 25 (Rev. 5111) Rule 1S-2.0001. F.A.C.