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Filing Papers cc U cc 4 0- D CL N U rn M r co co M 4 0. Z C6 4 J W 2 4 U Z 0 Z 4 Z N 0 In R N N N N O N CO CO 0) 0) c N CO LL CO CO Lo 0) c - co M NI ch co J Li 0 Q W CO Z 0 I Z 0 CO v all m m m v co O Tr cn APPOINTMENT OF CAMPAIGN TREASURER — ', , - 1 r, . PT AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES 14 FEB -4 PM 1:3 (Section 106 021(1), F S ) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): a Initial Filing of Form Re- filing to Change ❑ Treasurer /Deputy ❑ Depository ❑ Office ❑ Party 2 Name of Candidate (in this order First, Middle, Last) 3 Address (include post office box or street, city, state, zip code) 9i2i 13g Crtievs Park Circle, t3Uyrrtbil &ad 4 Telephone 5 E -mail address ( 5 ) 3 )-9 - 1.073 (0 earrne(c©nneck@9'' con ) -FL 33{3(,0 6 Office sought (include district, circuit, group number) 7 If a candidate for a nonpartisan office, check if 7J /ST 2 rC i 1tL 0; CO0/'IC1L- applicable: ❑ 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 q I have appointed the following person to act as my lE Campaign Treasurer ❑ Deputy Treasurer 0 Name of Treasurer or Deputy Treasurer afhef kbf P. /VAAvrD /v 11 Mailing Address 12 Telephone 139 e,7Qvs Pot c'rnr ( ) 13. City 14 County 15 State 16 Zip Code 17 E -mail address SocjlTiV &AC Air) &.ic,14 FL 3343 0 eo Cznnecf 91)161 /. c orn 18 I have designated the following bank as my [t✓ Primary Depository ❑ Secondary Depository 19 Name of Bank 20 _5 Address . II / _ CORSt 3 S /V (Akr6.� SS 'Ric 21 City 22 County 23 State 24 Zip Code c DA) °J rf -C 61140 gb c r-1 F LOPS Dot 3 3 y 2 UNDER PENALTIES OF PERJURY, I DECLARE THAT I 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 Signature of,an idate X 7. L r /j 27 Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, epe»'c7,4 A m Afro n , do hereby accept the appointment (Please Print or Type Name) 'esignated above as d Campaign Treasurer ❑ Deputy Treasurer Date Signat a of Campaign Treas rer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. 1 RESIDENCY REQUIREMENTS t 't7 ---, � �cT _. t }>` I CAR mait g . AST °'J , candidate for (Print Name) C-4 ti covoniiSSio/UEiz Misr ever of the City (Mayor /Commissioner — District #) Beach, have received, read and understand the residency requirements of Article II of the Charter of the City of Boynton Beach. r Signature oeandi • ate) 0-/Y(R/ (Date) 11/12/2013 12:31 PM S: \CC \WP \ELECTION \Year 2014 \Information Packets \RESIDENCY REQUIREMENTS STATEMENT.doc 1Y O Miscellaneous Cash Receipt No 92679 CITY OF BOYNTON BEACH A) 0 o N Account No. 001-0000-369-10-00 $ 25.00 February 10, ,2011_ CARMELA NANTON Received of Address 139 CITRUS PARK CIRCLE, BOYNTON BRACH FL 33436 Dia For City Filing Fee to run for the Commtip4 'IV *Witt f oci la Total pave in the General Election on March 11, 2014. Dept. City Clerk's Office By - _ Miscellaneous Cash Receipt No 2676 CITY OF BOYNTON BEACH 0 (' A- cr 4. 0 ra Account No. 001-0000-369-10-00 $ 222.57 February 10. ,2o14_ Received of CANNKLA NAWrON Address 139 CITRUS PARK CIRCLE, BOYNTON 01140 rt. •141fi Lr )1 For 1% State Assessment Fee to run forS00$400ntffstfrTo Total payrnatt seat in the General Election on March 11, 2014. City Clerk's Office Dept. By MATERIAL FOR CANDIDATES YOU HAVE INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, I HAND YOU THE FOLLOWING: 1. , Qualifying Information & Municipal Election Schedule 2. • ✓ Dates to Remember 3. r0 Form DS -DE 9 Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates (8/03) — TO BE SIGNED AND RETURNED TO CITY CLERK INDICATING YOUR INTENT TO RUN 4. Residency Requirements (To Pe filled out and returned to City Clerk) 5. ✓ Form DS - DE 84 Statement of Candidate & copy of Chapter 106, Florida Statutes (Must be filed with ty Clerk within 10 days after filing Appointment of Campaign Treasurer - Intent ) 6. ✓ / State of Florida Election Laws - Chapters 99, 105 & 106 (2012) 7. ✓ Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees 8. Directions for Posting Temporary Political Sign 9. City Commission District Map 10. Part I Charter, Article VII. Elections - City of Boynton Beach 11. 4 / Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections 12. ✓ Poll Watcher Form & FS 101.131 - "Watchers at Polls" 13. t/ 2014 Public Campaign Financing Handbook 14. ✓ Candidate Petition Handbook 15. ✓ Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets 16. ✓ Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF ELE L 1 IONS AND RE 1 URNED TO CITY CLERK DURING QUALIFYING 17. ✓ Form 1 Statement of Financial Interests 2009 — TO BE FILLED OUT SIGNED & RETURNED TO THE CITY CLERK DURING QUALIFYING 18. L&A TESTING NOTICE (SIGN AND RETURN Al TIME OF QUALIFYING.) 19. ✓ Loyalty Oath - Oath of Candidate (DS - DE 24B) TO BE RETURNED TC CITY CLERK DURING QJ,ALIPYING RECEIV:i• BY: / Candidate Signature 'o Date Signed Janet M. Prainito, MMC City Clerk 11/14/2013 3.47 PM S• \CC \WP \ELECTION \Year 2014 \Information Packets \MATERIAL FOR CANDATES.doc FORM 1 STATEMENT OF 2012 Please print or type your name, mailing 1 FINANCIAL INTERESTS I address, agency name, and position below: FOR OFFICE USE ONLY: LAST NAME -- FIRST NAME -- MIDDLE NAME AMA/ ADDRESS /,� /� , < ° A/�4'1FZ� �. MAILING ` • /31 Orr -x &s i r- c bear-- _. ITY ZIP COUNTY — a Al 1; Cfi ,S 3L/3 /'1tx 11-6 NAME OF AGENCY " c"' CA NAME OF OFFICE OR POSITION HELD OR SOUGHT �lTy p-F 861 1 6i7101 CE n?/YIISSiUtiM. ' 1 ) )5T2rCT " iU You are not limited to the space on the lines on this form Attach additional sheets, if necessary CHECK ONLY IF a 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, 2012 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS 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 QR ❑ 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, you must write "none" or "n /a ") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY hR��7611 -t AI HtinC v/wut-r1S1T-1 Go/ S t c- -u-ca 667[,.."7 u ,S7 EDvc4rioik; i3duc; y Artm C11 , s F L 334/6, I01‹ 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 PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] FILING INSTRUCTIONS for (If you have nothing to report, you must write "none" or "n /a ") when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1 - Effective January 1 2013 Refer to Rule 34 -8 202(1), F A C (Continued on reverse side) PAGE 1 PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, you must write "none" or "n /a ") TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES TIOH - Cie F t &Fea,zei y r / 12 & Wrcwr OPrl /.1#z - 74 ACCT PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, you must write "none" or "n /a ") NAME OF CREDITOR ADDRESS OF CREDITOR P o 60i4 to '80 DEPT 6 c-414 wwvv kvcjevcfIoavts. Sa lite v,gianc400its,It D /ZTC11 t\kil5 - fare zoco -brae lnI ifN # i�lrrtic rn�fy S� S�tt1 �G,,,ct9c_p S'0Arrtz_vs 6,4N& to C; Ro 2cit,m IA JA Palm gec'c 3.-348o PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, you must write "none" or "n/a") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3 NAME OF BUSINESS ENTITY (PAIt2M CIDIVAie el7Ott IOC ADDRESS OF BUSINESS ENTITY f! ifi°PJOX ; 7-1 / 3A " 8.3 , .&04 - 364c Y rz- 332I '1)i PRINCIPAL BUSINESS ACTIVITY CoNSilCTiNG^ POSITION HELD WITH ENTITY Pl'�- SLatiVr I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST OWNER- IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE (required): DATE SIGNED (required): 4/6//(7. FILING INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, If you were mailed the form by the Commission Initially, each local officer /employee, including signing and dating it, send back on Ethics or a County Supervisor of Elections state officer, and specified state employee only the first sheet (pages 1 and 2) for filing. for your annual disclosure filing, return the must file within 30 days of the date of . form to that location his or her appointment or of the beginning If you have nothing to report in a particular Local officers /employees file with the of employment. Appointees who must be section, you must write "none" or "n /a" in that Supervisor of Elections of the county in confirmed by the Senate must file prior to section(s). which they permanently reside. (If you do not confirmation, even if that is less than 30 permanently reside in Florida, file with the days from the date of their appointment. NOTE: Supervisor of the county where your agency Candidates for publicly - elected local office MULTIPLE FILING UNNECESSARY: has its headquarters.) must file at the same time they file their Generally, a person who has filed Form 1 State officers or specified state employees qualifying papers. for a calendar or fiscal year is not required file with the Commission on Ethics, P.O. Thereafter, local officers /employees, state to file a second Form 1 for the same year. Drawer 15709, Tallahassee, FL 32317 -5709. officers, and specified state employees However, a candidate who previously filed are required to file by July 1st following Form 1 because of another public position Candidate file this form together with their p p qualifying papers. each calendar year in which they hold their must at least file a copy of his or her original positions. Form 1 when qualifying. To determine what category your position falls Finally, at the end of office or employment, under, see the Who Must File" Instructions on each local officer /employee, state officer, and page 3. specified state employee is required to file a final disclosure form (Form 1 F) within 60 days Facsimiles will not be accepted. of leaving office or employment. However, filing a CE Form 1F (Final 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, 2012. CE FORM 1 - Effective: January 1, 2013 . Refer to Rule 34 -8.202 (1), F.A.C. PAGE 2 G - - FORM 1 STATEMENT OF 2013 Please print or type your name, mailing FINANCIAL INTERESTS I FOR OFFICE USE ONLY: address, agency name, and position below LAST NAME -- FIRST NAME -- MIDDLE NAME N C,- 1e &y? 2 MAILING ADDRESS 6 r tis /1 eg.el -'1 rn CITX ZIP COUNTY _ .� 150 ,J7 v -53 3 i 6 Ch` c NAME OF AGENCY a r NAME OF OFFICE OR POSITION HELD OR SOUGHT C GT rF 3o yivizN ���Crf 6414 ,, rortiEg L ST(Ucr .C(z so ,.. You are not limited to the space on the lines on this form Attach additional sheets, if necessary CHECK ONLY IF 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 SOURCES DESCRIPTION OF THE SOURCES OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY to Eck CA' 6f,t,bk( 1)d/tie-is/A) i ui 2Y rnti — - 59 - C1)0 - 7 cU 2 1-1, 3 y) -y 7-OS — 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 N r. 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 located at the bottom of page 2. /L f INSTRUCTIONS on who must file / /// this form and how to fill it out begin on page 3. CE FORM 1 - Effective January 1 2014 (Continued on reverse side) PAGE 1 Adopted by reference In Rule 34 -8 202(1) Frk 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 , e , ' 2 ' \ 1,,,O.P_I t / II- PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "n /a ") NAME OF CREDITOR ADDRESS OF CREDITOR ' t riuv ('CL.tnvt r3 cc,c -G. 4cate.,0 6Urk( covet PatviA 3Qacti. 33 =pi t-eA v at ■ £Q Lemue & A tui c 37 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 C ADDRESS OF BUSINESS ENTITY 7 ■ PRINCIPAL BUSINESS ACTIVITY re)‘) � � , POSITION HELD WITH FNTITY if I OWN MORE THAN A 5% INTEREST IN THE BUSINESS ,-- C ii NATURE OF MY OWNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SI NATU - (required : DATE SIGNED (required): 1 Z //b 7( � 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 must 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, signing and dating 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, P.O. 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 candidate who previously filed Form 1 because 200, Tallahassee, FL 32303. required to file by July 1st following each calendar of another public position must at least file a copy year in which they hold their positions. Candidates of his or her original Form 1 when qualifying. file this form together with their F 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). F.A.C. STATEMENT OF CANDIDATE 14 FEB 10 PM 14: 10 (Section 106.023, F.S.) (Please print or type) 74/,! AL 7zaA/ candidate for the office of (,' /r SSrutiE Si C7" `IV. ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. ( r- X v , �L U � I Signat —of ndidate 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) The City of Boynton Beach City Clerk's Office , 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 -� (561) 742 -6060 -- i FAX: (561) 742 -6090 w E -mail: prainitoj @bbfl.us www.boynton- beach.org r , .� ' PUBLIC NOTICE F — 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: Signature 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. 0 4,u $ at, Sign re #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 !.Cife�'Yi, ,. i ? +i CANDIDATE OATH — ,. ? ` NONPARTISAN OFFICE 14 FEB 10 P11 4: 10 (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99 021, Florida Statutes) 1, - R. n14AJTonl (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * - NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of C 17' CD vw e iL , a , (office) (district #) , I am a qualified elector of PALM 3E t-H County, Florida; (circuit #) (group or seat #) 1 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 � 4144,6 (5 )) 3a - !o 7( C t ?analcongerr t..) rx,i/. 'Signature of C lielfi-L., ate Telephone Number Email Address /3� C[TevS 94 elicit t 11 y/vmA) & � 4_1.- 3 Address City j State ZIP Code Candidate's Florida Voter Registration Number (located on your voter information card) 11,2 3 * 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) CAR - mt rt - L 1 = 1 NtiN - TON STATE OF FLRRIDA COUNTY OF al m 1 Sworn to (or affirmed) and subscribed before me this 4 111 day of Feb , 20 Ii . Personal) Known or ✓�+ rr�l�v Leo Signature of Nota Public Produced Identification ✓ +G *� *�� I 'j Print, Type, or Stamp Commissioned Name of Notary Public Type of Identification Produced "17V iJ53{ 1 {) p64 1110 - _ _ _ i .; tip"• :; VIVIAN E. CONSOLE f*: r_ MY COMMISSION # FF 012449 ' A FXPIRFC' Flay 1t Jf117 „fir, Bonded Thru Wolary Publw Undenrrkers f DS -DE 25 (Rev. 5/11) - - IIUeMC ii:1110111, F.A.C. F , l AL 9 �0 Palm Beach County OF pp%* 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 SUSAN BUCHER WEST PALM BEACH, FL 33416 Supervisor of Elections TELEPHONE (561) 656 -6200 FAX NUMBER (561) 656 -6287 WEBSITE. www.pbcelections org CERTIFICATION I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 32 signatures on the Candidate Petitions for CARMELA R. NANTON, 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 CARMELA R. NANTON is a registered voter in Precinct 3168, in the City of Boynton Beach, Florida. Signed, this the 10th, day of February, 2014. SUSAN BUCHER m SUPERVISOR OF ELECTIONS op PALM BEACH COUNTY -�- L C . •• , co (SEAL) 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. h e i G J v4 the undersigned, a registered voter r J (print name as it appears on your voter information card) in said stat and county, petition to have the name of 7)e - C,4 kkDizzif R. Alit N7 U id placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] (Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of ca c DisTlz -ie-T (insert tit! e of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDIYY) 1(0 r3 c UTs cA PS City County State __ Zip Code P 1% !c4- ft- 3345 6 Signl'ture of Voter Date Signed (MM /DD/YY) [to be completed by Voter] 2 ( 7/ 0 17 Rule 1S- 2.045, It.A.C. DS -DE 104 (Eff. 09/11) d + • ,s 4 1 Q/ CO coo C IO A / 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 Petition form. 1, ' d r / P ( the undersigned, a registered voter f (print name ids it appears on your voter information card) in said state and county, petition to have the name of .e- C4Rin Z4 2- /lrtNTz) 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 C/7 L1 comet ISS /0AJEL D /STK l er (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 3 i /9 6 (3 64O C � EruS cr PC7e_ City _County _ State Zip Code - Signature of Voter Date Signed (MM /DDIYY) [to be completed by Voter] ( 11-* j - 19/ 7 1 Rule 1S -2.046 F.A.C. DS -DE 104 (Eff. 09/11) `i 4 /' 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. 1, h l A 4 ) L' (- , Lk Jt'E i [ c the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of .7)e • C 4Rn4j7, . - 2- /I Nit) N I placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Clr viM Cv[ /SS/ JEI DisT2 -le-f 1V (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 — — 7 11-tc - 1 f a(A. 5 per c City County State 1 Zip Code / C f —.4 • pfi-l4-b, r 17 ....1 Signatu • of Voter / / Date Signed (MMIDD/YY) / [to be completed by Vote i Ai‘alle a 2 _ 7_ / Rule 1S -2 +46, F.A.C. DS -DE 104 (Eff. 09/11) ,1 ic-i -\, CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. i 1, - {� ^ � ,� / y'1 (1-2) L ES C the undersigned, a registered voter I /_ ! / (print name as it appears on your voter information card) in said state and county, petition to have the name of -De - C 4Rirrezi} g . A�,t n]'1 ° fd placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] N lonpartisan ❑ No party affiliation ❑ Party candidate for the office of Cfrti Cv�vt rIss f' o� - Dis -2I e -r (insert tit of office and include district, circuit, group, seat number, if applicable) Date of Birth �or V Registration Number Address /Y (MM /DDY) -f-- � --� — City b� State de 1 1 14\ Pxach 1 ate Zip_ Co _ __ L4 k \I iitl fo a Signature of Voter / Date Signed (MM /DD!YY) f , \ [to be com feted by Voter] 1 O( I L. Rule 1S- 2.045, F.A.C. DS -DE 104 09/11) q 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. 1, A iL ( I - - � . 'ir (J the undersigned, a registered voter (print name as it appears on your..,/oter information card) in said state and county, petition to have the name of • Cft1U 51 Y) .4 R I) N1z N l y placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C irti COMM /SS IOAig,2. 1) /ST kZic r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ` O e l \ 2•0I C_ g City County State Zip Code � n-� R C f I t --- ( 3 Signature of Voter r _� Date Signed (MM /DD/YY) [to be co pleted by Voter) , ■ __--\ CI_ -.) -/if 0 ‘; C-'1 1 1 Rule 1S- 2.045, F.A.C. DS -DE 104 (EH. 09/11) /AV 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 , 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 DR - Nt910 - D v placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C i iivj COrNfl iSSf fJE (5[ (C/ 1SL (insert title of office and include district, circuit, group, seat number, if applicable) r Date of Birth or Voter Registration Number Address (MM /DDIYY) City County State Zip Code LI n4 {5 C l • Sign ur of Voter Date Signed (MM /DDIYY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. d DS -DE 104 (EH. 09/11) 7 • c/ 7 1(`--(A,/ 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 Petition form. 1, v‘t HU 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 . C 4 /.jfl 74 1 2. l\ifi i D/U placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] lZf.klonpartisan ❑ No party affiliation ❑ Party candidate for the office of 0. rf C-0111/17/ /6 .1) S? / jCi - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) Li / 3 ...0 IAC•ig pa, City ii Cou y State Zip Code v L 1 Nl,t^ �,�c h ( Eck 3 p ( � 6 Si n,3ture of Voter Date Signed (MM /DD/YY) J7 [to be co pleted b Voter] Rule 1S- 2.045, F.A.C. DS- 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. 1, 7,/ �J ` � � � , � 7 the undersigned, a registered voter • p rint na e as it apps on your voter information card) in said state and county, petition to have the name of - 1)(2 • Ci2 flEzA j2. / 1t1AUr°n) placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] Z ] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C CO voISS /VcIZ. -.1 5TXJC i _TV (insert title of office and include district, circuit, group, seat number, if applicable) t? j Date of Birth � or Voter Registration Number I Address y� h (MGM /DD /) � l �� ?/ //A- 7�` 7�//�- ,` A /( City County State Zip Code hYetil ,C L 1 `‘./t-- / 33 Signature of Voter Date Signed (MMIDD/YY) [to be coy3plete by Voter] Rule 1S- 2.045, F. DS -DE 104 (Eff. 09/11) i' �--- / :) 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 109.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. t, o o 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 Dfr c- 4(ay4CZft iJ " NTbti placed on the Primary /General Election Ballot as a [check/complete box, as applicable] xi Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of �l 7" 1 -1 C D / o r Y I I S Sic�AJ rL ' D S7 l2 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) � � v ea/GnG /c ,. L City County State Zip Code /4 /5ea i?499 Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (EN. 09/11) �;/ Ve 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] - 1'a . equested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, L , c r the undersigned, a registered voter 1 pri , t ame as it appears on your voter information card) in said state and county, petition to have the name of 7Q C4/2,yUZZ,4 ' Ahti/liO/11 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of OA 7 t l C-010/0/ SS lOA)&IZ, J7 %S7k -d Cr 'WE. (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address / (MM /PD Y) 3S VA City unty Stag Zip. Code 41(9 14' A-6\ • 9.F-74 Signature of Voter Date Signed (MM /DD/YY) [to be completed y V er] Rule 1S- 2.045, F.A.C. S -DE 104 (Eff. 09/11) 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 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 aA f f)--'-- t beg CD (\j the undersigned, a registered voter Writ name as it appears on your voter information card) in said state and county, petition to have the name of Dry - C 4R2 iLf (2. AIDrJ7rj placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [ tlonpartisan ❑ No party affiliation ❑ Party candidate for the office of C/7 L1 CotMM lss/c JEf D,sy Cr 717 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) // -f- '�x - ( . l 6 CO I -1 (-( l� Q US ?C?lv C tv , _ City C State Zip Code ct)b > n ZCC\ a( m aci t c_g<f3 Signature of Voter } Date Signed (MM /DD/YY) t e_JUTO‹-e -- - ) �_ [to be completed by Voter) Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) j CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, ; the undersigned, a registered voter (print name as it appears on your voter information card) "' in said state and county, petition to have the name of �� . C' bLy16ZA- l2• ,jA/U��U placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C i7 L j W✓1 / 5S /0/U ell- s 12-C j l- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /D /YY) eZ/Oi / (; 7 Gt /71 (:/' / 4‘ ' City County State Zip Code Signature of Voter Date Signed (MM /DD/YY) /;j6 .--V e e). /M"' [to be omplec6d by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (EN. 09/11) a+ OA! 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. 1 , \ N roXv l con ( 3L1r) 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 De L 412mC 72. A,r -Ny-! placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C/T4 C4.:41,4144 /SC/bitiEie— D /sT/ fl 1]7 (insert titI6 of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address OC �IC�. c , � us `lack Cc City County State Zip Code . cb, Ok n ;(c `Pc1\ m leach ? 3 4- 3G Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] oa.OS Lk Rule 15- 2.045 F.A.C. DS -DE 104 (Eff. 09/11) „tit/ 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 Petition form. 1, �e•0{1 mCS `C\ 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 De - C >4 t21fc7-i- g. Aim-to placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] lonpartisan ❑ No party affiliation 0 Party candidate for the office of « - Comm I Dis -2ie-T iv (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) i 1/3 a/ g,3 131 c i - u - Pcx - K (. , t : U- 1 City ___ _ _ _CounV, _._._. State _ZIpCode _ �Y o ,�rf or► ' Cc-C_ h 1 ,,ii Qea each rL 3 3 y 3 t Signature of Voter Date Signed (MMIDD/YY) [to be completed by Voter] Rule 1S- 2.046, F.A.C. DS -DE 104 (Eff. 09/11) e VA/ 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] 4. - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. Illi I> 0 A m sE y C D1 77./ 6,0t-- S n / i xo the undersigned, a registered voter (print name as it appears on your voter information Gird) ( •� -,✓w in said state and county, petition to have the name of ..e- cte,,NGZA- z. /\J A j7TJ/J placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation D Party candidate for the office of CirLj Comm Isslo�E,c - D /sr2 -iCT - TV (insert tit` of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DOPY) _ G , T".e V City _... _ oun State _Zip Code g ' LW g11,4_ F Z 33V3(. Signatur= , -- er Date Signed (MM /DDIYY) [to be completed by Voter] Ir / . 02 _ Q _` U Rule 1S- 2.046, F.A.C. DS -DE 104 (Eff. 09/11) !44, 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 Petition form. I, . r/ (( ((.l �1 0 `I ; \J C C\ the undersigned, a registered voter r/ (print name as it appears on your voter information card) in said state and county, petition to have the name of -7)i - C >4,204E1_4 (Z . /l//} Ai To /J placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] C .tlonpartisan ❑ No party affiliation ❑ Party candidate for the office of e./r4 Coin nM l ST e-1 TV (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDIYY) J \ � � LQ. C k C City State _ _ Zip. Code Signatur Date Signed (MM /DDIYY) [to be co plet d by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) 3 MA/ 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. 1, ®, / < ?� �1 ��, �l i the undersigned, a registered voter I V (print name / as it appears on your voter information card) in said state and county, petition to have the name of 2 C4 'wa 2 . ,Ajf -n1TU placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of eir1 Comm ISS/ JK E. D /sT2ie - 717 f (insert ti of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) 03- zo ' e Pai-k City County / / , State Zip Code 144 'ea ' 1 36 ) 40)1 r Signature of tr Date Signed (MM /DDIYY) i ■ [to be completed by Voter] Rule 1S-2.045, F.A.C. I DS -DE 104 (EH. 09/11) a V 6 A j , 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] all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. l' Oh t"` f I fl I the undersigned, a registered voter (print n n aamm lll e as it ppears on your voter information card) / in said state and county, petition to have the name of De - C 14 t CZ R- /x[14,JTTJ N placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] [N onpartisan ❑ No party affiliation ❑ Party candidate for the office of eiri COMn4 /SS /OrtJE(- Dicre -I e-l - V (insert titl of office and include district, circuit, group, seat number, if applicable) Date of Birth o Voter Registration Number Address / q� f ��j Q 1 (MM /DD/YY) )03 3 �� r f jl s fiar -- is tc ! 1 Ci V �� _ .�_ -- �oun�( a L � &I7 S ZiQ Code / ( 3 S ! store of ote Date Signed (MM /DD/YY) [to com leted by Voter] I a i s 1 Allp Rule 1S- 2.046, F.A. .I.----'-- DS -DE 104 (Eff. 09111) .76/ 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] 4 - - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. i, 116 vl yt V � ,/ n „ 9 (n � k (0 ` the undersigned, a registered voter ',Print name as it appears on your voter information card) in said state and county, petition to have the name of} DA- C 4 t2n?GZi} 2- A1i-NTi /J placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of e/TLi Co rvim l D . ,sTl -/ f (insert tit of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) / 0 - --?S 1 CO, C 4 ea/P (A NO , City _ _ County n State Zip Code b tl . n -°() \,,k/ (fic A ci64 ( , x ‘1,I, (1) 6„-- .4/ - Signature of Voter Date Signed (MM /DD/YY) [to be compl ted y VV oter1 .-- I U l Rule 1S- 2.045, F.A.C. DS - 104 (Eff. 09/11) ) (AI 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. ), ( z4 .-/;/ - eids' the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of )f • C 4 ,? 4 7j} 7? . ,/ n 17 To /J placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] )onpartisan ❑ No party affiliation ❑ Party candidate for the office of c ir Cc w,vi / S /l iJE,e_ 7�/ s7 / 1 - 7V (insert tit of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) 0 5 ,_ 9 & d: " /-4 City County �� State Zip Code \3.4..i.- "4, J ? 3 Y Signatu / Voter Date Signed (MM /DDIYY) [to be completed by Voter] �: h �� --D g Jam/ Rule 1S- 2.045, F.A DS -DE 104 (Eft. 09/11) a 3 4/41 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 thisform is not completed, the form will not be valid as a Candidate Petition form. C , icu,0 G v Lt 7 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 7)e- C 41204a -A 2 . /\t r} N'TU /i placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] ( ,[Vonpartisan ❑ No party affiliation ❑ Party candidate for the office of CITLi COMM /5C/o JEL D/ST4iCT (insert tit! of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address l ,, (MM /DD/YY) (C34(& l �'�/ (�� �1 C / i count /p e State Zip_ Code Y lord O.i 1for -c/cc 3 3X1 -6 Signature Voter Date Signed (MMIDD/YY) (2, 4 re 2 [to be co ple ed y Voter] l� Li Rule 1S- 2.046, F.A.C. OS-DE 104 (Eff. 09/11) 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 Petition form. 1, AN the undersigned, a registered voter (print name as it appears on your voter information card) i n said state and county, petition to have the name of .fie - C 4 ,? 1E 4 (2.. Aim- N To id placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (/T11 C.00104 ISS'1c tti el e I V (insert titl of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM S t 71 86 c(-1Y-,,s ,r S �a { Ceg City _ __ _ _ Counter_ State Zip Code o1 1 4" %..1 )3-e .., it N...... F.D.e �c i FL 33V34 Signature of Vot Date Signed (MM /DD/YY) [to be co plet d by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 {Eff. 09/11) ti 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 Petition form. 1, r � \ j �. the undersigned, a registered voter (p int name �s a pp4rs on your voter information card) in said state and county, petition to have the name of A C ,4Rp?CZif (Z - Abt rvTTJ N placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] .Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of e./n4 Comivt Iss/ 4JEe Dis fl 717 (insert titl of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address , (MM/DD/Y1) a 1 Er C � VC LOOe City _ C unty State Zip Code RXICIN\‘‘‘ R\ - 5 L IB Signature of Voterr Date Signed (MMJDD/YY) t [to be complete b Voter] A 0 I J 1 Ail a � � - f Rule 1S- 2.046, F.A.C. DS -DE 104 (Eff. 09/11) 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 104.185, Florida Statutes] - If all requested informatii�on on this form is not completed, the form will not be valid as a Candidate Petition form. I, / A Z the undersigned, a registered voter (rini name as it appars on your voter information card) i n said state and county, petition to have the name of 7)1Z, -2.f'1 i LA It - t,P0-t3T3ki placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of i ' I r -- 1 COMM \ SS ( N EvL ZJ 1ST 0-1C-1 '-- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (1DI 15S C(TeUS Paek 06& City County State Zip Coda Signa oter Date Signed (MM /DDIYY) 46.- .1 P [to be / compl e eted by Voter] ''*---d Rule 1S- 2.046, F.A.C. ! i DS -DE 104 (Eff. 09/11) ■ CANDIDATE PETITION I {J 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 Petition form. ), \) t ^N � i 1, 1 ((p the undersigned, a registered voter J / riint name as it appears on voter information card) in said state and county, petition to have the name of Iv- e4 twelif- 7 _ A 1 It hJ'rrj /J placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of co Comm 1 �Disr2 - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address cM / H I 7 0 i (9 9 c- S') � }ubiu- 1 Gtr V-- City Co my State Zip Code ( (i c - QSLh- Ht � 5 Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] OUI)vtlik &-e. Qj 3 t 4 1 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) ■ (1, k, 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 Petition form. 1, 7 %/2n 4 6 24 /04 A./7 ti 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 nzeinalf 2 AM-AfrO/J placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] ® Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C/7y & MN/SS /D /0Se 7j /s72.l LJ (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 cV - S 1 sa ,3 &i-'-' gde (� ,eca- CA County State Zip Code y, A/ ) ach (kin B6404 Ft 33 z7/3 Signatur - if Voter t / Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S- 2.046, F A.C. DS -DE 104 (Eff. 09/11) v ' CANDIDATE PETITION :Votes: - 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] - 1f all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 1, KIa 5\1\ a L \S ■ r ' '\ the undersigned, a registered voter (print name as it appears on your voter information card) I in said state and county, petition to have the name of e Ca I l t yl-� -A 4 P- l'J DA placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan n No party affiliation ® Party candidate for the office of « [T' �GVYI SSt DA) Er 15 irA Cj lL (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) oci1.3A \3q c, kjs („0,01„, Co - cue City County State Zip Code '&A.VA"\ e c C A 06 tw 1 k o, C/\ E1.13 Signature of Voter Date Signed (MM /DD/YY) Ac�� G44 [to be completed by Voter] Rule 1S- 2.046, F.A.C. DS -DE 104 (Eff. 09/11) Ze 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] - 1f all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. i, l.2(G !-F4 ✓Z O 13 r i eLa • 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 1712. . C►9 /2-IY)t 2 - /11 placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] ,Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of L in/ COlvlrl') /S' �J Uc /�_ b r S - t12lC Fr 77 (insert title df office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address / (MM /DD/YY) r 2 i( IC( 2 7 6 7 �i tV'€iS Pack £z ue City County State Zip Code i 0114 cit Pei 66a cce 3 S +3 (-. Signature of Voter Date Signed (MM /DD/YY) el60 [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (EH. 09/11) 42 1 , \ CANDIDATE PETITION N otes: - All information o n 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 Petition form. -i I, the undersigned, a registered voter o r 0 .i^ / / Z71"/"I •,/' (print name as i appears on your voter information card) in said state and county, petition to have the name of -- D 2. e q /C mC t 2 • nI/-i/ irc l`? placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] pKt Nonpartisan ❑ No party affiliation n Party candidate for the office of c 1 7 L GOh9/P! /SS /b /U jL-, 'D /s7 r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD Y) , / 37 / / (cif, -mss / 2 �- C' - /� City County State Zip Code 0 ► - t ' o 1l / a/ r3 /._ II- 5 54 Signature of Voters / Date Signed (MM/DD/YY) [to be ter] � pletQd Voter] rri b� ter] " /Q/ 't — ,?1,‘,.. Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) , rp i CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - 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 N le .� (_ � the undersigned, a registered voter � - 't print name as it appears on your voter information card) in said state and county, petition to have the name of De - c4t21nE - Zit- g. /lit r\JTU N placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] (Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of C../r4 CO/1/7/14 4J /5C/ E - D,STK -/e 1 v (insert titl of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address � �0o v CkS ParX ci Co State Zip code .V N kO� 62ac h it--- 33(13b n Signature t Voter v- \ L Date Signed (MM /DD/YY) \ ( l lf, &anon [to be com letfed by Voter] 2 183 l e Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) '; j J CANDIDATE PETITION N otes: - 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] 4 - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. -T ~ i, • the undersigned, a registered voter ■il print name as it appears on your voter information card) in said state and county, petition to have the name of Did - C 412114EZit (2. Alit ij' ri placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] Z klonpartisan ❑ No party affiliation ❑ Party candidate for the office of co C 2 4M I D /STK-1 e-T 717 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or . Voter Registration Number ddress t(a 4_0.pk_ , 2 /,"/...5_2, Ci ^^ Co l ?iW 4 my State Zip Code ` >lf $ICL 1 Signature oAioter Date Signed (MM /DDIYY) 40 [to be co' pleted sy Voter] , , i / Rule 1S -2.046 SI .- D DE 104 (Eff. 09111) 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 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 c �� i, J print d ame as" it appears on � y , vot r informa Card) in said state and county, petition to have the name of De - c 4 ? nC 4 g . eft NTu ij placed on the Primary /General Election Ballot as a: [check/complete box, as applicable] (Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Clr4 Coh�vv� Iscib6 . - DiSTQ- /CT 717 (insert titl of office and include district, circuit, group, seat number, if applicable) i Date of Birth or Voter Registration Number Address (MM /DD/YY) ka\e, City ' iptA (-1 �_ ... unty, State Zip Code LIStAlIA • �. ( i? 331-1-31p Signature of Voter Date Signed (MM /DD/YY) , i 4 ,,, �4 [to be com leted Vptel Rule 1S- 2.046, F. / DS -DE 104 (Eff. 09/11) sis J