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Vargas, Dominick- Petitions .w .1 PETITION SUBMITTANCE FORM Name on Petition (Candidate/Committee): O'(`( \`(1.\GV1 Office Candidate is seeking: e.\yC— S3 \Cs)v-.. `e7.Z.3- Number of Petitions Submitted: 3 D Number SOE Counted and Initials:32_ Name of person submitting petitions: w\v,y S�G�v��-�c7v�r° ����- � Ck cLeA Address: k Dc) (7c c ' a -Q City, State, Zip Code: ---cl:)p V-N -0+i1 0. C-- \� / -�� Phone: ,` 6 (- -' 6 U Email: L' A y 1e__ `'\ Q Date: //`/// Gl'/ Signature: � tai moi_ _ �1 l OFFICE USE ONLY Deputy's Initials: Paid By Check: 47 W Paid by Cash: Receipt #: BATCH #: l `� y i Rev. 03/2023 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 (qZ DATE RECEIVED N°V 1 9 2024 SOURCE - PETITIONS - DOMINICK VARGAS DATE SCANNED pAV4 SCANNERS INITIALS PA ADDITIONAL INFORMATION: BOYNTON BEACH CITY COMMISSIONER DISTRICT 3 29 V rn CANDIDATE PETITION o61ck .$ ' Notes: -A//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 fin-in. I, \ � �d ALO the undersigned, a registered voteF=, n� �� `�� �.. (print name as it appears on your voter information card) Vargas in said state and county, petition to have the name of Dominick Var g placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] -- ✓❑Nonpartisan No party affiliation ❑ Party candidate for the office or- City Commissioner District 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) t 0 / O 3 ( t 7 J` b �� A-City County State Zip Code ;; Boynton Beach Palm Beach FL r6 1-9 Signature of Voter Date Signed (MM/DD/YY) �Iti� r n`X,�.J [to be completed by Voter] 1 i ^ �-�-2.4 • Rule 1S-2.045,F.A.C. DS-DE 104(Eft.09i'1'1) CANDIDATE PETITION t t v g t Lis$ 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/br a candidate. [Section 104.185, Florida Statutes) -1f all requested information on this form is not completed, the form will not he valid as a Candidate Petition ppm. I. NAOkx-‘ Q._ F' the undersigned, a registered voter (print name as it appears o your voter info tion card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (M M/D D/YY) 12— 3 2lD SLO qq-ki f O City County State Zip Code Boynton Beach Palm Beach FL 33 435 Signature of Voter Date Signed (MM/DD/YY) [to be completed b Voter] 4/4 completed Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111 �\ ' co R 5 `� G CANDIDATE PETITION lock 62-S- 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. I, C 0.$C r\ (1g )1O`r �— `e Owl \ 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address Y) (MM/DD 637 77/95-g (AD ! 6uM S 7/id City County State Zip Code Boynton Beach Palm Beach FL X55 ign- ure of Voter Date Signed (MM/DD/YY) / r [to be completed by Voter] 0, fOLAA__.a____, / 47Z. Rule 1S'.045,F.A.C. DS-DE 104(Eff.091tt) Jn CafV- AY )fqjl oS V� 3 -11(4 y 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, h � Cej a n n,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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box,as applicable] p Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) o5— `"1/�— US 22 07 S E 2 oJd S+ City County State Zip Code Boynton Beach Palm Beach FL 3'S 435 Signa ure of Voter Date Signed(MM/DD/YY) I � ( ,ihi'L'. � [to b corn eted by Voter] 1-7 Doaq Rule 1S-2.045, .A.C. DS-DE 104(Eff.09/11): -fp C CAIa, Attiht SCk s� Cr CANDIDATE PETITION t‘-z-3 $ -° - Notes: -All information on this form becomes a public record upon receipt by the Supervisor ofElections. -Itis a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -If all requested information on thisJorm is not completed, the form will not be valid as a candidate Petition form. I, _1.,1C TYC I S r -he R .)SSthe undersigned, a registered voter R— O(print name as it appe rs on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ✓❑Nonpartisan ❑No party affiliation E Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDNY) 0 2 73 z40 Sw 9 - -'\ j�J€ City County State Zip Code Boynton Beach Palm Beach FL 3343 S Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] it l7 . zx Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION L 2.4.A 34\oodL► 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, N-A. V the undersigned,a registered voter. cg (print name as it appears on your v ter information card) - k in said state and county,petition to have the name of Diz)nnA V\\ Cie— Cl`( CPS placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] [onpartisan E No party affiliation 0 Party candidate for the office of ref C k Co m(NN\sS uner YS (insert title of office and include district,circuit,group,seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 06 - '73- 2- q 5 U q City Coun State Zip Code be-cc-V\ 1F�� 3Sg�{� 6 � F.\ 3 4 171 141 Signature of Voter Date Signed(MM/DD/YY) 1C:)`f\-14t1Z7 [to be completed by Voter] UC>fy0S ,\ t - Rule 1S-2.045,F.A.C. DS-DE 104(Eff.091t$) 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, 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 0 No party affiliation 0 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 (MM/DD/YY) City County State Zip Code Signature of Voter Date Signed(MM/DD/YY) [to be completed by Voter] Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111) POSTULACION DE CANDIDATO t.t ot O 3 6 kk S Notas: -Toda la informacion contenida en este formulario se convertira en registro publico una vez recibido por el Supervisor de elecciones. -Firmar más de uno postulacion para un candidate a sabiendas constituye un delito.[Section 104.185, Estatutos de Florida] -Si no se cornpleta toda la informacion solicitada, este formulario carece de validez para la Postulacion de candidatos. -' EI/La que suscribe, 3 —k_G4n y \ S \ 10.x-9 ^R votante registrado/a e in (nombre en letra de imprenta tal como figura en su tarjeta df`orrmacion de votante) en el mencionado estado y condado,solicito que se incluya el nombre de D 1,ek A CIL \J COT QS en la papeleta de eleccion primaria/general como:[marcar/completor casilla segun corresponds] -,- No partidista ❑Sin filiacion partidaria El Candidato con filiacion partidaria para el cargo de CV 15-9 Cc i SS ' ong-r %S+riC4- 3 (insertar titulo del cargo e incluir distrito,circuito,grupo,numero de escano,si corresponde) Fecha de nacimiento 0 N°registro de votante Direcd6n (MM/DD/AA) ©1- -0=5 - 59 X19 Sw q 4,1fri-Q- Ciudad Condado Estado Codigo postal et1 No0n ��Ann b.e_ icAn Fi 33 43 s' Firma de votante Fecha firma(MM/DD/AA) ,. ��= � [o completer per votante] Norma 1S-2.045,F.A.C. Departamento de Estado,Division de Elecciones DS-DE 104(Vig.09/11) (, POSTULACION DE CANDIDATO Notas: -Toda la informacion contenida en este formulario se convertira en registro publico una vez recibido par el Supervisor de elecciones. -Firmar mos de una postulacion para un candidate a sabiendas constituye un delito.[Section 104.185, Estatutos de Florida] -Si nose completa toda la informacion solicitada, este formulario carece de validez para la Postulacion de candidatos. El/La que suscribe, votante registrado/a (nombre en letra de imprenta tal como figura en su tarjeta de informacion de votante) en el mencionado estado y condado,solicito que se incluya el nombre de en la papeleta de eleccion primaria/general como:[marcor/completar casino segun corresponde] ElNo partidista El Sin filiacion partidaria ❑ Candidato con filiacion partidaria para el cargo de (insertar titulo del cargo e incluir distrito,circuito,grupo,numero de escano,si corresponde) Fecha de nacimiento 0 N°registro de votante Direcd6n (MM/DD/AA) Ciudad Condado Estado Codigo postal Firma de votante Fecha firma(MM/DD/AA) [a completar por votante) CANDIDATE PETITION otzo g i3 Notes: -.411 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 Statutesf N! -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, aretfa a"rahQ 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan ENo party affiliation ❑ Party candidate for the office of - City Commissioner District 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) oslo4/63 3os E OCea.n Avg AP"1- os- _ City County State Zip Code Boynton Beach Palm Beach FL 3 ;3- Signature sSignature of Voter Date Signed (MM/DD/YY) [to be corn leted by Voter] CLue.fick. ea.14).- Rule 1S-2.045,F. .C. ` DS-DE 104(Eff.09/1i) POSTULACION DE CANDIDATO `Z O 6° 1/401/43S Notas: - Toda la informacion contenida en este formulario se convertiro en registro publico una vez recibido por el Supervisor de elecciones. -Firmar mos de una postulacion para un candidate a sabiendas constituye un delito.[Section 104.185, Estatutos de Florida] -- -Si nose completa toda la informacion solicitada, este formulario carece de validez para la Postulacion de candidatos. El/La que suscribe, L.A. k CO. C7 votante registrado/a (nombre en letra de imprenta tal como figura en su tarjeta de informacion de votante) "' 11 _ en el mencionado estado y condado,solicito que se incluya el nombre de C�t r‘ GM,,� c-. i Ci'i0 en la papeleta de eleccion primaria/general como:[marcor/completer casilla segun corresponds] No partidista Sin filiation partidaria © Candidato con filiacion partidaria para el cargo de y C C�mi�.;S� N onar- '(Dir" \— -:cat- 3 (insertar itulo del cargo e incluir distrito,circuito,grupo,numero de escano,si corresponde) Fecha de nacimiento 0 N°registro de votante Dirección (MM/DD/AA) 7:2154- 2 o�� �aS � o C� � �- oS - Ciudad Condado Estado Codigo postal Q VV. \312—.00E1 (Ps a1fY. \9QGc,V1 'I 33 +33— Firma de votante Fecha firma(MM/DD/AA)1 F — et [ r ompletzr or votante i -Z Norma 1S-2.045, .A.C. Departamento de Estado,Division de Elecciones DS-DE 104(Vig.09/11) POSTULACION DE CANDIDATO Notas: -Toda la informacion contenida en este formulario se convertiro en registro publico una vez recibido por el Supervisor de elecciones. -Firmar más de una postulacion para un candidate a sabiendas constituye un delito.[Seccion 104.185, Estatutos de Florida] -Si nose completa toda la informacion solicitada, este formulario carece de validez para la Postulacion de candidatos. EI/La que suscribe, votante registrado/a (nombre en letra de imprenta tal como figura en su tarjeta de informacion de votante) en el mencionado estado y condado,solicito que se incluya el nombre de en la papeleta de eleccion primaria/general como:[marcar/completor casino segun corresponda] ElNo partidista El Sin filiacion partidaria ® Candidato con filiacion partidaria para el cargo de (insertar titulo del cargo e incluir distrito,circuito,grupo,numero de escano,si corresponde) Fecha de nacimiento 0 N°registro de votante Direction (MM/DD/AA) Ciudad Condado Estado CGdigo postal Firma de votante Fecha firma(MM/DD/AA) [a completer por votante] CANDIDATE PETITION "" 2020 (2S. 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] -1 If all requested information on this form is not completed, the form will not he valid as a Candidate Petition form. 1. n jL /� rr�— R.�.�� 'T\ or 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Q✓ Nonpartisan No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth/Yor) Voter Registration Number Address t (� I +\' I (MM/DDY) (0" 67 5 5 City County State Zip Code Boynton Beach Palm Beach FL 33 435 Signat a of Voter Date Signed (MM/DD/YY) [to be omple ed by Voter] (( 17 R. (5,F.A.C. �DS-DE 104(Eff.09/f7) til 0 Rv SGS 10CtL11 \\( CANDIDATE PETITION .x-• 665314 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� Q 0.� /�_ _ the undersigned, a registered voter (print name as it appeaarsYo`n your voter information card) in said state and county,petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a:[check/complete box,as applicable] ✓❑Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) 1 " 2- — b V ✓ L0 E O Tr+' f\-13A- 3T1 City County State Zip Code Boynton Beach Palm Beach FL 33435 Signature of Voter Date Signed(MM/DD/YY) [to be completed by Voter] H - Z�2� • Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) 5GL-1 1750 CANDIDATE PETITION is k a 9 s of 3 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. fr \T. ; 52__ s ci .ems the undersigned,a registered voter r i] (print name as it appears on your voter information card) _1 in said state and county,petition to have the name of Dominick Vargas 1 placed on the Primary/General Election Ballot as a:[check/complete box,as applicable] ✓l Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district,circuit,group,seat number, if applicable) - Date of Birth or Voter Registration Number Address 12—k — 69 5110 F naic,„n - Afy -- 3X70 City County State Zip Code Boynton Beach Palm Beach FL 33 45 S H Signature of Voter Date Signed(MM/DD/YY) [to be completed by Voter] I t /i /24 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION t Z. o /5 /2-COD 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 � aL �-� k rv� Chr� Sk Igor r I (print name as it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a:[check/complete box,as applicable] Q Nonpartisan El No party affiliation El Party candidate for the office of City Commissioner District 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) \ p ` _ to- 90 lot 5 Fez�exck \ 1 LU Lf A1,4-55-7 City County State Zip Code Boynton Beach Palm Beach FL 33 4-3 S Signature • • er Date Signed(MM/DD/YY) [to be completed by Voter] , A -.#11( o..4.-44,,cEj , — i( 7 i 7-/ y Rule 1 .045,F.A.C. DS-DE 104(Eff.09/11) (13 CANDIDATE PETITION t I. 21- 0 2 S1 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] `L) r.. -If all requested information on this form is not completed, the form will not he valid as a Candidate Petition form. I. k \ T . \l s� the undersigned, a registered voter.: I-- G� (print name as it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan ❑No party affiliation ❑ Party candidate for the office of— 17.1 City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) -- ) Date of Birth or Voter Registration Number Address 9 `" (MM/DD/YY) 0Q— I O - tr1 '7 2 �\4 ' City County State Zip Code --, Boynton Beach Palm Beach FL -53 435 ' ' Signature of V ter Date Signed (MM/DD/YY) A..... ......, [to be completed by Voter] [ 111'1 l Z.\ Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111) 1.i Cir jeA J6iICA SCkSct '; y6 S `k CANDIDATE PETITION 3 ZZ z. 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. t, �( 1 d.a /\l ce-c-1„wc 'J , 2 the undersigned, a registered voter 1 , (print name tas it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] �✓ Nonpartisan ❑No party affiliation El Party candidate for the office of City Commissioner District 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) / a J- 64 to s Fe-AR(-4 w yti 64 City County State Zip Code Boynton Beach Palm Beach FL 435 SigAatur- • 'her ' Date Signed(MM/DD/YY) [to be completed by Voter Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) 0 \' 1 CANDIDATE PETITION ► 1 2 o 6 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. ti I, M cxr-. �-� c e� j v'\�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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district,circuit, group,seat number, if applicable) Date of Birth or^'�Voter Registration Number Address � ` 4 t1 (MM/DD/YY) 0 _" ( 2- 59 5 10 V�^�1�. 1 V"c� A.9)- 46 City County State Zip Code Boynton Beach Palm Beach FL 33(135 Sign re •f Voter • Date Signed(MM/DD/YY) [to be co plete by Vo r] r 7I 71 P Rule 1S-2.045,F.A . DS-DE 104(Eff.09/11) CANDIDATE PETITION ti. 33S 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. f the undersigned,a registered voter ]]time Cl/e_ (print name as it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ID Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) 09-03 /982 0107 SE a`f Ate , City County State Zip Code Boynton Beach Palm Beach FL 33ct3� Signature of Voter Date Signed(MM/DD/YY) [to be completed by Voter] a. //-/3 Rule 15-2.045,F.A.C. DS-DE 104(Eff.09/11). ii POSTULACION DE CANDIDATO -az t L 1 ci o 2 6i Notas: - Toda la informacion contenida en este formulario se convertira en registro publico una vez recibido por el Supervisor de elecciones. -Firmar más de una postulacion para un candidato a sabiendas constituye un delito.[Seccion 104.185, Estatutos de Florida] 4 F -Si no se completa toda la informacion solicitada,este formulario carece de validez para la Postulacion de candidatos. - EI/La que suscribe, E Q l‘"0 ob rel 1011 votante registrado/a (nombre en letra de imprenta tal como figura en su tarjeta de informaci6n de votante) ,I en el mencionado estado y condado,solicito que se incluya el nombre de 'jr( (, A.(t=� V p en la papeleta de eleccion primaria/general como:[marcor/completar casilla segun corresponds] 6 •. No partidista El Sin filiacion partidaria 0 Candidato con filiacion partidaria para el cargo de C k GzjoNAm.kS�mar— i 4-r f"‘C.{- 3 (insertar titulo del cargo e incluir distrito,circuito,grupo,numero de escano,si corresponde) Fecha de nacimiento 0 N°registro de votante Direcd6n (MM/DD/AA) a l l 20 - 42 1072.. fei -1-- c a r W Ciudad Condado Estado Codigo postal 504 IA , O V\ CPa1 m acicT-i 3343.6 Firma de votante Fecha firma(MM/DD/AA) [a completer por votante] /•••• 17.1Adde-121C7k- Il ) Gf24 Norma 15-2.045,F.A.C. Departamento de Estado,Division de Elecciones DS-DE 104(Vig.09/11) POSTULACION DE CANDIDATO Notas: -Toda la informacion contenida en este formulario se convertira en registro publico una vez recibido por el Supervisor de elecciones. -Firmar mos de una postulacion para un candidate a sabiendas constituye un delito.[Seccion 104.185, Estatutos de Florida] -Si no se completa toda la informacion solicitada, este formulario carece de validez para la Postulacion de candidatos. EI/La que suscribe, votante registrado/a (nombre en letra de imprenta tal como figura en su tarjeta de informacion de votante) en el mencionado estado y condado,solicito que se incluya el nombre de en la papeleta de eleccion primaria/general como:[marcor/completar casilla segun corresponde] 0 No partidista 0 Sin filiaciOn partidaria 0 Candidato con filiacion partidaria para el cargo de (insertar titulo del cargo e incluir distrito,circuito,grupo,numero de escano,si corresponde) Fecha de nacimiento 0 N°registro de votante Direction (MM/DD/AA) Ciudad Condado Estado C6digo postal Firma de votante Fecha firma(MM/DD/AA) [a completar por votante] 4{, CANDIDATE PETITION 1.0%6'00A0 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. Phf\ � " �. the undersigned,a registered voter,; fir 0rt0� 6 of\7� I, - (print name as it appears on your voter information card) in said state and county, petition to have the name of M\ 0—S placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ['Non artisan No partyaffiliation ❑ Party candidate for the office of \ C o M�rI SS ���' IS—� C'} 3 insert title of office and include district,circuit, roup,seat number, if applicable) 9 PP ) Date of Birth or Voter Registration Number Address (MM/DD/YY) (�- o ,4B T)6 43 -OLtchess c - City County State Zip Code & 1 4on &7C* e c m Qe ,cIn FL 33436 Signature of Voter Date Signed (MM/DD/YY) lam— [to be completed by Voter] /G— z4 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) 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 0 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 (MM/DD/YY) City County State Zip Code 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) CANDIDATE PETITION ' 50 mis.sog 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, o v \��.A 6 O^ 1e.... the undersigned,a registered voter (print name as it it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ElNonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district,circuit,group,seat number, if applicable) 4''. Date of Birth or Voter Registration Number Address (MM/DD/YY) \4_SV 007 454-` ` j \- 44 1 City County State Zip Code Boynton Beach Palm Beach FL 3343G Signature of Voter Date Signed(MM/DD/YY) [to be completed by Voter] V I , 11 / icaq Rule 1S-2.I 5,F.A.C. DS-DE 104(Eff.09111)„ Zoe L\S b ?21;1) CANDIDATE PETITION ►% S 252 ►AQZ Notes: -All information on this foram becomes a public record upon receipt by the Supervisor of Elections. -Itis a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] — -1[all requested information on ti is limn is not completed, the form will not be valid as a Candidate Petition lbrm. I• �� r� \ R;C) OrIC2\ the undersigned, a registered voter11-1 (print name as it appears on your voter information card) —i in said state and county, petition to have the name of Dominick Vargas ., placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] H ✓INonpartisan No party affiliation El Party candidate for the office of` City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) -H Date of Birth or Voter Registration Number Address �/ :L (MM/DD/YY) o _ or-1 _s-5- l 1 \ E I-e_Ct.ckt CJl�� City County State Zip Code Boynton Beach Palm Beach FL 3 3 4-3 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter '471-44(j212(14-1 11 -16 - 2 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111) CANDIDATE PETITION 0.610 2 k qq 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 farm will not he valid as a Candidate Petition form. f''' I, ` l ,i 1 111 �� ���r912._ �� (,� `�� the undersigned, a registered voter VV 1 (print name as it appears on your voter) information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ✓❑Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) \ 1- I Z- 65 `.3 Re.._ncx\ 5S cocg. W34-I ft-Fri-- lo9) City County State Zip Code ; Boynton Beach Palm Beach FL 3 34zc, Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/9]) CANDIDATE PETITION kto2Ast-to 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 Jbrm will not be valid as a Candidate Petition form. (2 `40 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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 0 2Z— ¢� S23 2 12-0'&2g1 b City County State Zip Code Boynton Beach Palm Beach FL 3-3 4-'72 Sig natu oter Date Signed (MM/DD/YY) [to be completed by Voter] 4/16/4– Rule 1S-2.045,F.A.C. DS-DE 104(Eff.091t1) CANDIDATE PETITION l% 0 021`'"x" Notes: -All information on this form becomes a public record upon receipt by the Supervisor ofElections. • -It is a crime to knowingly sign more than one petition,for a candidate. [Section 104.185, Florida Statutes] -1 f all requested information on this form is not completed, the firm will not be valid as a Candidate Petition prin. I, Jo rrintC �1 —ko the undersigned, a registered voter- name as it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) 11 - ( 4 — 4-s Sou 2_21J S City County State Zip Code Boynton Beach Palm Beach FL -33 4z • Signature of oter Date Signed (MM/DD/YY) [to be completed by Voter] lf`{ 1 Rule 1S-2.045,F.A. DS-DE 104(Eff.0911 CANDIDATE PETITION 1%s3LA2 2' 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. Bfa-te• co. kl,t CN Ur- 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ✓❑Nonpartisan ❑No party affiliation El Party candidate for the office of-- 7 City Commissioner District 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) $ -sem r7zS��Sc`\ i ` City County State Zip Code Boynton Beach Palm Beach FL 33 436 Signature of Voter Date Signed (MM/DD/YY) agetevi."-- LCA✓a'' 4 [to be completed by Voter] a I ( - /6-24 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09111) 1 CANDIDATE PETITION Lt g 6 lo 61- b Notes: -All information on this form becomes a public record upon receipt by the Supervisor ofElections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] -1f all requested information on this form is not completed, the farm hill not be valid as a Candidate Petition form. I, Iia �LA �r��� /' on�ac,va 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Q✓ Nonpartisan ❑No party affiliation Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDNY) 0 1- 15- 4q BCA-3 ckes5 c-{- F City County State Zip Code Boynton Beach Palm Beach FL 3 3 4.% Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 11-1.6 -24- Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) CANDIDATE PETITION vZ 4 `41 -$ °'`22 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-� 1_ Fr con C`s (�V� the undersigned, a registered voter (p�intYn`ame as it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a:[check/complete box, as applicable] 1 pNonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 3 t J" (insert title of office and include district,circuit, group,seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) o7 - 2AD -63 53 5 74qF.Ncr-ck\A 1 +er- City County State Zip Code Boynton Beach Palm Beach FL 33 43 f) Si. . - of Voter17.........::—) Date Signed(MM/DD/YY) [to be completed by Voter] k A 1 -- 11 7-11 - Rule 1S-2.04 F.A.C. DS-DE 104(Eff.09/11) (7 7 CANDIDATE PETITION 11 S 12'S 16-1 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, /L/7 f/in j A/c-4the undersigned,a registered voter (print na as it appears on your voter information card) in said state and county, petition to have the name of Dominick Vargas placed on the Primary/General Election Ballot as a:[check/complete box,as applicable] E✓ Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) 05 - /de& Ce City County State Zip Code Boynton Beach Im Beach FL 3.34;?6 Signature o oter Date Signed(MM/DD/YY) [to be completed by Voter] t, `/,- /g - e Rule 1S-2.045,F.A.Crz' DS-DE 104(Eff.09/11) CANDIDATE PETITION % 3O bS 3(t0 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, Nay t e u 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 Dominick Vargas placed on the Primary/General Election Ballot as a:[check/comp/ete box, as applicable] f. ✓l Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 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) J I '� / l735-o rYunsuL) Cor-c_ C� City County State Zip Code Boynton Beach Palm Beach FL Signature of Voter _-- Date Signed(MM/DD/YY) [to be completed by Voter] .ilryd%.iI1I Rule 1S-2.045,F.A.C. / DS-DE 104(Eff.09/11) • J PETITIONS - SCANNED IMAGES CONTROL RECORD PETITION BATCH NUMBER L SCANNING BATCH NUMBER K13 DATE RECEIVED NOV 1 4 1011 SOURCE - PETITIONS - DOMINICK VARGAS DATE SCANNED NOV 2 1 2024 SCANNERS INITIALS M ADDITIONAL INFORMATION: BOYNTON BEACH CITY COMMISSIONER DISTRICT 3 avvZ !m: CANDIDATE PETITION U ° °Z 4O2 0 loc. Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - -ht 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 Dorm will not be valid as a Candidate Petition pin. "A 17, I. eta CN 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ENo party affiliation ❑ Party candidate for the office of City Commissioner District 3 J-- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or/Y `Voterl Registration Number Address r ' I,,i* (MM/DD/YY)oc 1702 k �l SO lk LM � C.�2 City County State Zip Code -� Boynton Beach Palm Beach FL 33 4z€ J ature of Voter Date Signed (MM/DD/YY) •_, ( [to be completed by Voter] h-' Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09tt1) 1 CANDIDATE PETITION ►Z,.IA t%2► 6 6 n • Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. 0 0 Q -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. fICAL-‘a-4,1\_clrio �� I b-�-- 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑✓ Nonpartisan ❑No party affiliation ❑ Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number/YAddress ,1 (MM/DD/YY) '( Z — o�— b B iooG SW 2 t)c\ S City County State Zip Code Boynton Beach Palm Beach FL 3 3 435 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 7"/ 1 Rule 1S-2.045,F.A.C. DS-DE 104(Eff.09/11) • f;) #' SGS - %gs °I CANDIDATE PETITION Ut t otes$ 1-g a a M 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 farm. I, 'riSA 1L 3,---`-4910 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 Dominick Vargas placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ONo party affiliation El Party candidate for the office of City Commissioner District 3 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD 041ilto/13 OS t OC.eaU, -Ar-e- A'P'r czbS' City County State Zip Code Boynton Beach Palm Beach FL l3-5y 35-- Signature sSignature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] Rule 15-2.045,F .C. DS-DE 104(Eff.09/11)