Kelly - Nomination Petitions 8-18-22NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Candace Lee Kelly, whose
residence is 142 Sylvan Drive, 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
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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: a I'I 4
ADDRESS: fte
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 office.
SIGNATURE:
HOME PHONE
BUSINESS PHONE:
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NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Candace Lee Kelly, whose
residence is 142 Sylvan Drive, 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
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* * * * Signatures must be verified * * * *
STATEMENT OF CIRCULATOR
SIGNATURE
DATE
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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:
ADDRESS:
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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 office.
SIGNATURE:
HOME PHONE
BUSINESS PHONE:
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Candace Lee Kelly, whose
residence is 142 Sylvan Drive, 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
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ADDRESS
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DATE OF BIRTH SIGNATURE DATE
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* * * * Signatures must be verified * * * *
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STATEMENT
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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: �l
ADDRESS:
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 office.
SIGNATURE: L
HOME PHONE: qoH) meq_ �3,g7
BUSINESS PHONE:
NOMINATION PETITION
We, the undersigned electors of the City of Atlantic Beach, hereby nominate Candace Lee Kelly, whose
residence is 142 Sylvan Drive, 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
* * * * 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:�W14f
ADDRESS:
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 office.
SIGNATURE:
HOME PHONI
BUSINESS PHONE: