Baglio, Pam- Petitions �` � `
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PETITION SUBMITTANCE FORM
(6;tiName on Petition (Candidate/Committee): ------a(Y) \ 0
----cOffice Candidate is seeking: Qpr[liY\ lm,n.P-T LJIa3
Number of Petitions Submitted: (lc Number SOE Counted and Initials: qg
.Atk
Name of person submitting petitions:
)‘a2 .-- —
--ZA2&ii.a
Address: ! Df) e" 'Pan PV1111L
City, State, Zip Code:
Plb‘ipefkl)Deito-h F(,- a3cJ(01
Phone 4p* 0—1(-P. —100(silEmail: &jagPJ i • US
Signatu -: 1 ,�, ft' t ' Date: ///075--/pail
OFFICE USE ONLY
AkDeputy's Initials:
Paid By Check: I Paid by Cash: Receipt #:
- N
Cj
BATCH #:
Cu
Rev. 03/2023 CD
0
CT
Wendy Sartory Link Palm Beach County Supervisor of Elections
240 Suulh Military frail,West P ilm Beach, 1L 3341` : (561)656-6200 I Info@VotePalmBeach-gov I VotePalniBeach.go
PETITIONS - SCANNED IMAGES CONTROL RECORD
PETITION BATCH NUMBER
SCANNING BATCH NUMBER
DATE RECEIVED NOV 2 5 2024
SOURCE - PETITIONS - PAM BAGLIO
DATE SCANNED NOV 2 6 2024
SCANNERS INITIALS
ADDITIONAL INFORMATION:
BOYNTON BEACH CITY COMMISSION DISTRICT 3
30
V
CANDIDATE PETITION i 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.
I, \o •
- f\ -\ \t the undersigned,a registered voter
(print name as it appears or your voter info ation card)
in said state and county, petition to have the name of , CUYZ `. b
placed on the Primary/General Election Ballot as a: [check/complete box, as applicabl j
‘partisan 0 No party affiliation 0 Party candidate for the office of
n 1D,-, /mac►-N CI` Comn'u SS k - J c+ 3
(insert title of office and includ district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY) a �
1' x-) ��� C) 15 1C, Sh' 24 S+-
� II� Igi
City County State Zip Code T
P0-11 riPleat►--) f cam a c H r 3 3`f 3 S- -:
Signature of Voter Date Signed (MM/DD/YY)
i:6,nywi 15301#17 [to b corn leted by Voter]
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11
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.
), the undersigned,a registered voter
(print name as it appears on your voter information card) II
in said state and county,petition to have the name of PCt
placed on the Primary/General Election Ballot as a: [check/complete box, as ap cable]
7
[]Nonpartisan ❑No party affiliation 0 Party candidate for the office of
&oin-k,rl ea['h G CommiS�ic�n & :�-l-- 3
(insert title of office and in Jude district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number� Address ,/
(MM/DD/YY) I (-S OH LA-1J `` �� 3u) 1 '�v� (c ST )
City County State Zip Code
?)a u n n 6e6),),, -Pa rn f i 0 33 {35
Signature of Voter Date Signed (MM/DD/YY)
[to be completed by Voter]
Rule 1 4 h n u \� I I I a 113 DS-DE 104Eff.
{ 09/11)
CANDIDATE PETITION I a v-} t a s
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, 7) f CJ‹ 7o the undersigned,a registered voter
(print name as it appears on your voter information card) II
in said state and county,petition to have the name of rr `l b
placed on the Prima /General Election Ballot as a:[check/complete box, as ap cable]
Primary/General [ P
[Nonpartisan ❑No party affiliation ❑ Party candidate for the office of
0-)t n4 I J.tank-1 Clbt Comtni SSi c�rl b'i�,r:0_+- 3
(insert title of office and in ude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)/ •-1 7 "" S7 / ><-k m�
rU W4..tf
City County State J Zip Code
? n+n each Pa1Sirk f c h � ,53z o2ce
Signature of Voter Date Signed(MM/DDNYY)
[to be completed by Voter]
A.Rule 1S-2.045,FAC. DS-DE 104(En.09/11)
CANDIDATE PETITION V
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.
f, 4
P'1/1 /`�Q the undersigned,a registered voter
/(print name as it appeafs on your voter information card)
in said state and county,petition to have the name of rY1 �t d
placed on the Prima /General Election Ballot as a:[check/complete box, as ap cable]
Primary/General [ P
13 onpartisan ❑No party affiliation [J Party candidate for the office of
0)0ttn4or1 e-anh -l�l-I CDmmiS�iOn hicy:e_4- 3
(insert title of office and in Jude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
4�/DD/�rn
l!4/aoo� 3°28 is_y/i 3 7 c-fl r
City County State Zip Code
ri))o(pn-fin beach Pare f-ec ah 33c{a4,
Signatu of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
ti/ s2V171 /Z
Rule 1S-2.045,FAC. DS-DE 104(Eff.09111)
CANDIDATE PETITION
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.
I, .1-q. M e.5' G Ste, till
i`_ the undersigned,a registered voter
(print name as it appears on your voter ipfation card
in said state and county, petition to have the name of Ism a q l i a
placed on the Primary/General Election Ballot as a: [check/complete box, as applicale]
['f unpartisan 1=1No party affiliation 1=1 Party candidate for the office of
D.I .\-1,i).(-1 5 P)c, r►1 , gc/l
(insert title of office and include district/circuit,group,seat number, if applicable)
Date of Birth or Voter RegiOration Number Address
(MM/DD/YY) /77 3 /yZ�, / � 5 3 3 S w a n GlS+
City County State Zip Code
601n+13y\ rIA 0cin Pas)m .PQch 53g35-
.77
Signature `toter Date Signed(MM/DD/YY)
,�; J/el() --- i [to be completed by Voter]
//2--3 /2-
Rule 1S-2.045,F.A.C. Di-0E 104(Eff.09V11)
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.
Cic.t 1-h Pea r C E_ the undersigned, a registered voter
(print name as it appears on your voter info ation card)
in said state and county, petition to have the name of arylaciit O
placed on the Primary/General Election Ballot as a: [check/complete box, as applicable)]
[unpartisan ❑ No party affiliation 0 Party candidate for the office of =-
()(311{1+C3y1 (3kC.&C' , C.:‘ C-e cnn�iss�cam, D;Q,+-; c+- 3
(insert title of office and includedistrict,circuit,group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
to\5S0 1110'31-4 080 l C cs V c} Cir 1)(17 3--)
City County State Zip Code
r +'fl &aC h PcuQ rn I"kCx c h FL_ 3 3 4
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
/ /- ZI — Z �
Rule 1S- 5,F.A.C. DS-DE 104(Eff.09/11).
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.
— k\v0 / the undersigned,a registered voter
(print name as it aprs on your voter information card)
in said state and county, petition to have the name of Po-nq (i c
placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]
a onpartisan 0 No party affiliation 0 Party candidate for the office of
( )LICC+DC1 iLeack ai4.1 Corn m( 3Sit 3
(insert title of office and iriclude district,circuit,group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
1/ aaa.35-bz/ )Nai Plkcz_
City County State Zip Code
n i'1 ac►�, Ptd m PD-e..ac h FL. 33`i ace
Signature of Voter Date Signed(MM/DD/YY)
[to be coppletep by Voter]
pad
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
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.
011ciX. PoS e 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 7'CLrY1 (J It C
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
[]'`Von partisan 0 No party affiliation ❑ Party candidate for the office of
r�tz�r
[Lea c l-1 Ci Corn m i Max txx D i S-`YiC-f 3
(insert title of office and i clude district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
of -ai - t°l6Q1 11774/4/610261 j ><let- vrij Wad
City County State Zip Code
nW each P°-Qm &-ac
Signature of Voter Date Signed(MM/DD/YY)
^ (t`l-- a tted byVoteRule 15-2.04la
�/,` 2 1 •LIlls-DE 104(ES.09/11)
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.
Mi, 1(1) ` iOn the undersigned,a registered voter
� r {
(print name as it ppears on your voter information card)
in said state and county,petition to have the name of T arYt l) 11
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
[ onpartisan 0 No party affiliation 0 Party candidate for the office of
rrharl iLeacCi Com nu S i /J i S�Yie 4- 3
(insert title of office and i clude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
10/12I iGSc-) /0?5-2 ya3 37 l4 I \,v cr -cn Or
City County State Zip Code
( n each 19a-Q tri (tack FL 73 }2 (4`)
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter)
tozi / 2.14
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111)
(
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, i'e v\e10 ID C Z A K.� (J . the undersigned,a registered voter`-I
T
(print name as it appears on your v ' formation ard)
Ce said state and county, petition to have the name of I ]'j/] ejt2 Cil O ,__i
I
placed on the Primary/General Election Ballot as a: [check/complete box, as appli able]
0 Nonpartisan 0 No party affiliation 0 Party candidate for the office of
19)61,fil4M 6eci r A i c -1 3
(insert title of office and include district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
t3
7 ci� 111 q0(2,90 333 S.)A/ 3 pct SA-
City County State Zip Code
PDLINiry1/4tc 1I Pakrn PaQr.kc: H FL '3 3 y 3S--
Signature of Voter Date Signed(MM/DD/YY)
,} [to be completed by Voter]
`f _e,r_4.t 3 ct, X16.- r ///2,o/z. y
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
n.,
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, J&Or 1. -e-,1)1 tk-e-
,- , ,,^e the undersigned,a registered voter
(p t name as it appears on your voter information card)
in said state and county,petition to have the name of 'RI r ti C)
placed on the Primary/General Election Ballot as a:[check/complete box,as ap cable]
[Nonpartisan ❑No party affiliation ❑ Party candidate for the office of
( )0\-1 n-6 rk (near'_k ail ComtoiSIc>n bi'My:0_I- 3
(insert title of office and inblude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address 3 3d.{3S
(MM/DD/YY)i 1102-5-1053V
City County State Zip Code
13oli n n &etch Pa...0 rn i&cto h Fz-- 33-13 S
Signature of V Date Signed(MM/DD/YY)
[to be completed by Voter]
// /zylul
Rule 1S-2.045,FAC. DS-DE 104(Eff.09111)
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, 1 ,. {� r k O,�Lu C� the undersigned,a registered voter
�j( (print name as it appears on your voter information card)
in said state and county,petition to have the name of t I,.rn. �l C
placed on the Prima /General Election Ballot as a:[check/complete lete box,as ap cable]
Primary/General [ p
QNonpartisan [J No party affiliation [] Party candidate for the office of
&xi rrbr1 ea.e h �Dtntni SSi cin ��tas1r d 3
(insert title of office and in ude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Relgis 35ybver Address
(MM/DD/YY) /211y2.40 vs4litJA
y
City County State Zip Code
?Doti "f- r Beach Pa1Zm f c h pL 3 3
Signature of Voter Date Signed(MM/DD/YY)
�� // eZ �, [to be/,mpt d bx.Vo
Rule 1S-2.045,FAC. DS-0E 104(Eff.09111)
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.
_ Lss. 11 /at. 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 t'YZ It
placed on the Prima /General Election Ballot as a:[check/complete box, as ap cable]
Primary/General [ P
O Nonpartisan 0 No party affiliation El Party candidate for the office of
P)a 1n-kor\ P anh Gh Comm.iSicin �'t r d 3
(insert title of office and in Jude district,circuit,group,seat number,if applicable)
Date of Birth or Voter
R Get
Address
(MM/DD/YY) O1Z O poet �17 SINN 204 SW /O 94 /IFYC-
City County State Zip Code
?)btp l+ten aC Pct_12rrk 8i h 5 3,-/3 s--
Signature of Voter Date Signed(MM/DD/YY)
[to be com feted Voter]
tl 2•y
Rule 1 -2.045,F . DS-DE 104(Eft.09111)
CANDIDATE PETITION 1 31 (0 a l0 961 '/
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, C e--r�oLf-c,c F" J C-4:344
o 4. � 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 t'C,l rr ° • • <<C)
placed on the Primary/General Election Ballot as a:[check/complete box,as ape cable]
QNonpartisan ❑No party affiliation ❑ Party candidate for the office of
P)u n-br Pe-allh Gh1 CommiSI On 1 .1.'41, o__-i-- 3
(insert title of office and i ude district,circuit,group,seat number,if applicable) o
Date of Birth or Voter Registration Number Address
(MM/DD/YY) Ai
1 37.1- So 2 — Auc_ .
t7+�iz2l1
City County State Zip Code
roti ri+>i-n (6ea.ch Pa-Crn 8.e640 h i-L 33 yas
Signature of V ter Date Signed(MM/DDIYY)
[to completed by Voted
7.,A /di:l6L"----'
Ifz31Zy
Rule 15-2045,FAC. DS-DE 104(Eff.09111)
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.
.4o 11 i S L I d Wa( 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 ll b
Election Ballot as a:[check/complete box,as ap cable]
placed on the Primary/GeneralecU ( p
QNonpartisan ❑No party affiliation ❑ Party candidate for the office of
P)oyn-brt Pat-a k at Com mi ian bAqsM:d- 3
(insert title of office and int;lude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MMIDD/YY) 2n �f C J ►V/ 3y AVE
og• 26qaRa.r
•�� �� � � ) J!-_I f�
City County State Zip Code
'17)a(11.1-bn > s �, 7'aLatn 8.ectch �L 3 35-
Signature of Voter Date Sig ed(MM D/YY)
[to bre co pleted b Vote
Rule 1S-2.045,FAC. DS E 104(Eff.0911,1)
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, A4 to.e-C a L )n co rQ the undersigned,a registered voter
(print name/as it appears on your voter inf tion card)
in said state and county, petition to have the name of Vc !JY'. " its'6
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 /�c h i I'C-- /
3 Com Y1 i S5(oYL r
N171021
ert title of office and include district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/ D/YY)
//y // 9 II yoSal,- 336 Sa.) „RAJ hive
CityoCounty State Zip Code
�UN
I oti 6c), PQJJBek
In rz_ 3, 313 5
Signature of Voter Date Signed (MM/DD/YY)
[to be%omplete by Voter]
kilai1_.Gt Cf- jgeitSYL- -
/f / p
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
T.
CANDIDATE PETITION7. :,
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, �/P'i r a e n the undersigned,a registered voter
11 (print name as k appears on your voter information card
in said state and county, petition to have the name of Pam ,,O
placed on the Primary/General Election Ballot as a: [check/complete box, as applica le]
QNonpartisan 0 No party affiliation 0 Party candidate for the office of
10f311r"D(m i eo ck C Cir 1t1C+ 3
(insert title of office and incldde district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD
09ii D I 76 1 11 U , 35 3c 5 Ito ' ,,,,-)5,e4- P:1yel
City County State Zip Code
!'J Pt or t,-\ 'P �m j e a c k\ FL "�j3'f�CQ
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
../1144.- ///1//Z X
Rule 15-2.045,F.A.C. `' DS-DE 104(Eff.09/11)
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.
the undersigned,a registered voter
I e,rr 'x17bs•w
(fpr'tf name as it appears on your voter information card)
in said state and county,petition to have the name of rYZi C)
placed on the Primary/General Election Ballot as a:[check/complete box, as ap cable]
allonpartisan ❑No party affiliation ❑ Party candidate for the office of
0)tAin4o►-t PJectch commis L-On NeRshr:c_4- 3
(insert title of office and inl;lude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD
010 i 0 )-9-1- I J 2QL/ l Lo LtO 3a3 r`"1
,1`ve
City County State Zip Code
?)a(11.1-ten ()Jenr,h Pafi rrn rieqeh 33y a�
Signature of Voter Date Signed(MM/DD/YY)
/��' [to be pleted by Voter]
a� �� II Z4 zc.4
Rule 1 .� r.
'� ' DS-DE 104(Eff.09111)
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.
t, orre- A. C osv3 c r', 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 `l C)
placed on the Prima /General Election Ballot as a:[check/complete box, as ap cable]
Primary/General [ P
[Nonpartisan ❑No party affiliation ❑ Party candidate for the office of
P)0\-1 r1-k;►'r / ox h at-Li CD m to i s L.On Ijt 3
(insert title of office and in Jude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registrationi � Number�[ Address
(MM/DD/YY) De _,2S=-4 1 I I`P O o.-7 7 .24EiD 3"") cJ 7
City County State Zip Code
? C) /etch PCLOtn c h ��— 33f3C-
Signature of Vot Date Signed(MM/DD/YY)
[to be completed by Voter]
Rule 1S-2.045,F.A, - DS-DE 104(Eff.09/11)
I
CANDIDATE PETITION 1 oas aoco3b
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]
-e
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 T a.r y /Ja-9((O
placed on the Primary/General Election Ballot as a:[check/complete box,as applicable]
[]' onpartisan 0 No party affiliation 0 Party candidate for the office of
P9riDC1 / Qck Qi4 Corn int SSit I) iS-i4Q.-1- 3
(insert title of office and i elude district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
(931/0170 //05 7b.ccan. 1/043 401/4,107 E,eali
City County State Zip Code
PArii n+DY) 8eac h Pan-. P - ac k FL. 3 3(ja_5
Signature0 teritizat",e__.ge.e,c;....._ Date Signed(MM/DD/YY)
[to be completed by Voter]
/Voly
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111)
CANDIDATE PETITION a 30 SSS 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.
I, ZAvt $ \peedZv 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 7 o..j 1 U n
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
fl' onpartisan 0 No party affiliation ❑ Party candidate for the office of
rch)r t Aeac k a44-1 Corn mi 3S it /J i S•irt c 4 3
(insert title of office and i clude district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
7 al b �V SCt4t-li C
City County State Zip Code
6511 1 n+DY1 (Tan Pa_k (ac k ../5Y13--C
Signature of I Date Signed(MM/DD/YY)
VOA [to be completed by Voter]
%� /( - 2"(' -Z(1(
Rule 1S-2.045,F DS-DE 104(Eff.09111)
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' Pirkie.ic.i 4 Plc P_1 S Jilt • 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 PO.xyt r J tic)
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
[Eronpartisan 0 No party affiliation 0 Party candidate for the office of
&Airy-I-Di-1ikkack ape, con,n-t i sS i 1) i S-ty;c.4- 3
(insert title of office and iriclude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY) 620S- ' W l d(4t /hie
r- u -- SSC, jai 5)C7g3
City County State Zip Code
n ac►-, , Pc to (tach FL. 33 V 3S
Sign re of Voter Date Signed(MM/DD/YY)
_4...L. otd--.., .. [to be completed by Voter]
ll - 2H . zy
Rule 1S-2.045,FAC. DS-DE 104(Eff.09/11)
I 7
CANDIDATE PETITION I a (D1 t 1 0
ti
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, -301h Jo the undersigned,a registered voter
( nt name as it appears on your voter information card)
in said state and county,petition to have the name of 7 arY1 i( a11 O
placed on the Primary/General Election Ballot as a:[check/complete box,as appIcable]
nonpartisan 0 No party affiliation 0 Party candidate for the office of
PAiLii-X+D(1 ikkack ( i_ii a.m., sSiD IJ iS4 a+ 3
(insert title of office and include district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY /57/14•6-
a i 'tog S w
City County State Zip Code
1661./n 1 on &eca h PaQm Pack FL. 334'33
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
Jg.s Gn aos ' l II13 f z14
Rule 1S-2.045,F.A.C. DS-DE 104(ER.09111)
CANDIDATE PETITION 11
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, �i( �a- \ Y\ f4 A D C the undersigned,a registered voter
C ] l(print name s it appea on yo(�r il()
ter information card)
in said state and county,petition to have the name of Po.ry PJ (t c
placed on the Primary/General Election Ballot as a:[check/complete box,as app cable]
['Nonpartisan 0 No party affiliation 0 Party candidate for the office of
jrcf-c iLe.Qc1-1 Q'4 Comm:, SSi D iS4V C 4- 3
(insert title of office and i clude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(M D �/ �
c1( )
r4 r z Iv Q.T)-7 a 0_)_-1 32C S' 3 �
Avg .
City 2 County /L State Zip Code
()pat 3r I�2 n+ ac h Ran,.m P -taC k FL
Signature of Voter Date Signed(MM/DDIYY)
� _[to //e / �/ted `ote
Rule 19-2.045,F.A.C. ....d ' `j' DS-DE 104(Eff.09/11)
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.
the undersigned,a registered voter
(print name as it appears on your voter infop�ation card)
in said state and county, petition to have the name of ant, /5t `t C
placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]
[ lonpartisan ❑ No party affiliation 0 Party candidate for the office of
P)CA1 n4-01/1 G.-ear Vi CANE S 5%Dr-10 y 6 Sin c t 3
(insert title of office and include district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MMV 10 )q63
I I??,(pLifzio 3 3o Sw cg Not Amu._
Cit County State Zip Code
he.O,c POJrn P).e.c ch FL- 3 34-1 3S-
Signature
SSignature of Voter Date Signed(MM/DD/YY)
r be completed by Voter
-kAa §-
Rule 1S-2.04 F.A.C.
DS-DE 104(Eff.09N1)
CANDIDATE PETITION v
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.
), e a ( A-1 I `, ' a 1 ) C the undersigned,a registered voter
.—Tea
(print name asrit appears on your voter informationorcard)
in said state and county,petition to have the name of rY-1. It c
placed on the Prima /General Election Ballot as a: [check/complete box,as a cable]
Primary/General [ P P
[Nonpartisan p No party affiliation ❑ Party candidate for the office of
P)0N-1 n-}ork Paectil hG.h Commis i-on h t :�+- 3
(insert title of office and in Jude district,circuit,group,seat number,if applicable)
Date of Birth or Votertion Sum ber Address
(MM/DD/YY) � qs-9- ) n _e i 1cQa_, Aye_
City County State Zip Code
? + V 'each PQ rrk f0h 34/ 3s
Signature • • er Date Signed(MM/DD/YY)
L� [to be completed by Voter]
4. 1/ - a� - aO 2
Rule 1S-2.045,F.A.C. / DS-DE 104(Elf.09! 1)
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, l/�
h Y o Q c- 5 cc 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 7 C.-rYi 'J (t(�
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
E1 onpartisan 0 No party affiliation 0 Party candidate for the office of
PA)Lird-Dri /Leack 3 Corn m.t Sit /J is-iv-ie.-I- 3
(insert title of office and i clude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY) (I 418 3 3
a` — 2 196/ 220 5t4J 3Y� ci
City County State Zip Code
n I oYl f ac►-i Pa/m PD-e_ac k
Signature of Voter Date Signed(MPA/DD/YY)
[to be completed by Voter]
11-2 y 2 y
Rule 1S-2.045,FA.C. DS-DE 104(Eff.09/11)
CANDIDATE PETITION 30 28H /
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, Y` ,ar a p ea r C the undersigned,a registered voter
(print name as it appears on your voter inf rmation card)
in said state and county, petition to have the name of . arYl IJ
placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]
ONonpartisan ❑No party affiliation ❑ Party candidate for the office of
f -\ 0--each C C toYYY�is ioI 1 v �� YiC� 3
(insert title of office and i dude district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address 1� /�
(MM/DD/YY), oc v C lU Cif t 3Lbel 3�
City County State Zip Code
rteK\ /each 334/3
Signature of Voter Date Signed (MM/DD/YY)
[to be completed by Voter]
111211214
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111)
/J
CANDIDATE PETITION 11 -16v653
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 thisformis not completed, the form will not be valid as a Candidate Petition form.
7-CZ ?re S Colt K oSQ.l n c( pre 3 Com 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 PQ_rYt 'JC Ur
placed on the Primary/General Election Ballot as a: [check/complete box, as applicable]
[]' onpartisan 0 No party affiliation 0 Party candidate for the office of
( jtcr1 /Leach co, comm., SSito /J 454- c-- 3
(insert title of office and iriclude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY) s \i l� _ )
oL l I i l is 1 Z� 1 (�J�
City County State Zip Code
n' Each Pa-Q th. ( .ack 3393
Signature of o = Date Signed(MM/DD/YY)
4 [to be completed by Voted
Ir. \\ I a\ I LO 1_11_
Rule 1S-2.045,FA.C. DS-DE 104(Eff.09/11)
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.
A C E. T i c:M /4 J k.�- .L i r_t, the undersigned,a registered voter
l'f ` (print name as it appears on your rvoter information card)a
in said state and county,petition to have the name of PCZxY1 t/"J (*to
placed on the Primary/General Election Ballot as a:[check/complete box,as app cable]
[H1 onpartisan 0 No party affiliation 0 Party candidate for the office of
,^chin iLeQck 3 Cam ini sS i t D i S'Irie+ 3
(insert title of office and include district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
MM0DZ)i�I �1 ��- 1a-1 ooJ�SgU ,q z SW 13-4` ,v(.hut-
1 I
City County State Zip Code
' J'l(n Ieac►-, 19cd rn (each
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
If • (93 . 20
Rule 1S-2.045,FAC. DS-DE 104(Eff.09111)
PETITIONS - SCANNED IMAGES CONTROL RECORD
PETITION BATCH NUMBER
SCANNING BATCH NUMBER 2,11r
DATE RECEIVED NOV 2 5 2024
SOURCE - PETITIONS - PAM BAGLIO
DATE SCANNED NOV 2 6 2024
SCANNERS INITIALS
ADDITIONAL INFORMATION:
BOYNTON BEACH CITY COMMISSION DISTRICT 3
3N1
, :
CANDIDATE PETITION ► n a (Q c015 3 s 5 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]
-If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I' Ca ver U 6./ \A c 71c) r the undersigned,a registered voter
(print name as it appears on your voter information ccard)sy
in said state and county, petition to have the name of Tol 8It
placed on the Primary/General Election Ballot as a:[check/complete box, as app/lcable]
[ ionpartisan 0 No party affiliation 0 Party candidate for the office of
t.e.ack cd-tri comm., sSit D iS-irc-f 3
(insert title of office and i clude district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address Q
(MM/DD71.1
67 6 -) t)I J vi /1/ 3 �' €_
City County State Zip Code
n+un 8-Qac V-) Pa.Q m (tack FL. 334/3S—
Signature
34f3S—
Signature of Voter Date Signed(MM/DD/YY)
[to be compl ted by Voter]
2 /1 44 i a4t
Rule 1S-2.045,F.A.C. DS-DE 104(Elf.09/11)
CANDIDATE PETITION 5 o, d
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, 1\n(lb L Q r\S CtQ 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 Pcisy I?D �r
placed on the Primary/General Election Ballot as a: [check/complete box, as appleable]
[ i ipartisan 0 No party affiliation 0 Party candidate for the office of
•
r\ 'r /3.e a ch C\41 COM r S-h-i c - 3
(insert title of office and incluide district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address /� L
(MM/DD/YY) 306l�g( a 3OLP OC�IQ i G�o Cr /? 6 C-11 3i
1 1I
City County State Zip Code
n Pleac Pearn 33443P
Signature of Voter / / Date Signed (MM/DD/YY)
/
/ [to b���completed by� r]
.0 /, y
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
CANDIDATE PETITION S I c d i 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.
1,
73 e,Vt n be ‘(i D\ the undersigned, a registered voter
(print name as it appears on your voter info ation card)
in said state and county, petition to have the name of ct\_m60. 11(.)
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
?7oli IThar\ & tc\h � COMO- i SS in-to o Y
(insert title of office and includ district,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number'r Address
(MM/ )ZZ �SDsDI4 .?--)) SI)
City County State Zip Code
RDinAfin y 3 ATI 6each '635
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
2024
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
rTI
CANDIDATE PETITION S t ott C
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' nc,ICLk 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 in `l
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
"Nonpartisan El No party affiliation El Party candidate for the office of
())0\-1n-k) Pp-each akti ComrnOn bi :0_-1- 3
(insert title of office and intlude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
los-12-11192 to i���5�i8 3! a St-t) 11 VC,
City County State Zip Code
X0(1 /beach PearYk Ick 33 3 5—
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
Ili a fp a‘f
Rule 15-2.045, AC. DS-0E 104(Eff.09111)
r
CANDIDATE PETITION 3i. CM-
Notes:
M -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, J ' t 4:3e.10
� ^`I , ;i the undersigned,a registered voter
i-f (pnnt name as it appears on your voter information card)
in said state and county,petition to have the name of 'Pa rr t. `t C)
Ballot as a: checWcom late box,as ap cable]
placed on the Pnmary/General Election ( p
"Nonpartisan D No party affiliation ❑ Party candidate for the office of
(1)tnin-bf'l ibtanh Gh CommiSSicin L:t sfy c4-- 3
(insert title of office and i ude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY) 1194i5 D8 0(
►a- 4- Lk — 1513 tot SW ) 3` Aye_
City County State Zip Code
)(1n-fin /?leach '>DQrn Ileac h FL 334/35
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
----"X ..moloamb.
I /- 2- 3 ` 2— l(
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111)
CANDIDATE PETITION 519 dff
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' \ ,e_SS 1 c N. I1(1Dm as the undersigned,a registered voter
(print name as it appears on your voter i rmation card
in said state and county,petition to have the name of Q..t'n t i D
placed on the Primary/General Election Ballot as a: [check/complete box, as applica ]
QNonpartisan 0 No party affiliation 0 Party candidate for the office of
l�3 D Ll r, Peach Ct-4-t Corn rn:e S51 ni e v bi s4YiC4 3
(insert title of office and include&strict,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
D
(MM/.
Pa R9 1 yceb 5a 03 as 3 SW 3PD S'+Y JF
City County State Zip Code
le7Ckil f-tf cocn (11 PQaV FL -2777L)225
Signature of Voter Date Signed (MM/DD/YY)
[to be completed by Voter]
JJ
Rule 1S-2.045,F.A�! DS-DE 104(Eff.09117)
CANDIDATE PETITION I a°ISbW 119
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,
Dahl.‘p c&re`de, . 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 rn `l(3placed on the Primary/General Election Ballot as a:[check/complete box, as ap cable]
"Nonpartisan No party affiliation [J Party candidate for the office of
P)t rl-EW►-\ PaeaC'h G CDmmiS�ic>n hst d- 3
(insert title of office and in Jude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
osl2o�g01D-7 SW ISS Pve
City County State Zip Code
?DO -Fn Each Porn &Cieh FL_
Signature of Voter Date Signed(MM/DD/YY)
Aja JoelAude,
D [to be completed by Voter]
11 I 21 I
Rule 1S-2.045,F.A.C. DS-DE 104(El.09/11)
CANDIDATE PETITION Wrq -co-5t
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.
)' '�-enG1-Q 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\ J j
placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] `-1
Q4fonpartisan 0 No party affiliation 0 Party candidate for the office of
PDCA/tiik—nel OptiCe l- —LiQ -l i SSt tTn Lt�$G+ 3
(insert title of office and include d�trict,circuit,group,seat number, if applicable)
Date of Birth or Voter Registration Number Address
1 0144 3 E S " P'P-e
City County State Zip Code
►' Bch Pa rr c-h FL- 33 4)3 CP
Signat of Voter Date Signed (MM/DD/YY)
[to be completed by Voter]
it/A /I /21 /2qt
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
71
CANDIDATE PETITION S1c) d iC.
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 Pa.rri (t c
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
[onpartisan 0 No party affiliation 0 Party candidate for the office of
PA_Airt-i-Dri /Leack_ Ciii Cm m t SS it IJ is-tric 43
(insert title of office and i clude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
EMM/DD/YY)
6 I-Z�-I/ / 4/9 LD 5 ���' t t)‘t ck\ 0A-1 \May
City County State Zip Code _
(3)01(n"i-Dr1 &ac V-1 Pad m Pa ac k Ft_ — kieke
Signature of Voter - Date Signed(MM/DD/YY)
0 ,,4 I] [to be completed by.Vote
Rule 1S-2.045,FA.C. DS-DE 104(Eff.09111)
\....../
CANDIDATE PETITION WY . O '5
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, 4nAf<5
C4Ai4 !ti the undersigned,a registered voter
(print name as it appears on your voter information card)/a
in said state and county, petition to have the name of PCk ry1 Lt C
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
9'gVonpartisan 0 No party affiliation 0 Party candidate for the office of
rrhDr t /eac k ( {-4 Corn m.( M ut\ /J i S4 c.4 3
(insert title of office and i clude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD
o��
w/ ta4 117(1673 em s t (:, 44z1v.)AqLI
crx
City County State Zip Code 1
nirn'1 &Qc►-, Pa Q nA (5.-tae k ISL. 3 3 471,,/ ce
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
_ if/ZI / zy
Rule 13-2.045,F C. DS-DE 104(Elf.09111)
CANDIDATE PETITION W r. P‘51••
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]
- fall requested information on thisform is not completed,the form will not be valid as a Candidate Petition form.
I, C-44. KA 1*/Co2r,ee. I p me_ the undersigned, a registered voter
�IC (pnrt game as it appears on your voter information card)
in said state and county, petition to have the name of Pam Baglio
placed on the Primary/General Election Ballot as a:[check/complete box, as applicable]
E❑Nonpartisan ONO party affiliation ❑ Party candidate for the office of
Boynton Beach, City Commissioner District III
(insert title of office and include district, circuit,group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
X94 I- aiA-5 13o 064 ( E � �� e2 wz.405
City County State Zip Code
Boynton Beach Palm Beach FL 3y3C,
Signature of Voter Date Signed(MM/DD/YY)
• [to be completed by Voter]
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11)
Fl
CANDIDATE PETITION i g d 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]
-If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I, Pass I,L,Stn 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 Yt-1 r n U 0
placed on the Prima /General Election Ballot as a:[check/complete box,as ap cable]
Primary/General [ P
I onpartisan ❑No party affiliation ❑ Party candidate for the office of
P)okin4cDrA Pae-ach akt CommiSricin h'l :c--4- 3
(insert title of office and in ude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM IpD/YY) /0.2Gg$106
51910 '- Y. 196' j< 9 H-cn ,;),e) �c,,)./
City County State Zip Code
haw+•ter) (6each T c rYt Paecte h Ft_ 33gae_e ,
Signature ofVote Date Signed(MM/DD/YY)
1/ [to be compl ted by Voter]
. / )/.2
Rule 1S-2.005,FAC. DS-DE 104(Eff.09/11)
CANDIDATE PETITION INr.D4 / 0
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,
(g('('`r 1 E ki a 4 the undersigned,a registered voter
t (print name as it appears on your voter information card)
in said state and county,petition to have the name of Pa WI. , `t 0
placed on the Primary/General Election Ballot as a:[check/complete box,as ap cable]
" Nonpartisan ❑No party affiliation 0 Party candidate for the office of
0)a n-kor1 /1eCt.C'_k Gh ComtoiSt-c>n %
te_4- 3
(insert title of office and in Jude district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
DC/o7/l7S /J6067110(11 l/0Z Sun Se 6I vd
City / County State Zip Code
'12)09 VI n 8-each Pam &or) h FL 3 3 5 -2 4
Signature of Vol;r Date Signed(MM/DDIYY)
[to be completed by Voter]
i ( 1411 y
Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111)
CANDIDATE PETITION ,n in K
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-Ye Ye_ 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 Pan')n 1J CIO
placed on the Prima /General Election Ballot as a: [check/complete box, as a�cable
Primary/General [ P PP ]
2-Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of
r\-i-Dn /,each ail Comm.( SS /J iS-h�C4 3
(insert title of office and i clude district, circuit,group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
JZ — c - 7I
City County State Zip Code
n 6zac h m P/-e.a.c
Signature of VoterDate Signed (MM/DD/YY)
I
,, [to be completed by Voter]
t.
Rule 1S-2.045,F.A.C. Allfr4 DS-DE 104(Eff.09/11)
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, the undersigned,a registered voter
(print name as it appears on your voter information card)/a
in said state and county, petition to have the name of PO._ Yl I J ti 0
placed on the Primary/General Election Ballot as a: [check/complete box,as applicable]
[ lonpartisan 0 No party affiliation 0 Party candidate for the office of
PA,Lirri-Dri fkkaCk Ci i Correa SSit D iS-rle.4- 3
(insert title of office and include district,circuit,group,seat number,if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)
City County State Zip Code
P301/fl+ Y\ /Qac h Pa Q rr\ Pete h FL
Signature of Voter Date Signed(MM/DD/YY)
[to be completed by Voter]
Rule 1S-2.045,FA.C. DS-DE 104(Elf.09/11)