Ford - Nomination Petitions 8-12-22NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Curtis Randal Ford, whog
residence is 536 Beach Avenue, Atlantic Beach, Florida, for the office of Mayor -Seat 1, to be voted for ;
the election to be held on the 8th day of November, 2022, A.D., and we individually certify that of
names appear on the rolls of registered voters, and that we are qualified to vote for a candidate fc
election to the Atlantic Beach City Commission.
PRINTED NAME ADDRESS DATE OF BIRTH SIGNATURE DATE
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* * * * Signatures must be verified * * * * C
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing /0 signatures. Each signatui
appended hereto was made in my presence and is the genuine signature of the person whose name
purports to be.
SIGNATURE OF CIRCULATOR: f�l�i�
ADDRESS:. ( /`)44 ,A4 .&-1444 4Ee4 i / �3
ACCEPTANCE OF NOMINATION.
I hereby accept the nomination for Mayor-Seat�1 on the City Commission. I have been a full tirr
resident of the City of Atlantic Beach for at least two years prior to qualifying and am qualified to be
candidate for this office. I
SIGNATURE: Aif.
r
HOME PHONE: go// �3 � �
BUSINESS PHONE: la -1 33,E �D
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AUG 12 2022
]BY .......... ......... �...,..
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Curtis Randal Ford, whos
residence is 536- Beach Avenue, Atlantic Beach, Florida, for the office of Mayor -Seat 1, to be voted for
the election to be held on the 8th day of November. 2022, A.D., and we individually certify that of
names appear on the rolls of registered voters, and that we are qualified to vote for a candidate fc
election to the Atlantic Beach City Commission.
PRINTED NAME ADDRESS DATE OF BIRTH G ATURE DATE
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* * S�gntu�ust be v ifl&)1i*
STATEMENT OF CIRCULATOR
The undersigned is the circulator of the foregoing paper containing l4 signatures. Each signatua
appended hereto was made in my presence and is the genuine signature of the person whose name
purports to be. --, -
SIGNATURE OF CIRCULATOR: �,►�7i; Z41
ADDRESS: '�i�lr-o1r. fr.r,q
ACCEPTANCEOF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 on the City Commission, I have been a full tirT
resident of the City of Atn 'c Beach f at least two years prior to qualifying and am qualified to be
candidate for this office,
SIGNATURE: r_ r07A / V -_- -
HOME PHONE:
BUSINESS PHONE:
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Curtis Randal Ford, whose
residence is 536 Beach Avenue, Atlantic Beach, Florida-, for the office of Mayor -Seat I 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
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ADDRESS DATE OF BIRTH
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
SIGNATURE % DATE
,a -1'V2 >-
The undersigned is the circulator of the foregoing paper containing �_ signatures. Each signature
appended hereto was made in my presence and is the enuine signature of the person whose name it
purports to be.
SIGNATURE OF CIRCULATOR:
ADDRESS: -)4,
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1:
ACCEPTANCE OF NOMINATION
1 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 for at least two years prior to qualifying and am qualified to be a
candidate for this office.-,
SIGNATURE; �� f4Tb i/�q/
HOME PHONE: Q 7 i/
BUSINESS PHONE: " 33.1 _ Y4
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Curtis Randal Ford, whos
residence is 536 Beach Avenue, Atlantic Beach, Florida for the office of Mayor -Seat 1, to be voted for ;
the election to be held on the 8th day of November, 2022, A,D., and we individually certify that ok
names appear on the rolls of registered voters, and that we are qualified to vote for a candidate fc
election to the Atlantic Beach City Commission.
ADDRESS DATE OF BIRTH
* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
DATE
The undersigned is the circulator of the foregoing paper containing �� signatures. Each signatui
appended hereto was made in my presence and is the genuine signature of the person whose name
purports to be. /
SIGNATURE OF CIRCULATOR:
ADDRESS:
ACCEPTANCE OF NOMINATION
I hereby accept the nomination for Mayor -Seat 1 on the City Commission. I have been a full tirr
resident of the City of Atlantic Beach for at least two years prior to qualifying and am qualified to be
candidate for this office.—
SIGNATURE:
HOME PHONE:
BUSINESS PHONE: 1�i�