Keane - Nomination Petitions - signatures verified 8-11-22NOMINATION 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.
ADDRESS DATE OF BIRTH
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
SIGNATURE DATE
SAM
The undersigned is the circulator of the foregoing paper containing signatures. Each signature
appended hereto was made in my prese er and, ' the. quine signature of the person whose name it
purports to be. �/ ; "'�-
SIGNATURE O?F�CIRCULATOR~
ADDRESS: _
ACCEPTANCE OF NOMINATION
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hereby accept the nomination for Mayor -Seat 1 on the City Commission. I have been a full time
resident of the City of Atlantica for at least two years prior to qualifying and am qualified to be a
candidate for this office/? „
SIGNATURE:
HOME PHONE:
BUSINESS PHONE:
BY°.IV
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NOMINATION PETITION ('1
We, the undersigned electors of the City of Atlantic Beach, hereby nominate n 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 SIG RE DATE
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR 'r�%
The undersigned is the circulator of the foregoing paper containing ZL signatures. Each signature
appended hereto was made in my presence,and ' nuine signature of the person whose name it
purports to be.
SIGNATURE OF CIRCULATOR: r-/ P r' (---
ADDRESS: 395— S - u ,-: h R k /die rC
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 t least two years prior to qualifying and am qualified to be a
candidate for this office,/ ! a
SIGNATURE-,— -, / "(_,-
HOME PHONE: (�Y S2( �y
BUSINESS PHONE:
NOMINATION PETITION /�J I!
We, the undersigned electors of the City of Atlantic Beach, hereby nom 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 andisa y�aine signature of the person whose name it
purports to be. !�'
SIGNATURE OF CIRCULA
ADDRESS:
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 Atly gtic Beach for least two years prior to qualifying and am qualified to be a
candidate for this office. /;! Beach,
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 n DATE
V I L
041
TAyL02 BPOWN CII ASSISI LANE 312-9 100 r 815/2-2
muel-z C�vowve, 7q.l ASs{S� Lane 5KIIDZEX/5K
* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper cc ptaining CJ signatures. Each signature
appended hereto was made in my presen Ytlgenuine signature of the person whose name it
purports to be.
SIGNATURE OF CIRCULATOR: / '
ADDRESS: �/� �G fyr.be /T/�, 1— Y722
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, fe at least two years prior to qualifying and am qualified to be a
candidate for this office,.,,,' // !
SIGNATU
HOME PHONE: y6/' 7 UZ"/
BUSINESS PHONE: i'o `/ 52
11
21
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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
DATE OF BIRTH
* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing
appended hereto was made in my presence and
purports to be. n
SIGNATURE OF CIRCULATOR:
ADDRESS:
DATE
ig —7— signatures. Each signature
signature of the person whose name it
gZ 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 Beach r tleast two years prior to qualifying and am qualified to be a
candidate for this office. /)
SIGNATURE: / ' %
HOME PHONE: 27�?
BUSINESS PHONE: