Uncertified Petitions 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 c;�
i ' n n i f '-er A rn i l e r the undersigned, a registered voter
(print name as it appears on your voter informs n card)
in said state and county, petition to have the name of , ' 0 (l/Cz. )) e_t(t f
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 .0 ) 'SIR £2 Yip k'1 -, 1 C < C J.fei7Pr
(insert title of office And include district, circuit, group, at number, if applicable)
Date of Birth or Voter Registration Number Address
/1 7 /yg 7S o ? /V) SQL) /6 Sf 1
City County State Zip Code
y
Signature of Voter Date Signed (MM /DD/YY)
[to be completed by Voter]
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 �/ ^ (,.I
- 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 1j ,.42...f ■ "CI et---- V CA....i n e_. 11 0 1,-1. the undersigned, a registered voter
(print name as it appears on your voter information ca d) -
in said state and county, petition to have the name of ---re2.—C-A-La-- WI g--(
placed on the Prima y /General Election Ballot as a [check/complete box, as applicable]
❑ Nonpartisan No party affiliation ❑ Party candidate for the office of
r 41‘ I t L 6 •, b v n - ill C vi t S o n e _,z__
(insert title of office and imegide district, circuit, group, seat numiteajf applicable)
Date of Birth or Voter Registration Number Address 740 Q Ica.. r
r , elc s ( -t� �.y
(MM /DD/YY - - Q � J , a I 422-
City �� n w �„ _ County
PG'c.. ("� (C-1 State ZiCode
i 3 3 ---
Signature of Voter Date Signed (MM /DD/YY)
[to be comple d by Voter]
,-,\.4) c....._ "ri ,
/3
DS -DE 104 (Eff. 09/11
Rule 1 - 2.045, F A.C. t 09/11)
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CANDIDATE PETITION
Notes: - All information on At i form bewares a public record upon receipt by U h a Supervisor if Eketions.
- 11 Is a crime to louswittO sign more than one petition for a candidate (Seam 104.185, Florida Statutes] t,
\ \,
N.i
- fall recomted biformation a n fhb:forst is not compktse4 the tam will sot be wiled ae a Candfdate Pedtionform
4 1 4 41.:::::11 the undersigned, a registered voter
(print nerve as it appears On your vcainfo(mation card)
in said stale and county, pablion to have the name of . 41 WO ifYlci \c\\) —
Placed on the Primary/General Bedlon BeNct es a icheciaximplefe box, as applicable)
ONonpanisan 0 No party affiliation 0 Party candidate for the oNce of
4r CA.17., i':=y--0-- cceir
(Mart tine of of office and include drcult . group, sea number, if applicable)
. DIM Of Birth or Vara Registration Number I Address 1
(011001YY)
. _.
City 1 a,irY , *Code
II - 1r – O: - .6Cr\ t Y610 1.1 '
'
.......„ ,
. .
Strature of Voter c , Bate Signed (111111110DfYY)
Po be completed by Votal
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•
Ruhr F ' . „:, lit , •1111M
AJ
CANDIDATE PETITION
Notes: - /t 11 .401 MAIM, on tiny form beLvnte3 a public record upon receipt by the Supervisor of Elections
- it t.: u c•: tin to knowingly sign name than one petition for n candidate !Section 104 185, Florida Statutes j
- If Ieyaested information on this form as not completed, the forth will not be vand as 0 Candidate Petition form
'SQ ,..i, : v+N a.wr a Le.. 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 S Oh.a..t a." . 1
placed on the PrmarylGeneral Election Ballot as a: jcheck/complete box, as applicable]
❑ Nonpartisan &No party affiliation 0 - Party candidate for the office of
�► SA"r • is cr./ to— o— n Co^M -- y f S r
(insert Idle of office and include distric arced. group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
dMM/DpIYYt N Eir t %. T a R
City County State Zip Code
SO*040" I, 9.4 - f %.3e-Akc s � -- 33'4 3 S
A .f
Signature . f Va er 7 a Date Signed (MMIDDIafY)
]to b by Voter] I 111
RvJv 10- 2.046. F 99 D8 -0E 104 (Eft. 09111) .
L
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, Flonda Statutes]
=1 all requested information on this form is not completed the form will not be valid as a Candidate Petition form.
.■►
1 F+ „ ' i, the undersigned, a registered voter
'`—
(• name as it appears n your o rmattioncard) t[�
in said state and county, petition to have the name of r)t,.. C L+y
placed on the Primary/General Becton Ballot as a: jcheck/compiete box, as applicable)
I .sionpartisan ❑ No party affiliation 0 Party candidate for the office of
- - a D'T )'D 4--\ g - D isIAA c?T '2 COM,h1, tv,-1 R-
(insert title of office and include district, circuit, group, seat number, if applicable) -
Date of Birth or Voter Registration Number Address 1
Oil D>Yr) (.0
7 o4o6383 13,37 9 43 $ i1g t 2- '=T c.-
Cit County State Zip Code
Ortj .r 131 r3- 333
Signature of Voter - - - -- - -- - _ Date Sign d (MM/ODIYY)
_ (to be co eted by Voter
Rule 1S- 2.04$, F.A. z— — �� ` N
08-DE 104 (E. 09/11)