Keane - Nomination Petitions 8-10-22NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Sean Patrick Keane, whose
residence is 395 Saturiba Drive, Atlantic Beach. Florida, for the office of Mayor -Seat 1, 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'' th nuine signature of the person whose name it
purports to be.
SIGNATURE OF CIRCULATOR:l
ADDRESS: �5 S� 4-u P, Z 2?��
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 on the City Commission. I have been a full time
resident of the City of Atlantic e• for at least two years prior to qualifying and am qualified to be a
candidate for this office'
SIGNATURE:
HOME PHONE:
BUSINESS PHONE:
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0 2022
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NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Sean Patrick Keane, whose
residence is 395 Saturiba Drive, Atlantic Beach, Florida, for the office of Mayor -Seat 1, 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 SIGNATJJRE 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 presencg,and is,'6nuine signature of the person whose name it
purports to be. �
SIGNATURE OF CIRCULATOR:
ADDRESS: 3 95 —,::;q -to
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ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 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 office.
SIGNATURE:
HOME PHONE:
BUSINESS PHONE:
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Sean Patrick Keane, whose
residence is 395 Saturiba Drive, Atlantic Beach, Florida, for the office of Mayor -Seat 1, 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 a mine signature of the person whose name it
purports to be.
SIGNATURE OF CIRCULATOR;
ADDRESS: 3F-5 Or
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 on the City Commission. I have been a full time
resident of the City of Atl tic Beach least two years prior to qualifying and am qualified to be a
candidate for this office.
SIGNATURE:
HOME PHONE:
BUSINESS PHONE:
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Sean Patrick Keane, whose
residence is 395 Saturiba Drive, Atlantic Beach, Florida, for the office of Mayor -Seat 1, 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
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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 ' genuine signature of the person whose name it
purports to be.
SIGNATURE OF CIRCULATOR:
ADDRESS: Y9-6 L-)
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ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 on the City Commission. I have been a full time
resident of the City of Atlantic B ch: at least two years prior to qualifying and am qualified to be a
candidate for this office., �
SIGNATURE:,,----
HOME
IGNATURE: HOME PHONE:
BUSINESS PHONE: S� `� 52 t
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NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Sean Patrick Keane, whose
residence is 395 Saturiba Drive, Atlantic Beach, Florida, for the office of Mayor -Seat 1, 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
* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
DATE
The undersigned is the circulator of the foregoing paper containing signatures. Each signature
appended hereto was made in my presence and is,tie genuine signature of the person whose name it
purports to be.
SIGNATURE OF CIIRCULATOR;�
ADDRESS: S�-tur
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ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 on the City Commission. I have been a full time
resident of the City of Atlantic Beachfq r t'least two years prior to qualifying and am qualified to be a
candidate for this office. x--)
SIGNATURE:
HOME PHONE: �4�)x JS) t 277-
BUSINESS PHONE: