Loading...
Merker, David- Petitions c.,-(E'llimmisummummumemm PETITION SUBMITTANCE FORM Name on Petition (Candidate/Committee): 1 O CI '-4&v Office Candidate is seeking: Mcg (.r Number of Petitions Submitted:41 _ Number SOE Counted and Initials: • 141 Name of person submitting petitions: Haid Le_ -S2SVS Address: pci.) £ Dczavx /1 City, State, Zip Code: Li CSE vT 6C yY\DY1 a AC Phone: S140( — Z • Email: ( SMM.@,1O1O-C Signatur,• -' Date: //S--/Pe) OFFICE USE ONLY Deputy's Initials: Paid By Check: Paid by Cash: v 171• Receipt #: N cn BATCH #: tri 0 Rev.03/2023 r- v, Wendy Sartory Link Palm Beach County Supervisor of Elections 240 South Military Trail,West Palm Beach,FL 33415 I (561)656-6200 I Info@VotePalmBeach.gov I VotePalmBeach.gov PETITIONS - SCANNED IMAGES CONTROL RECORD PETITION BATCH NUMBER SCANNING BATCH NUMBER 110 DATE RECEIVED NOV 1 5 so SOURCE - PETITIONS - DAVID MERKER DATE SCANNED 8 2024 SCANNERS INITIALS ADDITIONAL INFORMATION: BOYNTON BEACH - MAYOR q' V CANDIDATE PETITION 1 O 131-1 P01 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. qpf 2T//I ^ /i71- the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ID P\\.1\17) placed on the Primary eneral Election Ballot as a: [check/complete box, as applicable] Nonpartisan 0 Party candidate for the office of (insert title of office an i c u e district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 41— v(— 37 53 u00v,) c a • City unty S e Zip Code 'ajiv\)31.) \-14,,, A.,0(\ Vra,/j7-.\ 1 Signature of >er Date Signed(MM/DD/YY) (-4, / __ eo be completed by Voter] A ---7-itc- -2-y Rule 1S- •45,F.A.C. f DS-DE 104(Eff.09/111 CANDIDATE PETITION 1 2 15 01 0 1 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 12t) V\ ,,, �,� `Y,,` Q `V/,• the undersigned,a registered voter �� (print name as it appears on your voter information hard) (p in said state and county, petition to have the name of 0 P\\ YJ placed on the Primary/Gen ral Election Ballot as a:[check/complete box, as applicable] - Nonpartisan • ❑ Party candidate for the office of (insert title of office a district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 1 *-----t.:51.1v1 °� ♦��� tiq �k cb4 .. givjr.b-76,1g City County State Zip Code atatcYr FN\r() 2)---lc FL .33 .3 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] _.--A 1\* N\j 2 .Z .2 Rule 1S-2.045,F.A.C. DS- E 104(Eff.09111) CANDIDATE PETITION la 50bbO1 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. m( l the undersigned,a registered voter print n mms it appears on your 1 vootter i ormation card) in said state and county, petiti to have the name of DKNO j T`iI — • placed on the Primary/Gen al Election Ballot as a:[check/complete box, as applicable] Nonpartisan [] Party candidate for the office of (insert title o ice nd include district,circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Addressl a6 -Zb ,S cv b pecy) -vik, City County State Zip Code gbarbN 11F lm - 33M431 Signature of V ter Date Signed(MM/DD/YY) �[ttoo be completed by Voter] •iY` 3 a •r .Z11 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION 1501C9(1015-7 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ))-1-ke2(A) K //1/o u T - the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1D PN Q —1. c1-11(..--1-(s. placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ri Nonpartisan ❑No party affiliation ❑ Party candidate for the office of M71)/L(insert title of nd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address p (MM/DD/YY)� —OZ `Z 3 f � 44-Oh P !/ � cs��ct-e� h� /�v�� City Cpunty r to Zip Code Signature of Voter Date Signed (MM/DD/YY) rdoci2.0.41 / ' , ' [to be completed by Voter] 1/(/(G{ 1,2-1C,z Rule 15-2.045,F.A.C. il. DS-DE 104(Eff.09111) CANDIDATE PETITION ► 15.59 5 Oa Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 011-6_ ` /_LA the undersigned,a registered voter (print name as it a ears voter information PP oyour Y card) in said state and county, petition to have the name of D 1:\\ L 1 c i� placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] NNonpartisan ❑No party affiliation ❑ Party candidate for the office of (insert titl of offic'and include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) a 2 14 ikt.t Ebt.st e,r City County State Zip Code r-tte\ON Bevtcl- ?)(?.1c4) FL Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] ��,., Ut It m 3/6i/ LY Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION. 1188 t5 Io I (o' Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. : -: -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] _ -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. - •( in, ox, 1 the undersigned,a registered voter (Iii fe. 1 1,14. &V rint name as it appears on your voter information card) M in said state and county, petition to have the name ofv\0 \ ' ,V4.1K\ placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] Nonpartisan 0 No party affiliation 0 Party candidate for the office of Dlit\W (insert title of office rd include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address ,� (MM/DD/YY) /� . Dr- u.i 1 y 0 ) fri 5 i City County State Zip Code tst.sy.400 fa FL 33 Signature of Voter Date Signed(MM/DD/YY) A7-,.,z,i____------ [to be mpl ted by Voter] Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) ,,t) CANDIDATE PETITION (0 13c-I SCa° Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ( j 1L J C/�✓1 P � the undersigned,a registered voter I (print name it�aplpef�]eaars on your voter information card) in said state and county, petition to have the name of D'RwJ, l �� placed on the Primary/General Election Ballot a: [check/complete box, as applicable] Nonpartisan 0 No party affiliation )1 Party candidate for the office of (insert title of off' a and I Jude district,circuit,group,seatn if applicable) 7) ���� g up, umber, Date of Birth or Voter Registration Number Address --I (MM/DD/YY) } 07— �— V° 23 t,j40tS . /4/ 7 City County State Zip Code \ 1: e'TCC'ss killY\ ).12) (--) 14,-- , \40 Signature of Voter Date Signed(MM/DDIYY) [to be completed by Voter] N f - —2/ ule 1 -2.045,F.A.C. DS-DE 104(Eft.09/11) CANDIDATE PETITION I I20359 37 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 3( ! l-1€)J (50 N the undersigned, a registered voter (print name as it ap ears on your voter information card) in said state and county, petition to have the name of O���;.A cTr�4 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation /y Party candidate for the office of (insert title of office nd include district, circuit, group, seat number, if applicable) Date of Birth or Voter R istration Number Address (MM/DD/YY) R7� .?, 1 ! �(��r �jtL. fill 41 . City County State Zip Code f mFL 33 Signature of oter Date Signed(MM/DD/YY) [to be corngleted by oter] d2 27 %`O Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION I I Z(ot b\ ) Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested informationS- 01 on this form is not completed, the form will not be valid as a Candidate Petition form. 6L6k the undersigned, a registered voter tI/ a, pi (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] nonpartisan El No party affiliation ❑ Party candidate for the office of (insert title of office,an in ude district, circuit, group, seat number, if applicable) Date of Birth or Voter RegistrationlNumber Address (MM/D15/YY)' ! / G(/ ✓`�6 / 47,01 4,4(ev 11 �' � ' City County State Zip Code `a ,,'O c ) Q NIrf1 1?YfL, 33`A3,, _,I Signature Voter Date Signed (MM/DD/YY) i ^{to be comp! ted by Voter] 03// c)-O --)1 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) !i1 CANDIDATE PETITION. %31 ►coas-ga Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. : 1-.4 -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If requested information on this form is not completed, the form will not be valid as a Candidate Petition form. A) )( I --r4 the undersigned,a registered voter (print name as it appe-rs on your voter information card) in said state and county, petition to have the name of D � 1I�' �O,) It placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]] \'''�\ Nonpartisan 0 No party affiliation 0 Party candidate for the office of (insert title l 9 office'and include district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) �9/63 (2- WPel4'� ry O cid40v z- • City County State Zip Code . `igN & fa'- bafterf FL 33Y -Z) Signat re of Vote Date Signed(MM/DD/YY) j<1 652— [to be comp/ ted by Voter] JC., 5 7_1674, Rule 1S-2.045,F. . DS-DE 104(Eff.09/11) CANDIDATE PETITION. 12 9 OO(059-.1 . Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. ° -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested inform tion on this form is not completed, the form will not be valid as a Candidate Petition form. ��/ C l'It� 11// the undersigned,a registered voter A r 4 (print n e as it pears on your voter information card) in said state and county, petition to have the name of JANNO - t\` %placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan 0 No party affiliation 0 Party candidate for the office of (insert title of office d include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Ad ress (MM/Dr' MM/DD7V /G / (4, r a...., City County State Zip Code tiNiorl fa ibe6C+1, FL 33 ‘3.4.3 Signal re of Vo /ii, er Date Signe (MM/DD/YY) [to be com lete by V ter] A a� Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) H CANDIDATE PETITION )' 11 V13(p Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 1 )0Dr-F• S'le-nn.A, the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of IDV 1u) kV placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑No party affiliation Party candidate for the office of yoci,... (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address Li 2 .(4,..td Ja r+t 0 * 8 (hi 7,y7 V ily 1 N City County State Zip Code Signature of Vo r Date Signed (MM/DD/YY) X-#to be ompleted by Voter] A.,/ _iL OS 0 Rule 1S-2.045, .A... - / DS DE 104(Eff.09/14) CANDIDATE PETITION I 1 C 3 3 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. cc., man. , Z the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of D PVib ice. rt-licks\.(a1._ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] A:INonpartisan ❑No party affiliation D Party candidate for the office of 1 ' 1R (insert title of office and in de 'strict,circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address `1iDi1Ibb 264 IA li 2itt a ` nc 33 ?t jcrl1 City an County State Zip Code V N in flO'CA: 45.--t- 33 A93/ Signa ' 1• • -t• Date Signed (MM/DD/YY) [to be co let by Vote --)( , , \ 1 --Y 3 3 202-tt Rule 1S-2.• y.- DS-DE 104(Eff.09/11) CANDIDATE PETITION I ) 205(03(04 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. K. e !4. C the undersigned, a registered voter 2 C- K (print name as it appears on your voter information card) 1..; in said state and county, petition to have the name of ay 1c MEI-(\r,1---1\_. M --1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] if Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (nsertnsert t�ffice and include district, circuit,u t, group, seat number, if applicable) Date of Birth or Voter o Registration Number Address �.!� (MM/DD/YY) 0.2/s1/95 7 / 5 A �i 'r /(p f�� A0/C • • tY 1County tState Zip Code si , \1/4\ r• 1?:17A 4-) Pt4y-\ ._3 -•_it- R Signatur ' f Voter Date Signed (MM/DD/YY) / [to be cpm feted by Voter] A o 3 e2- 01.'2 If Rul .045,F A . DS-DE 104(Eff.09/11) cij CANDIDATE PETITION. 139 a0 53(56 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. • -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] 7-If all requested information on this form is not ompleted, the form will not be valid as a Candidate Petition form. G the undersigned,a registered voter1"k , me as it appears on your voter information card) in said state and county, petition to have the name of DV iV ) , Ll%\• H placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] --4 H XNonpartisan ❑ No party affiliation 0 Party candidate for the office of (insert title of off e d Jude district,circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address iV) (MM/DD/YY) 3 6/00 Lo,A...4.. 1 OC//?69C C • City County State Zip Code fizsti\jorNifay beiNcii, FL 33 1,z4.ct Ti Signature oter Date Signed(MM/DD/YY) [to be complgted by Voter] --)( _.--' --X cyfttc/j1/ ;.-- Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION 1119 08y5 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. Kr 2 3---r, • /1 # MINLA aL the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of \...) \) placedla�lon the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑No party affiliation ❑ ,, Party candidate for the office of (insert title of office and district, circuit,group, seat number, if applicable) 9 P Date of Birth or Voter Registration Number Address (NIM)DA/YYkza_19 v9____ tO-- td6—"6° A/V1 ,. City County State Zip Code ' EUi � Parr 1 � � 33�} Signature of Vot Date Signed (MM/DD/YY) ir,t----"" Xto beco pleted y Voter] 104944.46 A- Lei Rule 19-2.045, .A.C. D -DE 104(Eff.09/11) CANDIDATE PETITION. 1,3013 0 005 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. ° -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ;( /4-4 L the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of OM)V\ ec.))-� 1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 1 -Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of • (insert title of office an. in ude district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/D9/YY) Of/Pf/140 d 1),5 frMa0,5.6. LtV, • City County State Zip Code r\ioNi FL 33 Signature of Voter Date Signed (MM/DD/YY) •(�G-C/ [to be comple ed by Voter] l a o? 9 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION 1 I61 91 131 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 1:-. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation (�(� Party candidate for the office of (insert title of office and nc . trict, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) — 9 -- `.7i t7( "76- A2fl47Ww001) s � �.,, A- N � City County State Zip Code Signature of Vo er Date Signed (MM/DD/YY) [to be completed by Voter] -- ____Ze....Z4..- ›te- 5:*—e...--,---",u _ Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION I l a t- (p9 0 0 5- Notes: Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If a/equested�ueJinformation on thiss form isnot completed, the form will not be valid as a Candidate Petition form. I, /���0".4 i �`� /l/" the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of QKvto (:: -1,\ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] i.eNonpartisan n No party affiliation Party candidate for the office of (insert title of o c and I clude district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address - (MM/DD Y�., i�i J 9'�� 4% /'u/ c E City Coun State Zip Code 4-74,)-0ZU137(444/ i Aar.4.4 �L .3 4.3,E Signature •f ' r Date Signed (MM/DD/YY) e 3/ 0 2/ 37124-7Z // [to be completed by Voter] Rule 1S-2.045,F.•.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION ‘ 1 ,95-iiV1 -3 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. C771/47 Cr / i/ the undersigned, a registered voter (print name as it)appears on your voter information card) in said state and county, petition to have the name of /'V C - y placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] .,..XNonpartisan ❑No party affiliation ❑ Party candidate for the office of l\—)fkn (insert title of o ice and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address /� 7D7Y) C2/ 7✓,'/ ,5 y//e6 /� City County State Zip Code .--) Signat,of Vot Date Signed (MM/DD/YY) ./ to be completed by Voter] ----..) ...-"(riz Rule 1S-2p4'5,F.A.C. 7 / DS-DE 104(Eff.09/11) 1la3aw1L1z CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I,..0 M f / the undersigned,a registered voter II . print n me as it appears on your voter inforragon rd) in said state and county, petition to have the name o \" `tel ) . 1) .i.7_101.1._ placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] Nit,onpartisan El No party affiliation D ,-, Party candidate for the office of (insert title of office and(nc1'ude district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) ( - Ni9 A 11 f I (gONW (1-t it v e_ )uptio Nit I bar) ToTttley. ilic:)..(1\ State Zip Code tOA1 ........... 3\c3;',. Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 11 .11\ 1 ,‘ (16\ _, 3 ) -'‘ Rule 1S-2.045, •.¢. DS-DE 10d(Eff.09/1) CANDIDATE PETITION 1 < I GQ- 1 cob Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. ___SC(�` i - LC,a v l the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of , r Ai ' placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan O No party affiliation O Party candidate for the office of (insert title of office land inc • trict, circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address (/ .f� . WPC((MM/ /YY) � �� I gliY li►►► ) WV ` 6(1q,Lc____ City County State Zip Code • BnU 'o`) CNim I 1 fl, 33 Si. :tur• - Voter % Date Signed(MM/DD/YY) /I , , A#to bvre le byr�Vo V ' Rule 1S-2.045,F.•.C. DS-DE 104(Eff.09/11)' CANDIDATE PETITION laclb 4-1(p(-1 9 9 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information/)).J tion this form is not completed, the form will not be valid as a Candidate Petition form. ROb 5 Io the undersigned, a registered voter (print name as it appears on your voter information on card) in said state and county, petition to have the name of DM 1 ) try> y placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]_...--t -\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of InhXil (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth Voter Re istration Number Address '� 4 ,,4. ,4 (MM1D ) 5 V V J C/ �y /" IV City County State Zip Code ,1.1 136. _ ektY1 ela* 33\\3(, Signature of Date Signed (M 1 D/YY) to [to be comp -ted . V er] . Ar / Rule 1S-2.045,F.A. . DS-DE 104(Eff.09/11) CANDIDATE PETITION Iacobo8tob3 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. Pc7b-k. A L14 l v S.KZ—A- the undersigned,a registered voter ........) (print name as it appears on your voter information card) in said state and county, petition to have the name of (�r) Creal,LlrA.,—____._____ place n the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan 0 No party affiliation [27 "------ --------- --r -tit� A-11) Party candidate for the office of (insert title of office and inc e dis ict, circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address 07/i/ i qg '17MG/Vrh)1)DD DA O , ,,; ,,, ' die City County State Zip Code s{o a li) -'C3 rt— 343 of Signature of Voter / Date Signed(MM/DDIYY) [to be completed by Voter] /,___,Oit-----10..&t..j Rule 1S-2.045,F.A.C. ' ` v, D -DE 04'(Eff.09/11) CANDIDATE PETITION ►aq 30,90Q0 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, 1igfc L /11-ILL L i2 Ithe undersigned,a registered voter. ' \ (print name as it appears on your voter information card) in said state and county, petition to have the name of "3\ clj ( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] npartisan ❑No party affiliation Party candidate for the office of Vt (insert title of ffice a d include district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD ) C� C--A)— -)2) n s i� 9 �� /35 J -� City County State Zip Code /23r --cli. '- e'Ai\ NINNOt\. C't Signa oter Date Signed(MM/DD/YY) [to be c mpplet by Voter] Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/1) CANDIDATE PETITION. I a 5'—I 11013 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. : -It is a crime to knowingly sign more than one p ' o for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is n completed, the form will not be valid as a Candidate Petition form. r-� ) �) d 0* the undersigned, a registered voter /)( �/ (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] --I XNonpartisan 0 No party affiliation ❑ Party candidate for the office of - (insert title of ice an include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address/ L7/V 4 _5'e /lig (MM/DD/YY) 4/4 .4e14..< 7 City County State Zip Code paasator cry fa'-rn tyL 33qr � Sig - . e of •t= r Date Signed(MM/DD/YY) / [to be�vmpfeted by Voter] _Are--- /� ->C 3 1 Rule - .'••,F.A.C. DDE 104(Eff.09111),. CANDIDATE PETITION I I S(p i3 7 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ATNonpartisan ❑No party affiliation ❑ Party candidate for the office of (insert title f office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/D6— ( s- /- 41/ City County State Zip Code N,M - fir! 33�} Sig e of Vote Date Signed (MM/DD/YY) ��/ r' x--#to be completed by Voter] Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111) CANDIDATE PETITION I I R511(p 9 a Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -I all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. J. / the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] Nonpartisan No party affiliation U Party candidate for the office of (insert title of office and include district, circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address de.,Nied firmzee City County State Zip Code I ju , (N) ► t C rn .N 33 Signatur• of oter Date Signed(MM/DD/YY) /j {to be c mpl ed by Voter] \ 32,0 Rule 1S- .145,F.A.C. DS-DE 04(Eff.09/11) CANDIDATE PETITION 11y H W-1 8 3 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 6161/4GtIt r L & I__&- I L the undersigned,a registered voter _...) (print name as it appears on your voter information card) in said state and county, petition to have the name of b f\V 1,p 1 . ri : placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] Nonpartisan 0 No party affiliation 0 Party candidate for the office of 1 (insert title ofoocee anZt include district,circuit,group, seat number, if applicable) 10 Date of Birth or Voter Registration Number Addre (MM/D /YY) a-t4 1 rs6a _b City County S e Zip Code Si ture of Voter Date Signed(MM/DD/YY) be completed by Voter] ...) .- cr2/D,9/may Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/1i) r-, CANDIDATE PETITION t d `-i of 319 1 1 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. C-8 G/t„ L,/ �' &)o C the undersigned, a registered voter 'r?1 c.(print name as it appears on your voter information card) in said state and county, petition to have the name o T_ w,D 1 , placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑No party affiliation ❑ Party candidate for the office of 1.11NAL (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address Q (MM/ D/YY) /�,�Ago / irrY4 X7 _3311-36 06/t&f 1i3k 4 i City County State Zip Code • 5Dirt4 ") &—K)%t QN1rf1 E$CA')C___\, q_..., ` ) Signature of Voter Date Signed (MM/DD/YY) ` ' P f 0 e,/ / to be com•leted by Voter] 4 4b Rule 1S-2.045,F.A.C. C,�DS-DE 104(Eff.09/11) CANDIDATE PETITION 1 a •i q y ea Y 'J Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 111.1 c S E S.1 % l- the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ribiNI I , r€ E L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑No party affiliation Party candidate for the office of (insert title of o Ice and include district,circuit,group,seat number,/ if applicable) Date of Birth or Voter Registration Number Address /�,�j , o (MM/DD/YY) J 3 3 L`E'T?7( ((( 'n 30VAT A C le 03//313 3 c City County State Zip Code tak1-41.1) 6tfNeM i IE.. 373 Signature of Voter )yrit., Date Si.ne. (MM/DD/YY) [to be c.,mpl•ted b Voter] .....a.,...C.N.) • ule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) .—_----- CANDIDATE PETITION I I `16(i tj 110 I Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -,.j -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 0 7'.N t ) the undersigned,a registered voter (print name as it appears on you voter information card) in said state and county, petition to have the name of ntv 10 -- t-i placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] t-i X Nonpartisan ❑No party affiliation El Party candidate for the office of 0 71 (insert title of office an include district,circuit,group,seat number, if applicable) "t; Date of Birth or Voter Registration Number Address --1 (MM/DD/YY _ l -_ r45 7 0 1-3 ' 1 fA,...s;,.._. City C unty State Zip Code bo WPn, � -� 33y310 Signature of Voter Date Signed (MM/DD/YY) �-- [to be completed by Voter] Rule 15-2.045,F.A.C. / DS-DE 104(Eff.09/11) CANDIDATE PETITION l I-j "1 ao3a Notes: -All information on this form becomes a public record upon receipt by the Supervisor oJElections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. �^ the undersigned,a registered voter (print na e as it appear ori your voter information card) in said state and county, petition to have the name of 1)til 1_ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ANonpartisan ❑No party affiliation Party candidate for the office of MV\i/ r (insert title of office arid include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 11l1.+0.--- 10 6'16'to I / rG 1 e. _ City County State Zip Code i Jl L- PILIPICO FL 33`31 Signature of Voter Date Signed(MM/DD/YY) YS [to be completed by Voter] --\/ 40 ' // /1114sd _ Rule 1S-2.045,F.A. . S-DE 104(Eff.09/11) CANDIDATE PETITION. 1115�e74a 9 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. [7,-1(..( 1 ` R(i)l e s e the undersigned, a registered voter (print name as it appears our voter information card) in said state and county, petition to have the name of DK)\� � � placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of rimm (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/ 7Y) I Estate Drive✓e City County State Zip Code .gam : fa tL 33 Signature of Voter Date Signed (MM/DD/YY) [to be com feted y Voter] A e t,4,-// ,,,e_gic..:..j 2......_, 03 09 2•=( Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION , D v a 7 co 318 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. r1 CglekiLt L. tiz_ the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of _D V/IC 1' rc placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] _ALNonpartisan n No party affiliation n Party candidate for the office of mpinL (insert title of office and include district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) g�� 12_ 1(107 (� City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) /, [to b completed by Voter] ----?'.k--1 72A–Lj . .../' /(4121.1.aA-..—J S 1 0 l DS-DE 104(Eff.09/11) Rule 1S-2.045,F.A.C. \\\ CANDIDATE PETITION a a a y Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requ•• ed information on this form is not completed, the form will not be valid as a Candidate Petition form. 1 A 1444 , � � the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] Nonpartisan ❑No party affiliation ❑ Party candidate for the office of (insert title of officebd incl de district,circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) ?/ // /.1 W/4/6-Z 71A 444- City County State Zip Code 33 Signature o oter Date Signed(MM/DD/YY) to be completed by Voter] j, t3W21)7)( Rule 1S-2. 5,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION I 101 1 (o3a 3 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. • -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. �( U.TVW S v Gthe undersigned, a registered voter ` (print name as it appears on your vote formation card) in said state and county, petition to have the name of R t// 0 /. /We/ex Lr✓Q placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Ionpartisan ❑ No party affiliation ❑ Party candidate for the office of (r) -la 0 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) /a-1 p-/-3 7 O covA, ,L/1/G l'r Q/2/ j/rr City County State Zip Code t-thaso f isibw FL Signat f Voter Date Signed(MM/DD/YY) [to be completed by Vot er]] , Rule 1 ,F.A.C. DS-DE 104(Eff.09/11) a1 CANDIDATE PETITION 11 as 3 b961 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. : t -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] --,,1 -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. _. 1,( ---#9-#27 9- 11.s L— G/44?VA 41 the undersigned, a registered voter T� �1 (print name as it appears on your voter information card) r ) in said state and county, petition to have the name of DAA vi l0 77 / '/y/oFte e,r placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] onpartisan ❑ No party affiliation ❑ Party candidate for the office of (Y)/3 /dtz (insert title of office and include district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) .— n7/36 /41".2. �a 7 d C � ,v -A/LdT D4 i ✓e . City County State Zip Code 113aAION & , . fm-m FL 33 },z Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] ---)c,-==.---- 7400 2----att,c_iely,....04....— _X da /a9. /a 9 Rule 1S-7045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION • I 116 1 a 01(Q Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. iA fvii4 l ea �✓� the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of ,f J V placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] sI Nonpartisan D No party affiliation ❑ MWOr Party candidate for the office of (meq V l ' 1 (insert title of off e and Include district, circuit, group, seat number, if applicable) Date of Birth or Voter egistration Number Address (MM/DD/YY) c/ 2// /� '`%�'/{��, _,//hm� �"�J / , City County State Zip Code • VlAsJ 4:4 CN1rn l :,\, rf33 k3r NJ Signature o Voter Date Signed (MM/DD/YY) ' x-#to be corn leted by Voter] - Rule 1S-2.044.F:•.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION ' 1 3 a05O V 6 O Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. r- -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. • M I 5 b , t. the undersigned,a registered voter (print name as it appears on your vote r information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] onpartisan ❑No party affiliation [] Party candidate for the office of Y �1 ' (insert title of office and i clude dis rict,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address 6( — C, ."' — 1 °i /4g -3401 b_A•74cre,_5' L__>c City County State Zip Code ICIP" ctibl Ptcw\ ‘3 ...r.t...k.4 - fl_. 3-z)ire of VoterDate Signed(MM/DD/YY) .0— 40/,/ )( \5obe7leted7Vot 11111110" So 9--/I' 87 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) r11 I CANDIDATE PETITION' 1 a 31x1 57 Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. _, 1 -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. j i_g 14)0 e elfetili 111-11 Q hn4 1 1\) the undersigned,a registered voter (print name as it appears on your votereinformation`' card) in said state and county,petition to have the name of •n V i 1 1 k placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] pNonpartisan El No party affiliation ❑ Party candidate for the office of Mk\ZO 1/01 (insert titleibf office and include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address ( O t./ t f ,- cbi;06 4v City County State Zip Code , • &Ya 'OfJ iNirn 1 '�. 33�4�1 � Signature of Voter Date Signed (MM/DD/YY) , to be c mpleted by Voter] V (//// DS-( DEIO4Eff.091, Rule 1S-2. ,F.A.C. PETITIONS - SCANNED IMAGES CONTROL RECORD PETITION BATCH NUMBER SCANNING BATCH NUMBER -uL DATE RECEIVED NOV 1 52021 NOV 1 5 2024 SOURCE - PETITIONS - DAVID MERKER DATE SCANNED de,IV 1 8 2024 SCANNERS INITIALS ADDITIONAL INFORMATION: BOYNTON BEACH - MAYOR • CANDIDATE PETITION. 13 151 q50 0ro n y Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. : Cl ,S M (A -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes]V' -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. .n, / 3( A 0 Y`�.e R 6 t pi e V s the undersigned,a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1,..)1\\I\43 \ , CA') .0( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] XNonpartisan ❑ No party affiliation El Party candidate for the office of (insert title of office nd include district, circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) o 1 ( is! I 8s 3962 E. SAvel /II'PQA fla<<l,e • City County State Zip Code paasolorl & Pr b FL 33T9 Signature of Voter Date Signed(MM/DD/YY) [to be completed by Voter] -)( C-ie, -)C 03 /01 f Z el Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION I 1 I '1 14 I I25 si 9n ecl Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. b tru 1' e 4i I c -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] a Cl -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. / I=1R o . 3 L 6=0the undersigned,a registered voter v (print name as it appears on your voter information card) in said state and county, petition to have the name of aT $i' 1t_) ` — Mt 1, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] yonpartisan ❑ No party affiliation ±ta-to=2K--A--K. Party candidate for the office of (insert title of office aid inclu district,circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address/ (, (MM/DD/YY) 0/// y/ f1 2i 7l3 41' z'4 r4kt/0, is L/✓. • City County State Zip Code Jib," \ --Pr4 w ci 33 �� Signatu of Voter Date Signed(MM/DD/YY) [to be completed by Voter] f ze/tib v3 Rule S .045,F.A.C. DS-DE 104(Eff.09111) Z CANDIDATE PETITION t ]3350(0 -1°1 si9ne� Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more t an one petition for a candidate. [Section 104.185, Florida Statutes] }-IO f -If all -equested information thi orm is not completed, the form will not be valid as a Candidate Petition form I " 4.14 a e.. D A v ill A a the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 1'J1\1� placed ,plon the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑No party affiliation ❑ Party candidate for the office of mvk L4 (insert title of ffice an include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) fir.-14--32_ City CountyState Zip Code Ttol-N (� Nw Signatu of Voter ` Date Signed (MM/DD/YY) [to be completed by Voter] v Rule 1 .045,F.A.C. DS-DE 104(Eff.09/11) i CANDIDATE PETITION I I a S 139 0 a 1 Sc d i 6-- Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 'eo De fi--- II-A-7-GN / the undersigned, a registered voter (print name as it appears on your voter information card) 7 in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] H ANonpartisan n No party affiliation ❑ Party candidate for the office of in NffiY (insert title of oclu district, circuit,group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) /e-e._ a... 7(5---.., ,,o/' 4. / 4 -Cil 4 .0 ,v, ..,,P,6 1 City County StateZip Code I ' YarNIRI� '�`r�, bar 33��v Signature of Voter Date Signed (MM/DD/YY) ocirJa ? d ` ) /—o be completed by Voter] - Y l 4 1 -/) Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION. 1 as a o 8 S(01 s l y d i-f- for a candidate.y [SectioneSupSupervisor o 104.185,lct iFlorida Statutes]ion form. 'on on this form becomes a public record upon receipt by the Supervisor of Electio al Notes: -All is crmati more than leted, the form will not be valid as a Candi -It is a crlu sted informatioe to knowingly n this fom is nopt colmpn the undersigned,a registered voter -If all req RMIIPIANFASSI on your(• int na *!s it appears voter information card) in said state and co n p --- etition to have the name of r licable] placed on the Primary/General Election Ballot as a:[check/complete box, as app Party candidate for the office of �.� Nonpartisan 0 No party affiliation 0 Ys%•e: group,seat number,if applicable) (insert title of offic- -n• include district,circuit, Date of Birth or Voter Registration Number Ad• •ss (MM/a Dirt), A.d v ( / 6 State Zip Code County � �3� City t ID�hm 9z 1. ,1 � ���� \ Date Signed(MMIDDIYY) [to be completed by oter] Signature of oter/ � � 9 _ if 1 Rule 7S-2.045,F.A. • DS-DE 104(Eff.09111) -AA CANDIDATE PETITION • lA f Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter ( rint na e as it appears on your voter information card) in said state and county, petition to have the name of lik`a, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Party candidate for the office of _3 Nonpartisan ❑No party affiliation 11] " ' • ASS (insert title of office a : ir7 u.• district, circuit,group, seat number, if applicable) ) Date of Birth or Voter Registration Number Ad�dr�sts \ .,\eis kit, (MD4 1 (�l�t T7 taU State Zip Code CityCounty __§r. , m,il-',,c-r, b(A?-i'S\ 'it_., 33 31 1 7turDate Signed (MM/DDIYY) S' tur�of vlir 111. �fto be com eted by Voter] 3i IQ DS-DE 104(Elf.09111) Rule 15-2.045,F.A.C. ---