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Goodrich - Candidate Oath - 08-25-20
a DS -DE 302ND (Rev. 04/20) Rule 1S-2.0001, F.A.C. CAA 011L0 IF OATH = _ .. ©EiVE li oNf tII +ICI1, „RTISskij (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a write-in candidate: li AUG 2. 5 2020 ....1 Write-in candidate OFFICE USE ONLY CtmdTdate Oath w (Section 99 021(1)(a), Florida Statutes) 4 tis6ocdr;h Ch (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 Com rya , s S ori ._e r c4 S ea k 3 m /' , N A 3 ; (Office) (District #) I am a qualified elector of 17III Vt Count y, Florida;, (Circuit am have seek; and #) qualified qualified and I will support (Group or Seat #) under the Constitution and the Laws of Florida for no other public office in the state, the term I have resigned from any office from which the Constitution of the United States and to hold the office to which of which office or any part thereof I am required to resign pursuant the Constitution of the State of I desire to be nominated or elected; runs concurrent with the office to Section 99.012, Florida Statutes; Florida. I Candidate's Florida Voter Registration Number located onyour voter information card): / 0 3 3 0 73o ei g ( ) 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.] L, EF s U hi & LiDR.i c 0 x (9a9) 9802° Scig 100 33 Signature of- 3o 02®ry-k ndidate •Telephone Number W sfred Alia A/764 e4o F/&r,d Email Address 3'2z33 Address City State SIM EOFFLORIDA ZIP Code Signature of Notary Public COUNTY OF L) lAn Print, Type, or Stamp Commissioned Name of Notary Public below: ' F` 1 Sworn to (or affirmed) and subscribed before me by physical or ,,,,,,, DONNAL.BARTLE online presencethis day of4"C (.5.,202.O LVAV. MY COMMISSION # GG 078627 or EXPIRES: Ma%y 1Q, 2021 Personally Known: or Produced Identification: ;J-'• tie of hS %, Bonded Thru Notary Public Un1 'instil' erw iters _z___ Type of Identification Produced: N hi DS -DE 302ND (Rev. 04/20) Rule 1S-2.0001, F.A.C.