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Glasser - Checklist- v2017 Atlantic Beach Candidates 6/19—6/23/17 Qualifying Paperwork Check List NAME: ELLEN GLASSER OFFICE: MAYOR-SEAT 1 e Nomination Petition Process e Signatures collected and certified 4ectio A Assessment Fee Paid '1 w t Q hyable to City of Atlantic Beach eck drawn on campaign account ount no less that the qualifying fee ($96.96) Lel Check signed by: o trjsurer, DAISY GLASSER eputy treasurer, ELLEN GLASSERVQ o deputy treasurer, N/A deputy treasurer, N/A Check drawn from bank account listed on Form DS-DE 9 WELLS FARGO, 1031 ATL.BLVD.,AB o'r orFiled1016 form submitted ef Contains candidate signature/date Candidate Oath for NOP (Form DSDE25) tr Correct version of form submitted (version 5/11) e first and last name provided Under oath, name as it is to appear on the ballot L ffice provided/Seat Number indicatedOffice of legal residence providedvoter's Registration Numbercandidatesignatureisoriginal d Venue (county where oath taken) to of notarization rsonally known or ID provided C ntains notary signature otary name stamped or printed below signature Notary commission not expired when notarized o Phonetic spelling attached if necessary iAppointment of Campaign Treasurer Filed(DS-DE 9) for each treasurer/deputy treasurer dName provided Address provided Office provided ampaign treasurer designated 4rimary depository designated candidate original signature provided Candidate indicated date signed u/Campaign treasurer's acceptance of appointment complete cyCytwaign treasurer's signature provided paign treasurer indicated date signed tsi/L& A Alice given VL& A receipt signed