Lagner - Candidate Oath - 8-30-22 CANDIDATE OATH -
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a r0
write-in candidate:
n Write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a),Florida Statutes)
I, Jennifer Deery Lagner ,
(Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no
hyphen, check box❑ (see page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write-in candidate's name is not printed on the ballot,the name must be printed above for oath purposes.)
am a candidate for the nonpartisan office of Commissioner - Seat 4 N/A ,
A `
(Office) (District#)
N
V/A , 4 ;I am a qualified elector of Duval n County, Florida;
(Circuit#) (Group or Seat#)
I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for no other public office in the state,the term of which office or any part thereof runs concurrent with the office
I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number(located on your voter information card): 103314391
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities(see instructions on page 2 of this form):(Not applicable to write-in candidates.]
-Jen-uh--Fthr CEEB-EE l -nuhe
X / 0% (:f. 610-62021 9 @9nerab ennla mail.com
Sign. d andidate illTelephone Number Email Address
27; :eminole Road Atlantic Beach FL 32233
Address City State ZIP Code
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STATE OF FLORIDA
I Signature of Notary Public
COUNTY OF DIA-Vou Print,Type,or Stamp Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by means of
r/ :a"''' DONNA L.BARTLE
online notarization ❑ OR physical presence I: ,. � MY COMMISSION#IVH 085656
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this 30 day of 14141 lC 6 ,20 22 '-...7;,;.:1k d=Bonded
EXPIRES:May 1C4,2�0�255
'•FOP F? W-Ned I Iau Noy Public Undennite s
Personally Known L OR Produced Identification ❑ - •
Type of Identification Produced: N/f
DS-DE 302NP(Rev.05/2021) Rule 1S-2.0001,F.A.C.