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Filing Papers APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN w '� DEPOSITORY FOR CANDIDATES ° . < (Section 106 021(1), F.S.) '" 7', " c7 (PLEASE PRINT OR TYPE) o NOTE: This form must be on file with the qualifying officer before opening the campaign account. O7)CE:P ONLY .H ECK APPROPRIATE BOX(ES): to > Initial Filing of Form Re- filing to Change. ❑ Treasurer /Deputy ❑ Depository ❑ Office in Party 2. Name of Candidate (in this order First, Middle, Last) 3 Address (include post office box or street, city, state, zip \CSE `, \`O code) 4 Telephone 5 E -mail address (5 ) (o0)- ,- (P ' 40 °A5Z \O- 1)0G C= C \ 6. Office sought (include � district, circuit, group number) 7. If a candidate for a nonpartisan office, check if DtC-Wca applicable: I] My intent is to run as a Write -In candidate 8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write -In ❑ No Party Affiliation ❑ Party candidate. 9 I have appointed the following person to act as my tr Campaign Treasurer ❑ Deputy Treasurer 10 Name of Treasurer or Deputy Treasurer 11 Mailing Address 12. Telephone 7� ( gl Sl,\PI ,c)ck_ 13 City 14. County 15 State 16. Zip Code 17 E -mail address 33 a C\ i- 18 I have designated the following bank as my Primary Depository ❑ Secondary Depository 19 Name of Bank 20 Address 21 City 22 County 23. State 24 Zip Code wt.AJ C3�.('‘ A.-VkN E N3• - ∎ . _g3 43 c UNDER PENALTIES OF PERJURY, 1 DECLARE THAT 1 HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25 Date 26 Si ature o C ndidaa e /0 - X cr y — 2 of 3 �:e - 27 Treasurer's Acceptance of Appointment (fill in the blanks and check the appropnate block) 1, ) (,,eL ? . c p, st-,A \0 , do hereby accept the appointment (Please Print or Type Name) designated above as. Campaign Treasurer 0 Deputy Treasurer __ 9 - 2 01 3 X t «.. . 1 Date S'! natu e of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. OFFICE USE ONLY STATEMENT OF CANDIDATE .... =�= w � (Section 106.023, F.S.) c-) =-, I-w (Please print or type) G,, ..< X �o 1 C- - 3 r 1 , - C `>�l\. , C� sC` u `� � ' candidate for the office of p15 \ 2A \V Q- \ J COMM \SS \ b't\1 k7=7 \2 ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X \ th.t k.k-- A - ! - 20/3 Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS -DE 84 (05/11) . N 0) co CD 0 > 0) m r r 0 c o 0) M v D 0 m c 1/4) 1 0) CO Co 0) 2 > 0 0 0 0 0 7J W 0 Z 0 Z CO M D 0 1 - n r w w w a) N N O O 01 C N K v al N O O 0) N O N N N CO CO O CO A CO CO CO CO Get Y O'e Miscellaneous Cash Receipt _ No 92672 CITY OF BOYNTON BEACH t° O �P ti t N Account No. 001- 0000 - 369 -10 —O0 $ 25_ 00 ,20 Received of Joe Casello Address 7981 Shaddock Drive, Boynton Beach, Fr. 33416 For City Filing Fee to run for Commissioner, District IV in 'Jeer! 6YbeIz the March 11, 2014 General Blect� 2/84 81 Receipt i : 13616# v a tendered $25.88 Total payment $225.89 Dept. City Clerk' s Office B Miscellaneous Cash Receipt G ' S Y ° NO. 92671 CITY OF BOYNTON BEACH if >ID 04, o - u Account No. 001 - 0000 - 369 = +0 -0O $_ 222.57 Received of Joe Casello Address 7981 Shaddock Drive, Boynton Beach, FL 33436 For 1% State Assessment to run for the Commissioner, District IV Ozer; B+BcIxs IV seat in the March 11, 2014 Gen�12<t i�gipt no: 136166 o a tendei _ __ $222.57 Total payment $222.57 Dept. City Clerk' Office By OF F( .. w il � Palm Beach County OF � PA 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 33416 SUSAN BUCHER Supervisor of Elections TELEPHONE [561) 656 -6200 FAX NUMBER (561) 658 -6287 WEBSITE• www pbcelections.org CERTIFICATION I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 42 signatures on the Candidate Petitions for JOE CASELLO, City of Boynton Beach, Commissioner District IV, are registered electors in the City of Boynton Beach, according to the registration records on file in this office. This is to further certify that JOSEPH A. CASELLO is a registered voter in Precinct 3164, in the City of Boynton Beach, Florida. Signed, this the 4th, day of February, 2014. w : USAN BUCHER SUPERVISOR OF ELECTIONS PALM BEACH COUNTY (SEAL) 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 104185, Florida S sl - If all requested information on this form is not completed, the form will not be valid as a Candidate i frm , I, k\�t^ SA the und= -ign='!!jegiste -d voter `" (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) i i_ j a,„, Ci County State Zip Code > C' 1t0 .'_.)Ci9"1.1L - . , (1■ T >L \ IN \- L _• ( Q Signature of -r Date Signed (MM /DD/YY) [to be completed by Voter] ,/ 0 ‘1 IS / \ R ZS- 2.045, - .A,G. DS -DE 104 (Eff. 09/11) CANDIDATE PETITION ' Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Electi • s -1t is a crime to knowingly sign more than one petition for a candidate [Section 104185, Flor da aJ \, es - If all requested information on this form is not completed, the form will not be valid as a Cans Pt t .n le m I, L �/ / L 4 4 , 2 J _ L the u •ersign- a re* stered voter (pant name as it appears on your voter information card) In said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation D Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and Include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number I Address (MM /DD/YY City County State Zip Code fro 4- 6,4( e6 c PL 3 3'-r 3 ' Signatur• • oter Date Signed (MM /DD/YY) ",, [to be completed by Voter] S Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) CANDIDATE PETITION Notes: - 4/1 infor matron on this form becomes a public r ecord upon receipt by the Supervisor of Elections 1 , - It is a ci tme to knowingly sign more than one petition for a candidate [Section 104 185 Flor Oa Stet tes - If all requested information on this form is ,iot completed, the form will not be valid as a Candtdatt ' tt orm I t il the und : ``A • regis'-red voter ( name as if appears on your voter information card) l Joe Casello • 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] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District R/ - City of Boynton Beach (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 r State Zip Code " " ytr M L P,, I , I.,,, C C- '3y le Signature of Voter / Date Signed (MM /DD/YY) , , [to be completed by Voter] / 01,'2z, /( Rule 1S -2 045, F A C i' ' DS -DE 104 (Eff 09/11) CANDIDATE PETITION Notes: - All information on this form becomes a public record upon r eceipt by the Superl•isoi of Elections - 11 is a crime to knowingly sign more than one petition for a candidate [Section 104 185 Floi ida St. s - If all requested information on this form is not completed, the form will not be valid as a Candidate Pr tr rm 1 V1 1 gl u t 0'1 -h c) (1U ���>1 the under.igne• regi ed voter 1 (print name as it appears on your voter information card) in said state and county petition to have the name of Joe Casello placed on the Primary /General Election Ballot as a [check/complete box, as applicable] II/Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District R/ - City of Boynton Beach (insert title of office and riclude district circuit, group seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) 02/[1 - V7 Q vtri +tip lu res" ve Ci ')(241,1,1 County State Zip Code Signature of ter Date Signed (MM /DD/YY) [to be completed by oter] Rule 1S -2 045, F A C DS -DE 104 (Eff 09/11) 1 CANDIDATE PETITION Notes: - All information on this form becomes a public r eco; d upon receipt hl the Supennsai of Electrons 1 \ um - It is a ci to knowingly ■ sign more than one petition for a candidate /Section 109 185 Florida 't Ls - If all requested info; matron on this form is not completed the form will not be valid as a Candid. e Pe l'io • or t L ( the unde igned — gi)tered voter ,ern ' uN \ CA Xla n 1 (print name as it appears on your voter information card) in said state and county petition to have the name of Joe Casello placed on the Primary /General Election Ballot as a [check/complete box as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District I \/ - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address \,___R_I I 1')i.__Q?_ - \ ( c ' City 5 County State p L Zip Code Sit..ature of Voter Date Signed (MM /DD/YY) ! � L _ - [tt� e completed by Voter] � . � 1 Rule 1S- 14 , F A 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate etition form I, 1/' cc m (j 1 the undersig ed, - reg tered vot: (print name as rt�ppears on your voter information card) — ` ' in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] % 0 Nonpartisan ❑ No party affiliation ❑ Party can. • - - for t -`• ce of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY 6 11 6 / j ( 3 _ I /) t cal IA. C" y County State Zip Code Po . �� A eA Pk. (k.i ` c c-t, F ( 333C, Signature of Voter Date Signed (MM /DD/YY) O < [/ b e ei I ply d by Voter] Rule 1S- 2.045, F.A.C. ��'(/ / J7 DS -DE 104 (Eff. 09/11) CANDIDATE PETITION Votes' - -1 ii info, matron on •{rls %o1 m becorne u pi7 I ,-!00! .1 upon ' ebi.? pi bi 1 %e _Sl'pen isai 0/ la Ltib fls - 11 rs a C7 '07e 10 io1otit inglt sign more than o ;2e peprIc " 201 a , ir2ctiLta o f-S0c!1070 1.l ;85 r 'or tic, Si. [ties/ - 1' a'; 7 eg1'estea info! /nation on 1171s fo; n7 ; s 701 "Umploiod the for m o 1?l 1101 he l alidd ,.1 a Ca ate 17110r) nor rn / I�r►_ - ---�� � voter Jud N 7 ewe -c, orin ^zfre as appears ._ .2, cf', " - na' c c n sale s'a'e 2..-c :oJr pe:'to tc r2 e "hie sane Joe Ca$ellp — D'aceo or' -, ,e °, rr ary Gee a Dectoo- Ba'c• , • r ' ea_ __ , �'c , - a: app, oao /e 0 No ^oaorlsa E No party aff att +or { I - -- °arty card'date for the o`fce of City Commissioner - District 1 \1 - City of Boynton Beach Inser; title of office arc 11cluee o„strct arse t gro..D sea* number 5 aop Date of Birth or Voter Registration Number Address r (MM /DD Y) }, City , l County State Zip Code i /3; - / ' /4(2-- 4 C - 1 J L ____ t i ' Signat•. ►- er > 1 Date Signed (MM /DD/YY) Se compere Sy ✓crert Ilk � -? / Rule 1S -2 M DS -DE 104 (Eff 09/11) r ,d CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections -11 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 P� tit r - orm I the under.ig -. - reqistered , oter (print name as it appears on your voter information card) in said state and county, petition to have the name of Jo e Casello � . placed on the Primary /General Election Ballot as a [check/complete box as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District I \/ - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number 1 Address i City County State Zip Code Signature of Voter / Date Signed (MM /DD/YY) C _ ( (--) [to be completed by Voter] IP ( 1 119 Rule 1S-2 045, F A C DS -DE 104 (Eff 09/11) CANDIDATE PETITION Notes: - .A11 information on this form becomes a public record upon receipt bi the Supervisor of Elections 1 - It is a cr tine to knowingly sign more than one petition for a candidate [Section 104 185, Florida at - If all requested information on this form is not completed the form 11,111 not be valid as a Candidate • Ifit form I. A J r ` /.-,� ` -� u the un. • k istere► voter j reg i (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello Now— placed on the Primary/General Election Ballot as a [check/complete box as applicable] 0 Nonpartisan No party affiliation ❑ Party candidate for the office of City Commissioner - District I \/ - City of Boynton Beach (insert title of office and include district, circuit group, seat number, if applicable) Date of Birth or Voter Re istration Number Address � (MM /DD/YY) < o�� 72? w 27 —7 City v County State Zip Code 4 47,1,12 t �� M /gia , - Signature of Voter Date Signed (MM /DD/YY) -_-- ,) _ [to be cgm 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 104185, Florida Statute •1 - If all requested information on this form is not completed, the form will not be valid as a Candidate Iletit ' n, or I, 7��A.14}/ f - .- : �� the undersig _ • : e d v. r (print name as it appears on your voter information card) ) A in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/ D/Ylf) / 2/1. / '11,( (/ ( ) a_ /y City County State Zip Code 1 Y.lr 1GAJ , ;A " ', ' t '4(4 ; M' t( 3 ,3y..,.2 Signature of Voter Date Signed (MM /DD/YY) - z .---7 - ' D 7 - [to be comple d by — '''T / -2/ V/3 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 . lections -1t is a crime to knowingly sign more than one petition for a candidate [Section 104 185, lorida Statutes] - If all requested information on this form is not completed, the form will not be valid as a 4,n. e Petition form _____ I v A Y th rider gned, a re_istered voter (print name as it appears on your voter information card) ,'lik in said state and county, petition to have the name of Joe Casello t1• placed on the Primary/General Election Ballot as a [check/complete box, as applicable] Ilipir - N // 0 Nonpartisan ❑ No party affiliation 0 Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address I (MM /DDIYY) 1 „ , 11 ' - City , - County State - Zip Code . , i , ■ 7 3 7,4 l 7 C, ,), ,, ,,,, , .,__„\L 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) 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition fo m I, Y y^ U / 1 _ the undersigned a re , ist= r'.� oter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello AAIL placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (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 2 - y :2 Signature of Voter Signed (MM /DD/YY) [to be completed by Voter) )-\::-.,==--i-7. a "2 v r Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) 7 CANDIDATE PETITION I ,7,;,: ,,:,.2i.7n7 (..q. v.'s fc,.. ii) becurae ..-; r t4 ? ,......:-.)' j ,,,1'3' , c - %:.'2 '.. . Ilk? Sitr2l ' iSci• ,7 - 11 / ,17 He 'C' 01::' .57g17 mo. , 11:::/: 7 731'7'7) ,.: L.,,t;',7 777 ,S.. 14: . - " o ' , e.aziesrei , , ,- cql.thor- 00 /h. S' I 11 a. , ;0, ,. '.,+1;i12 . '1' ', . ,, , 101 -)„," 1:4: ,., ...:.. u C.:,..ic • , ....— - 1; 1 - X ' (41 • -e. ._ - ... .7. 1 - ' _,' cie" __ s t- _ : E - •_ - -.. . 7.1:-. : I, ,-.;.-- aQe .._ : e• t. .. - z - ie - E. " E. - ..." ... ''' - - '''' -- :: a-_ .7. • — ir.--: - - e- C,e = Ba r; '.., : Pi Nca -, s - r— tvs,:-=‘ ,-- .:." -- ac 1 _ :; E: -. , ,:a aa:e - .0 .. •-,e C 0“ City Commissioner - Dis:nct :V - City of Boynton Beacn ^se '. o' 3" ce 2 .-; s,' --... c r ' ic sea' -, ,, ,- oe' ' ac3 cacie Date of Birth or Voter Registration Number Address (MM/DD/YY) r- , OI/Clis / .7S 017 ■ -0 -Sf— - rS H, // ti City , County State , Zip Code 3 -1 1 S6 1 L.,._1) ---, Signature of Voter Date Signed (MMIDDIYY) / ___ R,(1 15 2 045, A-13 DS-DE 104 (Eff 09/11 CANDIDATE PETITION ;:56COlire. rt-f!. cSt.' Sifr,zr iso• - 0 0 0 ,oe o7c-tmg!. pg,7 mo-e 221 7 2) - " ,r 0,7 th.S % ij r HOI -•= 4 - 1 sk- ''• a , _D 1 - e,n, stereo oze ' 10 ' z Joe- '–ase lc - , awe -3e-ne CCE City Commissioner - Dis:rict - City of Boynton Beacn 0` ce a-c C28 2 c sea' aco :ace Date of Birth or Voter Registration Number Address (MM/DD/YY) City , County State Zip Code r--/ =t13) t- I Signature of Voter /,--) Date Signed (MM/DDIYY) Rule 15-2 045, A 0 DS-DE 104 (Eff 09/11 CANDIDATE PETITION \o1es - . ' '7i''na1,077 !,l, 'n: '0,,;, heCOlile= _ 7 "1.4:•'1. /'-i ^0' l;i !'72 51,! 'so o/ i,_ L;,11s l - li ,s. , .,.'r nit c, .‘0701: 1 s!g17 0101e : Jrie :...'2.1 ' ' IC') •_..."7„.1,a.:21 .Sd' 1 10'; r :'- • J -' /-. 'r c7,., ,...:1(,125, I - ",,'i &t):1:.'S ,r;'% ^777.11107% 0,7 01.1 1 % ,r, _11,.U1e(,J .17E >3»■.,1 UV1 ne \,a,r.. ;,.] U C.i • ...laic ! :0r7'."1' 6 /l 1 1, - ester.^ Cie - _ _ _ - _ _ __ _ J3S j'asello \ • c :__ _ - c " -c- C.e"e - a - B , c_ c __ _ _ - _ - d , ; r\C : . ' 'sc' ru-- N.C. :_• . _ o: C- n _ ;., , Da:e '0' : ^e c'icE .7• Cite Commissioner - District . \7 - City of Boynton Beach -se- . e a ,. ,, .ze c..., sea• ^..^•De' • acD oac,e ` Date of Birth or Voter Registration Number Address (MM /DD/YY) City County ' ; State Zip Code pp Si• ' • Date Signed V (MM /DD/YY) !�� tem. d is'2o Rwie t5-2 Nillli ..m....--- -- DS-DE 104 iEff 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form fi r , c 6crel, the unders !n-= - registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] ,f `irr ID Nonpartisan ❑ No party affiliation ❑ Party candidate ` - office of City Commissioner - District IV - City of Boynton Beach (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 f h d r h 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 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 Sta • - If all requested information on this form is not completed, the form will not be valid as a Candida Petition for ), 0) ( 1 et-L44The the •-rsi• a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello jii placed on the Primary/General Election Ballot as a [check/complete box, as applicable] / t i 0 Nonpartisan ❑ No party affiliation ❑ ,' Part ca : date for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (M DD.'YY) r 0 3 7-1 01.1 g (2 , � e J '' t - `A -- A-t d City County State Zip Code 7 �. - v\ C � 04 FL � 3'4> y3 Signat re of Vote �'� Date Signed (MM /DD/YY) ��� [to be comp/ to by Voter] l `l 70 ( 3 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form I, a�pti. k0.( CL k 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 Joe Casello placed on the Primary /General Election Ballot as a [check/complete box, as applicable] lJ © Nonpartisan ❑ No party affiliation ❑ Party can...a - the office vf City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD , ` /YY) I33 �DU��^ -{e�:ti 6 c� �i1 `� 1 \ \Z — � C) City County State Zip Code y et i ct.� \ w- �� c jc 73`'33 Signature of Vot = Date Signed (MM /DDIYY) [to be completed by Voter] ) C (3 #I ,)o6 Rule 1S-2.049. 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 0: _ L the undersigned, a registered voter (print name as pears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] ri Nonpartisan ❑ No party affiliation ❑ Party car didate fo e offi.- of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) ' Oft /7-(C !' 1 l a c C,41 L -- s City County State Zip Code ,„,4c c, L_ 3 '31/4-13 fv Signature of Voter Date Signed (MM /DDIYY) [to be completed by Voter] I2 / r / 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 Eletctions - It is a crime to knowingly sign more than one petition for a candidate [Section 104 185, r/.. es] - If all requested information on this form is not completed, the form will not be valid as a Ca di tat Peti '.n form V Ke i l k the dersi i, a regist- ed voter (print name as it ap on your voter information card) in said state and county, petition to have the name of Joe Casello \ ' placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 12 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) c City County State Zip Code 4L.Z ,fig �, 4411-''''t 5 z e-7/_? C� Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] / 57/2 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 ElectiomF - 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 Candi. ∎ to Pet' • form ' I, ' cep e_ 5 V\ e n the and - si • -. _ -gist: ed voter (print name as it appears on your voter information card) , in said state and county, petition to have the name of Joe Casello V � placed on the Primary/General Election Ballot as a [check/complete box, as applicable] IINW , ID Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) 00191 12 5I6 k rL Nib $bk/ 3/4i1 r,0 35" City j wctol County State Zip Code Signature of fer Date Signed (MM /DD/YY) t(---.7./ [to be completed by Voter] 1 ° 13 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 Elect .ns - It is a crime to knowingly sign more than one petition for a candidate [Section 104185, Flor•.a Statutes] - If all requested information on this form is not completed, the form will not be valid as a Cand .. e ,' 'tion form d, a registe -d voter L, D 9 - f f'/ Z the 1 (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello Nito placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address V (0 City County State Zip Code t � ,� � /7 /i // -7 3.3 Signature of Voter Date Signed (MM /DD/YY) '/ [to be com leted by Voter] It Rule 2.04., 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candicte ' • tition form I, if ' 4 S ,,i /J1 c� f" ,(r' the und= ig -• . - gistered •ter (print name as it appears on your voter information card) 1 in said state and county, petition to have the name of Joe Casello tllh■ placed on the Primary/General Election Ballot as a [check/complete box, as applicable] Fi Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 7 (MM /DD/YY) c j- (-2' 1- b i - 1- ' e r - i F - C / 2/2- ( ( City ,�� ; 7 State �- Zip Code .ea(7 i c-i' /i K7 i-- ki Sigr3ture of Voter ,_ Date Signed (MM /DD/YY) G` / 7 _ t? ' — 4"-"Z`41-4- _ [to be completed by Voter] Rule 1S- 2.04$, 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 Elections - It is a crime to knowingly sign more than one petition for a candidate [Section 1041 , Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as Can•% - 'etition form. I, ,' / C-/ 6 E-7- �� �/� /71 t e nth r: • -d, a re• tered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] F4 Nonpartisan E1 party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ,.- (MM /DD/YY) // C r� cS• tt.f County State Zip Code 4507A,/,/ OA./ Signature of Voter if Date Signed (MM /DD/YY) [to be completed y Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eft. 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, Florid Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form 1, Fi(�,��" I-�-(f , �� d- the unth si• =d, a egistered froter Y' (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello L placed on the Pnmary/General Election Ballot as a [check/complete box, as applicable] ; : S W 0 Nonpartisan ❑ No party affiliation 0 Party ca iid- - or the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter egistration Number Address (MM /DD/YY) /2? 67 2_076 5 w 1 z �" . / City (( County State Zip Code 83 *vim 3t44-I pa,r,y1 66 Ft 33 �2 Signature of Voter 1 Date Signed (MM/DD/YY) [ to be com feted b Voter] ' q Z i t / 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, Flort a t - If all requested information on this form is not completed, the form will not be valid as a Candida Pe ■ lion orm ), �, t G /A. rj-G /714e/ t2� „� the unde igne •is -red voter �' ` f� (print name as it app ars on your voter information card) , vo,„ in said state and county, petition to have the name of Joe Casello 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 IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) S c'L> �z T �,��, /y 21� "3 City // % County State Zip Code i >/ /v i UAA j ; ,ic A ", L,Lr 0 f.et A r - - 3 - 3 `l S C Signature of Voter Date Signed (MM /DD/YY) [to be co ple / DSDE Voter] /�-��� � // � y Rule 1S .045,E 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 Dile ` CL / lete‘ the undet, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary /General Election Ballot as a [check/complete box, as applicable] ■ d Nonpartisan ❑ No party affiliation ❑ Party c d d : e office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) /a-023 - 7/5 5&J / 8 5% City County State Zip Code y,ti ► /Sejfe , 33 a 6 Signature of Voter Date Signed (MMIDD/YY) a`41-41 [to be completed by Voter] /7414— //e-?- y -f_3 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 10 knowingly sign more than one petition for a candidate [Section 104185, 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, HC Ai 1 (r I'L 1 + the undersigned, a registered voter (pririt name as it appears on your voter information card) -.1 / in said state and county, petition to have the name of Joe Casello \ placed on the Primary/General Election Ballot as a [check/complete box, as applicable] lib' IN Nonpartisan ❑ No party affiliation ❑ Party c- did- - fort - • ice of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or C V [ ter Registration Number Address S (MM /DD/YY� .1 G D t o�D 5' W Z Ci ty —� -� County State Zip Code ✓7 t /Ga{ �� / �7C} ti T, _ t 3 3 (e 2 Signatu e of Voter Date Signed (MM/DD/YY) [to be c mpleted y te r) Rule 1S- 2.045, F.A.C. �) /`7.. /S- V DS -DE 10409/11) V 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, / tl the undersignep, a registered voter / V \ /it''L S /' Ict I (print name as it appears on your voter information card) In said state and county, petition to have the name of Joe Casello '� '' placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party c. -- - - - for = office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) - 12 -, 4 I 1t,<> & t{,/ / / , '.v ,5-r City County State Zip Code �`lC ( 1' //7 G- Al - zige, A/ �' f A " /= ,4 (-/-) i L, J.. 4/ 2 �G Signature of Voter / ('-' ,, - - Date Signed (MM /DD/YY) ✓ [to be completed by Voter] .��--- /( .R L ( — zc)13 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 I, 6 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 Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] Hi Nonpartisan ❑ No party affiliation ❑ Party can d e for tfle • s •f City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) / 2 ) City County State Zip Code �'' ' 1 ° ,vt ( 2 - e ' L Li Signature of ter 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 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 104185, Flrrida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Can. i. • • Petition form I, Z-IJ t eD / A r /!N) t I e si ed, a re: stered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] \ \ rJ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM!DDIYY) 07 - a - 14.5c) /670,2 .S, &J, 5 c 1 , City County State Zip Code a y , i on) ? - Act/ A1, % Z . 33I-La 6 Si • ature o Voter Date Signed (MM /DD/YY) s [to be completed by Voter] ...ewer — /h,..(V – ___ Rule 1 - 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, Flora.. Statutes] - If all requested Information on this form is not completed, the form will not be valid as a Candidate Petition form ; Cry I J �� 2 the un. - • 'ed, : regi ered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello ' placed on the Primary/General Election Ballot as a [check/complete box, as applicable] � IS Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (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 9 Q (Q o Lp gotI O (2-D City County State Zip Code Signatur f Voter Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S -2. 45, 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 -1t 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, 181 -0t6L i i rn - l p, S the uno - sig -d, a registerd voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello 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 IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY010 i O/ jL City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] j - 3 Rule 1S- 2.045, F.A.0 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 Ca `dadate ' tition form 1, v C) 5 C NP� , c.p, s e `\ o the nd� ; igne��, a regist: red voter (print name as it appears on your voter information card) k 1/4 in said state and county, petition to have the name of Joe Casello on the Primary/General Election Ballot as a [check/complete box, as applicable] Nonpartisan D No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address - (MM /DDIYY) OZ — 2 — j 2 7ag� City County State Zip Code Sign ure of Vo - r Date Signed (MM /DDIYY) l � . , Cs; 1 [to ¢ comple edby Vo/ 7' r 4 7 - Rule 1S- 2.04•, F.A.C. DS -DE 104 (Eff. 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 : atu : - If all requested information on this form is not completed, the form will not be valid as a Cand ' ',2 i. n form II& ii I, Da (J ( mo d C r V S A th unde i - :.istered voter (print name as it appears on your voter information card) ti, in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] o Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address }} /,� (MM /DD 0` 0 / tt s oz.. i V c 0. I`e LA , C County State Zip Code / /` �t �j G >! . A l A (4 e a c k f L 3 - W ^� (a Sig a 7 of Voter � /5/ �.� ----' Date Signed (MM /DD/YY) l , [to be co p/eted y Voter] 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 104185, Florida Sta uses] - If all requested information on this form is not completed, the form will not be valid as a Candidate P -titio or riik I, g red voter A � C �`�-v� � y�,L(u�`C� the undersl n � �4'j'- (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello 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 IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY v61 34 ecc e_r Cove Drt � City County State Zip Code 33T1 Signature I 03 wh 6 � Pcd ivv exec- FL Signature of Voter Date Signed (MM /DD/YY) [to be omp ted by Voter] +� �— /1/317/3 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 Election - It is a crime to knowingly sign more than one petition for a candidate [Section 104185, Flori... Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candi.. e P- 'on form I, ( tf�tit. y a „ o the und= 4 .i. -d, a regist• red voter L (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MalD ) I - (L �. . (WC tVe C'ty County State Zip Code Iva _ q 6.-e RI 01 Signature of Voter Date Signed (MMIDDIYY) r - fr - [to be co pie d 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 104185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate ' - tition f.rm I ,.<7;--- ) 7,4._ , /�/..,` 47 c the , n. , -.,a gistered voter (print name as it appears on your voter information card) i fla in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 1111■! 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (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 City County State Zip Code /3e7 7 .., / { i / //7-7 .13e'a) / il " -3 1/3( Signature of Voter / Date Signed (MM /DDIYY) r 1 , ), / „sr__ Ito be co plefe 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 104185, Flori,/ Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candi' .te ' •tition form ' I, /- / i t i _ k 1 - -"(. -' ,7 y -J( the u 4 sI I - , a regis red voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casell V /Ilk placed on the Pnmary/General Election Ballot as a [check/complete box, as applicable] 1.- ___ Ell Nonpartisan ❑ No party affiliation E Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number j Address _i(r_s/(9„4,_D7) c7 _:_//: : (._, /7 . City n Coat State_ Zi Code i - ` %∎1 �s; \ - ) L), ,, if/ - d4 '7L. ' V 11 � �. {I g Sig1Sature of Voter ` ,-7 - -� Date Signed (MM /DD/YY) [to be completed y Voter] Rule 1S- 2.645, 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 Election - It is a crime to knowingly sign more than one petition for a candidate [Section 104185, Florida tatutes] - If all requested information on this form is not completed, the form will not be valid as a Candida e Petition form I, ) 1 , iQ ) ( -, .., r the unde .- g 1 • egistered vot- (print name as it appears on your voter information card) � , in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as applicable] , ��_ 0 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address , ; (MM /DDIYY) h . � 1 (.� i ' `) (- ✓ I ) °+ L (1 J � City , Count"' State Zip Code 1 , � 0 c f # J dp i 1 1 ' �� l P i t - , ,, �` i- / •;,)47 � i Signature of V,r j - Date Signed (MMIDD/ �� )) �-�I_ 0,4 [to be completed by Vo ,-, ,, 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 Candi , . to Petition form I, ' _�L s , , 0 fl f ' /f //1 C ( / the un. • -. a registered 'ter (print name as it appears on your voter information card) in said state and county, petition to have the name of Joe Casello ,` placed on the Pnmary/General Election Ballot as a [check/complete box, as applicable] Vir N Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) , 5 1 l o - 3. Y 7 /' )/ Gci City2 Coun State Zip Code /.2677,,,A0,.2 /77)7 /:-e_r) /42 - '3t Signaoter Date Signed (MM /DDIYY) I ycornPietedbYVoter] 3 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 lectio` - It is a crime to knowingly sign more than one petition for a candidate [Section 104 185 Flori Statutes - If all requested information on this form is not completed, the form will not be valid as a andidate P ion form 4 ) c. f 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 Joe Casello 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 IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) l S/ A)1,Ol w / 97 City County State Zip Code ilOymo,f) f/Aim ii9c1-/ Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S -2 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 Superv or of Electi • , - It is a crime to knowingly sign more than one petition for a candidate [Se 104185 Mr '.4 tat test - If all requested information on this form is not completed, the form will not valid a a * • i • t- P- tition form I, , nde' igned, a registered voter • (print name as it' .pears on your voter information card) in said state and county, petition to have the name of Joe Casello placed on the Primary/General Election Ballot as a [check/complete box, as apolicable] ID Nonpartisan ❑ No party affiliation ❑ E Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration (� i Number Address g A � (MM /DD/YY) i V -- 5..__9 g ) / "7 IC e c.+._-. (l0 l 1Ck IN J ( c e .J Ci County State Zip Code b O k VID ►\-- R c Pa 1 >Y\ B c k r 3 3 L-1 r7 Signature of Voter Date Signed (MM /DDIYY) 1 /7) .... [to be completed by Voter] r. ►' i., //— -Z — `4 -/3 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) h -\ CANDIDATE PETITION // Notes: - All information on this form becomes a public record upon receipt by the Supervisor 5f tlirtu\-) ctions - It is a crime to knowingly sign more than one petition for a candidate [Section 1041 '5, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as . Candidate P orm I, Wd ,y As • a A the undersig -! -- -g stered voter f (print name as it appears on your voter information card) �►� in said state and county, Joe Casello �v� p etition to have the name of Atka*. L placed on the Primary/General Election Ballot as a [check/complete box, as applicable] 'y�• p Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of City Commissioner - District IV - City of Boynton Beach (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ( , ®q ) j LI & c2L/©O A) c23 A UE_ City County State Zip Code Bouro-rolo bECN PAui elEke, 14 - 0 (. Signature of Voter / Date Signed (MM /DD/YY) [to be com eted py Voter] Vii. / - . li .1k /3 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) y CANDIDATE PETITION \otes - y a, ;o, 7: S , i, ✓/7 !,n ∎ ' ✓, l becomes _7 ra, :lam '�: i'„r u_r ()' ''� -� 1:/ / Ji i .l.(i' ..�I �. c , r - mg! sz n 1110: e / /7G7 .i/12 2. .' "C) - . ' ., ' l eO ::'Sie.,J v''C'/ I),,,j1io, Q,7 I % it fl ` l01 m 1. ,(: ■101 b C.3 .i'.i;.f,c he i %'G:1 • 1+ " ): ic y _'c .5 , _ ;_ _ _ :, _ ' Joe ;,ase,Io 1 ✓ ; / �C Sc` _ C C3 _ c' C (� _ - _ c,. c oa:e J •ne C"iCE Y City Commissioner - Dis :rict ,A - City of Boyrton Beacn " o' 3 ` ze a" J s. _ •..." sea' ,.'''Der aco .".,C e Date of Birth or Voter Registration Number Address D (MM/ Y)) CV/1,41 sc � «rte A City County ; State Zip Code i s • Signs of Voter �'` -- Date Signed (MM /DD/YY) Rule 1S- 045. ° A C �� DS -DE 104 EH 09/1 The City of Boynton Beach City Clerk's Office /` �,�' 100 E BOYNTON BEACH BLVD _ BOYNTON BEACH FL 33435 ' '_ (561) 742 -6060 FAX: (561) 742 -6090 ri ._ r ' E -mail: prainitoj @bbfl.us l r -- - www.boynton - beach.org J. • ` nr PUBLIC NOTICE J TO: CANDIDATES, POLITICAL PARTIES AND OTHERS NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the voting equipment to be used in the March 11, 2014 General Election will be held: Friday, February 21, 2014 @ 3:00 p.m. Supervisor of Elections Warehouse 7835 Central Industrial Drive Riviera Beach, Florida RECEIPT of this notice is hereby documented: ? gnature Date Received DETACH IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy (L&A) testing on Friday, February 21, 2014, please detach and return the lower portion of this notice to the City Clerk. Signature #Attending S: \CC \WP \ELECTION \Year 2014 \Information Packets \L&A Testing Public Notice - For Candidate's Signature.doc Catch a Wave, Catch a Fish, Catch Your Breath - Breeze Into Boynton Beach America's Gateway to the Gulfstream FORM 1 STATEMENT OF 2013 Please print or type your name, mailing FINANCIAL INTERESTS I address, agency name, and position below: FOR OFFICE USE ONLY: LAST NAME -- IRST NAME -- MIDDLE NAME : CSc Pvti0 _ MAILING ADDRES _ 7 \ SVuN Aa, 0 Q-\ (stf \X co 7' Y : CAN c-\ 3 3 3 CO * T , C? C— r NAME OF AGENCY : !11 �l t (11 -3 111 NAME OF OFFICE OR POSITION HELD OR SOUGHT : ug ` �► Cr eo Ih■ s 10 N (J is � �t � LL IF You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IFA CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE // * * ** BOTH PARTS OF THIS SECTION MUST BE COMPLETED * * ** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): DECEMBER 31, 2013 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING: ❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR ❑ DOLLAR VALUE THRESHOLDS PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions] (If you have nothing to report, write "none" or "n /a ") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY e N Li 55 metro s - TRccST PCN 101 uJoeet, NIA OtoO Cry tl* Qo,St6rt(A) c -ac., 100 Q:041: v7EAci, 3393S Q.0wItAt6StokiG (L, PART B -- SECONDARY SOURCES OF INCOME [Major customers. clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "n /a ") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE I Iv PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "n /a ") FILING INSTRUCTIONS for when and where to file this form are 7 98ti 'DQ \ v C located at the bottom of page 2. INSTRUCTIONS on who must file Gvy W ZesItc,\ 3343 co Rt r,Nft:3, this form and how to fill it out begin on page 3. CE FORM 1 - Effective: January 1, 2014. (Continued on reverse side) PAGE t Adopted by reference in Rule 34- 8.202(1), F.A.C. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit etc - See instructions] (If you have nothing to report, write "none" or "n /a ") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES Ins' r \ \J (t PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "n /a ") NAME OF CREDITOR ADDRESS OF CREDITOR (.1k/ F� Qo Mo Pt' \ SC) w 3cyIA0w 3EN 2 vd vvc \ts V=a(1.sh vt i IS So wGolt, GsAck, \ \ \v,1 ulac2e -eAxGa dale ∎ - sok -�,, UN tot ,, (j ,s 3 Crkievic P6cTwoaoeT Pt 6 ((00 PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, write "none" or "n /a ") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 NAME OF BUSINESS ENTITY nn ADDRESS OF BUSINESS ENTITY I\� ( k) PRINCIPAL BUSINESS ACTIVITY POSITION HFLD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ S GNATURE (required): DATE SIGNED (required): If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she mist complete the following statement I prepared the CE Form 1 in accordance with Section 112 3145, Florida Statutes and the instructions to the form Upon my reasonable knowledge and belief, the disclosure herein is true and correct Signature Date FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, including If you were mailed the form by the Commission Initially, each local officer /employee, state officer, sianing and datina it, send back only the first on Ethics or a County Supervisor of Elections for and specified state employee must file within sheet (pages 1 and 2) for filing your annual disclosure filing, return the form to 30 days of the date of his or her appointment that location or of the beginning of employment Appointees If you have nothing to report in a particular Local officers /employees file with the who must be confirmed by the Senate must file section, you must write "none" or "n /a" in that Supervisor of Elections of the county in which they prior to confirmation, even if that is less than section(s) permanently reside (If you do not permanently 30 days from the date of their appointment reside in Florida, file with the Supervisor of the Candidates for publicly- elected local office must NOTE county where your agency has its headquarters) file at the same time they file their qualifying MULTIPLE FILING UNNECESSARY: State officers or specified state employees papers Generally, a person who has filed Form 1 for a file with the Commission on Ethics, PO Drawer calendar or fiscal year is not required to file a 15709, Tallahassee, FL 32317 -5709, physical Thereafter, local officers /employees, state second Form 1 for the same year However, a address 325 John Knox Road, Building E, Suite officers, and specified state employees are required to file by July 1 st following each calendar candidate who previously filed Form 1 because 200, Tallahassee, FL 32303 year in which they hold their positions of another public position must at least file a copy of his or her original Form 1 when qualifying Candidates file this form together with their Finally, at the end of office or employment, each qualifying papers local officer /employee, state officer, and specified To determine what category your position falls state employee is required to file a final disclosure under, see the "Who Must File" Instructions on form (Form 1F) within 60 days of leaving office or page 3 employment However, filing a CE Form 1F (Final Facsimiles will not be accepted. Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in their position on December 31, 2013 CE FORM 1 - Effective January 1 2014 PAGE 2 Adopted by reference in Rule 34 -8 202(1 8 A C CANDIDATE OATH — NONPARTISAN OFFICE 14 FEB -4 PM 5' 55 (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE 1 (Section 99 021, Florida Statutes) I, J o C C-A SC - -, 1 (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) C am a candidate for the nonpartisan office of 1 } - ' CO VI TV\ t SS l O PG 'l (office) (district #) , 1 am a qualified elector of PF31 V) L G c- \ County, Florida, (circuit #) (group or seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected, I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek, and I have resigned from any office from which I am required to resign pursuant to Section 99 012, Florida Statutes, and I will support the Constitution of the United States and the Constitution of the State of Florida X sl. I 4- e ) G0a_GL(00 Qo- -c.OIM Sig ature of Candidate Telephone Number Email Address 798 t SLzsAamk Zcw c 2)oy vu FL 331-13 Address City State ZIP Code Candidate's Florida Voter Registration Number (located on your voter information card) 1 1 C g Z(0 1 19 • * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form) Jo KAc IIn STATE OF FLORIDA COUNTY OF PALM tJ GACH Sworn to (or affirmed) and subscribed before me this day of ��,�1 _ . , _, _ , 20 1 . Personally Known V or �;_ /, . NIL! ` v �♦ Sig ' ature of Notary Public Produced Identification ' t, Type, or Stamp Commissioned Name of Notary Public 0HI 00 OHIQ.400 OLLNV'LLV REEL aaUNOs Type of Identification Produced i/TOZ `ZZ 'cm :s .idx' ,'" IIo!ss wu1o3 )' mom # ; - 0tiurRad • A tauEP vuiauaI.IO1f.V,1;0 ri 141 DS -DE 25 (Rev. 5/11) Rule 1S -2 0001, F.A.0