Lagner - Nomination Petitions 8-5-22 NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate L L 7n x/ '!I ‘ii a-4;
whose residence is 277
<..�G1+ihQ/e ;Cci , Atlantic Beach, Florida, for the •ffice of
Commissioner - Seat 4, to be voted for at the election to be held on the 8th day of November, 2022, 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.
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing /° 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 CIRCULATOR:7— Wi GKr04/
ADDRESS: ( 1 ( x. s,''dtf"
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner - Seat 4 on the City Commission. I have been a full
time resident of the City of Atlantic Beach for at least two years prior to qualifying and am qualified to be
a candidate for this • ice.
SIGNATURE:
/` 0A-, �
HOME PHONE: / I" ' / to C9 iv? RT74.77177
BUSINESS PHONE: AUG 0 5 2022
NOMINATION PETITION
We, the undersigned electors of the Cityof Atlanti
� Peach, hereby nominateivi; ei,-- lie v;--
whose residence is 2'7g 2//{lhl)l(',J ( , Atlantic Beach, Florida, for the ice of
Commissioner- Seat 4, to be voted for at the election to be held on the 8th day of November, 2022, 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.
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A' �(jAOD�-)DR,ESS /O DATE OF BIRTH (�/ L/ ,/ SIGNATURE DATE
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing /I) 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 CIRCULATO • a
ADDRESS: 6( ,C
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner - Seat 4 on the City Commission. I have been a full
time resident of the City of Atlantic Beach for at least two years prior to qualifying and am qualified to be
a candidate for this o e.
SIGNATURE: 1 if c_il 06-/X—_
HOME PHONE: r C)./ (p/D 6 I
BUSINESS PH ONE. AUG 0 5 792?
NOMINATION PETITION
We, the undersigned electors of the Cityof Atlany
� Beach, hereby nominate��kUi, f?y- ((e !�E'�
whose residence is 2'7g 2flflhl)/E'--/LL( , Atlantic Beach, Florida, for the ice of
Commissioner- Seat 4, to be voted for at the election to be held on the 8th day of November, 2022,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 SIGNAT RE DATE
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing /O signatures. Each signature
appended hereto was made in my presence and is the genuine signature of the person whose name it
purports to be. / r /�
SIGNATURE OF CIRCULATOR:
7,. .,6\
ADDRESS: 23? Sc/m-'1‘4 1e/?-° 4-i7 is
1 �cl�y �L 722-3_?
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner - Seat 4 on the City Commission. I have been a full
time resident of the City of Atlantic Beach for at least two years prior to qualifying and am qualified to be
a candidate for this e. 1) .-M.....,
SIGNATURE: /Q
HOME PHONE: Qv� (,(Q p2_ '
BUSINESS PHON :
AUG i) 'i1,:
Agenda Item #6C.
08 Nov 2022
NOMINATION PETITION
We, the undersigned electors of the City of Atlanticla� Beach, hereby nominate ‘-le 44 c'4/ -
whose residence is 27V ,S774t//16 (e yCC7 , Atlantic Beach, Florida, for the o ice of
Commissioner- Seat 4, to be voted for at the election to be held on the 8th day of November, 2022,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 - 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 CIRCULATOR:)--Zfr- A/j, 1J
ADDRESS: /Ai . j C/
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner - Seat 4 on the City Commission. I have been a full
time resident of the City of Atlantic Beach •r at least two years prior to qualifying and am qualified to be
a candidate for this . ice.
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SIGNATURE: ,�� v \
HOME PHONE !%V7 'f /ZiP , 'J)
BUSINESS PHONE: AUG 0 5 202?
Page 367 of 401
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate,_Ain(ief 7I?'q/'Ie//--
whose residence is 27V 4M//-de_ tk?/ , Atlantic Beach, Florida, for th office of
Commissioner - Seat 4, to be voted for at the election to be held on the 8th day of November, 2022, 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 S /NA URE DATE
I )ei JO 1Q 5- n,�7t (//2711 1-�7 "P 8
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 5 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 CIRCULATOR: /: . _ _ oC -
ADDRESS: c ' - 0 ! -1 �2 2__?.3
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner - Seat 4 on the City Commission. I have been a full
time resident of the City of Atlantic Be ch for at least two years prior to qualifying and am qualified to be
a candidate for this ffipe. 1
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SIGNATURE: o)\-Y\
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HOME PHONE:
BUSINESS PHONE: ! AUG '2022
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Jennifer Deery Lagner,
whose residence is 278 Seminole Road, Atlantic Beach, Florida, for the office of Commissioner-Seat 4,
to be voted for at the election to be held on the 8th day of November, 2022, 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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7- 7 y1l S Peery !J n T 1, - q. 3 q ,/� ��o 7,123/22_,
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* * * * Signatures must be verified *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing 7 signatures. Each signature
appended hereto was made in my presence and is the genuine signature of the person whose name it
purports to be. I
SIGNATURE OF CIRCULATOR: s ' '� �1 (fifo,L,
ADDRESS: a Seg 'G
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Commissioner-Seat 4 on the City Commission. I have been a full time
resident of the City of Atlantic Beach f r at least two years prior to qualifying and am qualified to be a
candidate for this , .
SIGNATURE:
HOME PHONE: Ci-", 6 l0 (oz(., AUG 0 5 2022
BUSINESS PHONE: cAC