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Filing Papers 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. .7 Dates to Remember 3. 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 be 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 City Clerk within 10 days after filing Appointment of Campaign Treasurer - Intent ) 6. ✓ State of Florida Election Laws - Chapters 99, 105 & 106 7. Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees 8. `� Directions for Posting Temporary Political Sign 9. ' City Map and District Maps �'_ 10. .' Part I Charter, Article VII. Elections - City of Boynton Beach r te-- ( - ) -r1 rn • 11. ✓ Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections 12. - Poll Watcher Form & FS 101.131 - "Watchers at Polls" N °= - 13. ,/ Public Campaign Financing Handbook ca rri rn 14. ✓ Candidate Petition Handbook 15. ✓ Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets 16. IV Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF ELECTIONS AND RETURNED TO CITY CLERK DURING QUALIFYING 17. R/ Form 1 Statement of Financial Interests 2014 — TO BE FILLED OUT, SIGNED & RETURNED TO THE CITY CLERK DURING QUALIFYING 18. L&A TESTING NOTICE (SIGN AND RETURN AT TIME OF QUALIFYING.) 19. (7 Loyalty Oath - Oath of Candidate (DS - DE 24B) — TO BE RETURNED TO CITY CLERK DURING QUALIFYING RECEIVED BY: or ) / 7.4. 2 0 / 5 Candidate Sig r / Date Signed 1111 • et M. Prainito, MMC ity Clerk 5/26/2015 3:33 PM S: \CC \WP \ELECTION \YEAR 2016 \Information Packets \MATERIAL FOR CANDATES.doc CITY OF :BOYNTON BEACH APPOINTMENT OF CAMPAIGN TREASURER CITY CLERK'S OFFICE AND DESIGNATION OF CAMPAIGN 15 JUL -1 PH .206 DEPOSITORY FOR CANDIDATES (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): © Initial Filing of Form Re- filing to Change: ® Treasurer /Deputy Depository El Office El Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) Justin Katz 1 353 Via De Pepi 4. Telephone 5. E -mail address Boynton Beach, FL 33426 (561 ) 827 -0407 justinrobertkatz @gmail.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Boynton Beach City Commission, District 1 applicable: El 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 0 Campaign Treasurer ® Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Justin Katz 11. Mailing Address 12. Telephone 1353 Via De Pepi ( 561 ) 827 -0407 13. City 14. County 15. State 16. Zip Code 17. E -mail address Boynton Beach Palm Beach FL 33426 justinrobertkatz @gmail.com 18. 1 have designated the following bank as my © Primary Depository Secondary Depository 19. Name of Bank 20. Address Wells Fargo 1550 W. Boynton Beach Boulevard 21. City 22. County 23. State 24. Zip Code Boynton Beach Palm Beach FL 33436 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. Signs Candidate 27. Treasurer's Acceptance of Appointment (fill i lanks d check the appropriate block) 1, Justin Katz , do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer D eputy Treasurer. x /// ate '..! ure of ' a . •aig rn easurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) • Rule 1S- 2.0001, F.A.C. RESIDENCY REQUIREMENTS m o z ry — n W CAI F, on .. m I, \ L0 \4z candidate for (Print Name) 1, 1S*-\r 1c* I 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. $j ` '_ (Si. . e of Candid te) //05 (Date) / 11/12/2013 12:31 PM S: \CC \WP \ELECTION \Year 2014 \Information Packets \RESIDENCY REQUIREMENTS STATEMENT.doc O l FI - FB C£CH . STATEMENT OF CANDIDATE 15 JUL - I PM 2= 36 (Section 106.023, F.S.) (Please print or type) 1 , J UA;n \ Z . P'TivcT candidate for the office of \ a Aan 1 ?:leac\ - 1 c elm m 1 3nc.nr) I , have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. • X 7/// I S4•nrure of andidate 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) 112023280 KATZ, JUSTIN R DEM 3186 1353 VIA DE PEPI BOYNTON BEACH FL 33426 2/19/1984 W M 8/12/2004 11/6/2012 5612966756 22 • 34 90 3 4 BB BB1 Miscellaneous Cash Receipt cST Y OA, No. CITY OF BOYNTON BEAC>41 , � P ,1 E TO N 0 Account No. 0 -0000- 369 -10 -00 $ 26.00 E" 20 Received of Justin Katz 1 353 VitaDe P i, 4 Address ep Boynton Beach. �' 11/C6 Remipt no: +la. For City Filing Fee to run for Comissidaervmtetstrict 1 Tot& paint March 15, 2016. Dept. City Clerk's Office By Miscellaneous Cash Receipt �,t Y °° CITY OF BOYNTON BEACH No 92.1. �i O - 47 . TON Account No. 001 - 0000 -- 369-10 -00 $ 222.57 ,20 Received of Justin Katz Address 1353 Via De Pepi, Boynton Beach, FL . 13424S For 1% Filing Fee to run for Commi RA F i• n" �14rcx; Total wrenT , ^ March 15, 2016. Dept. City Clerk's Office By 1 The City of Boynton Beach G 0 - Y 0, City Clerk's Office c _" 100 E BOYNTON BEACH BLVD 2� BOYNTON BEACH FL 33435 - 4e1431‘ d1/ 71 AdIMINDZ2IS i � r 0 tl (561) 742 -6060 n • FAX: (561) 742 -6090 , rn o /Vt.() I a E -mail: prainitoj @bbfl.us C51 www.boynton- beach.org v>p zx m PUBLIC NOTICE �, n n 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 15, 2016 General Election will be held: Wednesday, February 24, 2016 @ 10:00 a.m. Supervisor of Elections Warehouse 7835 Central Industrial Drive Riviera Beach, Florida RECEIPT of this notice is hereby documented: • , ,...--...._/ i / / 1 /// / ,-C j - gn re Date Received DETACH IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy (L&A) testing on , please detach and return the lower portion of this notice to the City Clerk. Signature #Attending S: \CC \WP \ELECTION \YEAR 2016 \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 2014 Please print or type your name, mailing FINANCIAL INTERE STS I FOR OFFICE USE ONLY: address, agency name, and position below: LAST NAME -- FIRST NAME -- MIDDLE NAME : . MAILING ADDRESS : ^-- - • n=-i c.s1 r— . 1253 L J 1A � F rPES? t .:. o o r- r �*, CITY : ZIP : COUNTY :� NAME OF AGENCY : c:), C) -741zu NAME OF OFFICE OR POSITION HELD OR SOUGHT : IV r'nt e Bes■1nk<M bt0v-1, C‘At QerytifritTalo, You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF 1( 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): I ❑ DECEMBER 31, 2014 OR SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: a6 + 5 MANNER OF CALCULATING REPORTABLE INTERESTS: • FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE 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 Tolmbolk Ca,i. 5<t�••1 Oirtrikt 3305 ND.t 4;11u3h41h (w&, EC 33406 - rEn c 4te>' 41 .,irz A )313 0490.4,9111344,4- Cott r, 33'42 \oqttetriTtot Ac<,* 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 "nla ") 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] (If you have nothing to report, write "none" or "n /a ") FILING INSTRUCTIONS for when 7 and where to file this form are J? iFnl�_ )313 JO �� 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, 2015 (Continued on reverse side) PAGE 1 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 Blt ` ? i (��6 ®(csd Buk-fitio4=-1 VA —14 r/113- Forld • PART E - LIABILITIES [Major debts - See instructions] • • (If you have nothing to report, write "none" or "n /a ") NAME OF CREDITOR • ADDRESS OF CREDITOR in fk ogy , — U VPId )7 . 3ut��. Ckt9<►l 61�d � ex y 4 +b.l o Ld 33" 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 ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD 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 ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or Signature: 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. Date Sig / l (0/ 5 CPA/Attorney Signature: Date Signed: 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: papers. are A candidate who previously filed Form 1 because file w Sta officers or ith the Commission o nd n Ethhi ssionics , P.O. employees Drawer Thereafter, local officers /employees, state w o D of another public position must at least file a copy 15709, Tallahassee, FL 32317 -5709; physical officers, sical and s p ecified state employees of his or her original Form 1 when qualifying: A address: 325 John Knox Road, Building E, Suite required to file by July 1st following each calendar candidate who files a Form 1 with a qualifying 200, Tallahassee, FL 32303. year in which they hold their positions. officer is not required to file with the Commission Finally, at the end of office or employment, each or Supervisor of Elections. Candidates file this form together with their local officer /employee, state officer, and specified qualifying papers. state employee is required to file a final disclosure To determine what category your position falls form (Form 1 F) thin 60 days ofleavirig office or under, see the 'Who Must File" Instructions on employment. However, filing a CE Form 1F (Final page 3. " . Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in Facsimiles will not be accepted. their position on December 31, 2014. CE FORM 1 - Effective: January 1, 2015. PAGE 2 Adopted by reference in Rule 34- 8.202(1), F.A.C. • CITY OF BOY 1TON BEACN 4 CITY CLERK'S OFFICE e CANDIDATE OATH — 15 NO -5 P 3.24 NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021, Florida Statutes) I JLA341n \4‘0,--\-7, (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 S6Vi 14 \Nr OGJ C I 1 GI / " O"- , (office) (district #) ; I am a qualified elector of ' D ‘rv., 1 OCI 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. . III x Ig re of Candidate Telephone Number Email Address )1JSS J) PI R , g e ti. , r 33lioll< Address City — State ZIP Code Candidate's Florida Voter : Registration Number located on your voter information card): � ° 6 g. 3 g�C� 9 ( y ) * 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): 3CA. Ar °1c\ Ccxka STATE OF FLORIDA COUNTY OF PAS do ailed Sworn to (or affirmed) and subscribed before me this 5 day of I4OVEN($t=R , 20 IS . Personally Known: y or elk A-a-kAttt" 4 nature of Notary Public Produced Identification: ' rint, Type, or Stamp Commissioned Name of Notary Public • Type of Identification Produce o .' JANE , , COMMISSION # FF 1 42411 _: ,., .. MY COMMISSIN # FF 1 ''' r��' ; a EXPIRES: September 22, 2018 .'1: •",0 9 Bonded Thru Notary Pubic l!r.' ..raters DS -DE 25 (Rev. 5/11) Rule 1S- 2.0001, F.A.C. I �P GA �S��O r 4, 4 r , , vt Palm Beach County 4 r Qr E rrrl,, of PA 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 3341B SUSAN BUCHER Supervisor of Elections TELEPHONE: (561) 656 -B200 FAX NUMBER: (5613656-6287 WEBSITE: www.pbcelections.org CERTIFICATION I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that 41 signatures on the Nominating Petitions of JUSTIN KATZ for BOYNTON BEACH CITY COMMISSIONER, DISTRICT 1 are registered electors within the municipal limits of the City of Boynton Beach, according to the registration records on file in this office. This is to further certify that JUSTIN R. KATZ is a registered voter in Precinct 3187, in the City of Boynton Beach, Florida. Signed, this the 5th day of November, 2015. r-cn , FT" 0 cJr -< . SU 1 :UC' Q SUPERVISOR OF ELECTIONS G? ;Ica .-PAtM COUNTY F t'Ti`n (SEAL) CANDIDATE PET TION 0 C fi e/ Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. 1 5 j Dj01 - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] ; i v D` knowingly - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, j - t..6.1\1 . ) \/ rt 1\ the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of (A3"I-a(N, Q1, k placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Iril Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Bo��\U`n bn 4C1 1 C<Thfn k 3 u Z i (Pa ° 1 - 0`-yr i c. A- 4 (insert title of office a incl ude district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ( z % �� ��� I 7 , H. G. r: N I c L m, yNTelr .: N---- City County State Zip Code y n rs` (t® c1� Q0, W.% �e°(k Cal R4AtPA �y•za, Sig, . 1.k.r Date Signed (MMIDD/YY) • [to be completed by Voter] `, \ la l 7 I I\1 K72 Cr 1,-- Rule 1S- 2.045, DS -DE 104 (Eff. 09/11) Li') 13..4 0.^ :` tF.. ' . r_, ; 60 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. � c [, eV - 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 forth is not completed, the form will not be valid as a Candidate Petition form. \ • I, Ir Al_ 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 � erN \<0.A 'L. placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of oo���cm beAC‘n Q'l,°� Cd` n -az 1 cIY ° 1 -5�r • * (insert title of office al.rd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Re i n N_ umber Address � , (MM /DD/YY) l� / strati (/ istrati q y l/ " /0 el' _, City County State Zip Code / g� oy�- . 5ta ch 9 .01n� $Sock ("ain't) f�(d�4 IDA 33 ( 4) 6 .J Signature of Voter . Date Signed (MM /DD/YY) to be completed by Voter] . / —1 .-"r(/ /1 (Z-/ Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) !if C:* � ;Z' �.r - r� CC ' f ris Lrz . . 42, -...J C...4 -"-E • CANDIDATE PETITION N jajt 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. I, T yro n / - u 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 - J Us �n placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Vi Nonpartisan ❑ No party affiliation ❑ Party . candidate for the office of (insert title of office amd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address /� (MMlDD/Yl') - S9 (903 - City County State Zip Code na -stn, t 1 c RA1PP% SfOC■ CM 4) F( a t ,?q2 Signature of Voter Date Signed (MM /DDIYY) [to be completed by Voter] 7 41C? " (4 , Rule 1S- 2.045, F. C. DS -DE 104 (Eff. 09/11) 071 • Lc) Ex� L� C Yam Gy • li CANDIDATE PETITION r Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. "J - 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 forth is not completed, the form will not be valid as a Candidate Petition form. I, / '4,,,'L... the undersi ned, a re istered voter .e4"" / F. s s (p ,nt name as it appears on your voter information card) in said state and county, petition to have the name of j(JA5"\ Q1, 1 'L. placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] PI Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Bovken eAch .'► C inks t - V vz +c (insert title of office aria include district, circuit, rou , seat number, if applicable) 9 P PP ) Date of Birth or Voter Registration Number Address _ (MM /DD/YY) 9 — ?S 7 2- 7 StV 2? Terr City County State Zip Code Uon 't S tu c■n `� oal�". s CPA ✓ r(dA I 33L 3 Si of Voter Date Signed (MM /DD/YY) r to be complete by V r] Rule 1S -2.045 DS -DE 104 (Eff. 09/11) g_ In ,,,,. w CD i7T v:3 1 ;' to GA �n =.� Ctij • CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. V - 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 forin is not completed, the form will not be valid as a Candidate Petition form. I , � O �ri the undersigned, a registered voter (print name as it appears on your voter information card) . in said state and county, (A 4 Petit to have the name of f� P ��. placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] Nonpartisan ❑ No parry affiliation ❑ Party candidate for the office of BQi�kan be4c1n Q'►° �;4Ynm �'az crn c � Trerr 4 (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) n3 /65 1 i /1/7 Ci c 1 County State Zip Code lJ a_try, t o cSri (al n+∎ BEoc C ' dtt n4) R.14117/4 Signatu . of Voter Date Signed (MM /DD/YY) s ir [to be completed by Voter] Rule 1S- 2.045, F • C. DS -DE 104 (Eff. 09/11) ej I _ . . li ^} -u.r o 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 4-4--c1 1 the undersigned, a registered voter (print name as it appears on your vot r information card) ' in said state and county, petition to have the name of (A54 AC, \Ka 1 - m placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BoVv \vin beAc1n � • t�1 .Id`rnnn A 5Z 1 dYt 'err +� 0 (insert title of office vrtdd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address o h (IVIM/PD/YY) /75 S City County State Zip Code goys• ,, e 3tn cM 901 &act �'dt�t Refit IPA 3 3 y3,5-- Signat of Vote Date Signed (MM /DD/YY) [to be completed by Voter] 1/r Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) d.kF `". C.) O .i ce '1Y CV • • f 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] 0 - lf all requested information on this forth is not completed, the form will not be valid as a Candidate Petition form. I, the undersigned, a registered voter (print name a it appears on your voter information card) in said state and county, petition to have the name of -J () 3 - hr‘ \< placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Pil Nonpartisan 0 No party affiliation 0 Party candidate for the office of . . DO‘PtCN beAC CA )t4 CP(1 5r (insert title 'of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM3DD 0/ ( gvc o Ce7tif A 0.../7 Sell .53e/35 City County. State Zip Code 15onn4trt% t C )r) 0 c Seo ci-. Cdak (14) F(.1 AIDA 3'34 Signature of of Voter Date Signed (MM/DDIYY) [to be completFd by "Voter] /78 Rule IS-2.045, F.A.C. DS-DE 104 (Eff. 09/11) taj AeLA. ' t.14 C, ...I. Cr) -- CD ea ,T> t Lut — CANDIDATE PETITION e 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 forin is not completed, the form will not be valid as a Candidate Petition foam I, - \ )1 (, S p (&) \I codvi-L AR the undersigned, a registered voter (print name as it appears on your voter information card) e • - in said state and county, petition to have the name of j U S'••!d \\< placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of oQ VY\ n b e , . +- I -4 Ccccr►sn ‘ 5S I crr c 1 Vi i s 0 (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address l,(f1 + *1 '1 4 12 (MM /DD/YY) 4 C) -7l / ! ;, ;� a P ,� �i� SSA -lce (oiv ' ,y /5/vof 1 City County State Zip Code g oicr , � 9 c a c \ - 1 9 a 1 n � ' Bet , cL � ( ' d 1 � t / 7 j 3 3 4 Z ( Sign J e of Vot/ Date Signed (MM /DD/YY) ,', / : /� [to be completed by Voter] / r , - Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) —I. _ 1S i $ c°3 s`; to pq./q�� c::: u,:.� V— 'wd cx; y � � fLL 1 { r , c' a v fiM ,. .- ; r-1 t .r 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, Sad . / E f p the undersigned, a registered voter - (print name as it apprs on your voter information card) . in said state and county, petition to have the name of �(A5�V1QA L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] P2 Nonpartisan ❑ No party affiliation 0 Party candidate for the office of Boc1��th, beAC s'►� Caimc l cm - v -al-r % c 4" _ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ( o DNY) 2 SS6 14) // - C� Cit County State Zip de go 3tacv, vak P P % e0Gk CdLtn4 � I (4AID4 t /Z (� Signatur of Vote/ Date Signed (MM /DDIYY) [to be co leted by Voter] /72/f 3 Rule 1S- 2.045, F.A.C. DS -DE 1D4 (Eff. 09/11) { C 14,1 "') #' ., I L“ 14_ •LL ���� c 1 C,D ra u.( ati C•••4 . 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 inforntat'on on this forth is not completed, the form will not be valid as a Candidate Petition form. 1, u. 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 -J U5 4!n "K Q1 k 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 ,ocPitli(m beACkt � � � Cd`mrn v 5z I clyrk 4 rr' c (insert title of office at include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address , (MMIDD/YY) A511 f '� (� I I Gt Lvit-ibA ' ` 454.2b City - County 1 State Zip Code gyona_ctn. 5,a ch puI("N ' Beach. Caleety F . 4 4ti 6 PA 334 2 Signature Voter j Date Signed (MM /DD/YY) [to be cofripieted by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) tD 1 C u7 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 forin is not completed, the form will not be valid as a Candidate Petition form. i ! ' �� /` / U f the undersigned, a registered voter te r Gf lC (print name as it appears on your voter information card) in said state and county, petition to have the name of U5 en \Ka • placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►i Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Bede,, be4c\R ► C ►cn k n I cry\ c v'err (insert title of office arid include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) Y// / (� oZs / , S w l/ ¢A City County State Zip Code S ea c1l PO4‘1" $EoCI Cal 4 F('ir IPA 35 Signature of Date Signed (MM /DD/YY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) it in Ltj tA.T c 1 c > 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] - tf all requested information on this orin is not completed, the form will not be valid as a Candidate Petition form. 9 f P f f 1. I, �eq p 'COI .J Tf the undersigned, a registered voter (print name as it appears on it voter information card) , in said state and county, petition to have the name of �cts \<,,,,.\-2=. placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] . EU Nonpartisan ❑ No party affiliation E. Party . candidate for the office of oc‘clakvti, beAc� ,. Cd`mr 3� i cly\ c � i c�` r + C' (insert title of office grrd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) -Z L L '° 'qt a St-111 .S tv l ly 5 . 6 Leg. J.. City County 1 State Zip Code gcy� .Th S ea ch Qal+% geoG� C64rr`t4 r(�.4 ,p,4 3 34/2 (, J Signature of Vo Date Signed (MMlDD/YY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) t«.- 1.f) '�'_ C;:,. C F :r L Q.— Z cr —�' •s, CD 1 :d 6, -. ) Lia ' .,;: • CANDIDATE PETITION 767 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 forin is not completed, the form will not be valid as a Candidate Petition form. ∎ a0i\ot -eA the undersigned, a registered voter - (print name as it appears on your voter information card) in said state and county, petition to have the name of - (A34 a z 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 (insert title of office aYrdi include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address a 5 fi 5 , vv , ) 0 Sk (MM /DD/YY) Ot - 51 13 0 n �e� FL. 33`t City _ County State Zip Code g (Attn.. t a c 1 (pc,Al" '1eoct, Caun4+�{ ,J F4 i 12 - 3�a LP Sig g ature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] ..�•+ ,C , i 1 t s — Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) 1 4 • ___ _ • / r 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 forin is not completed, the form will not be valid as a Candidate Petition form. I, 0‘.- vi ! Na 4 ' , the undersigned, a registered voter (print name as it appears bn your voter information card) e • in said state and county, petition to have the name of J U5 v-!C\ \K01. k , placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (insert title of office vrld include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address / ^ (MM /DD1YY) C / _ 3 o// 9 J/ / 2_ )v $ t'`1 /D S / +6 "✓ City County State Zip Code c ,_____13okin4tn, 5cu cVI Pa1 Bock l nn ain4) F A lPA 3 3 V2‘ Signatur of Voter r j Date Signed (MM /DD/YY) to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) yr, LiD LD _ : cV l CANDIDATE PETITION !!l 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 forth is not completed, the form will not be valid as a Candidate Petition form. / O '/1 fO cA ryj the undersigned, a registered voter - lv�� (print name as it appears on your voter information card) in said state and county, petition to have the name of JUS�n L placed on the Primary/General Election Ballot as a: Icheck/complete box, as applicable] PZ1 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (insert title of office arid include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 3 1 j 4/ / / % /1 c r (MMIDD/YY) 0s1/47b AOYri/7O4/ e1 G f- City County State Zip Code 3o,n4tin. to c1'1 (pa■rv, F oG. l n dtla+) 1`( .1 A t1714 •' L";/ Signature of tot, Date Signed (MM /DDIYY) / [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) CD i3M m .�.. l ' i. • CANDIDATE PETITION 1 (i Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is 1701 completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) ` in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ■i Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Bycl en e446 -1 > 1 •4NYI('nk - aaiar. WVIT (insert title of office a1rd include district, circuit, group, seat number, if applicable) . Date of Birth or Voter Registration Number Address 37 Lo i\A0"362..rcJ C; (MM /DD/YY) e / l y...)4 'Be), f 53 City County 1 State Zip Code 60 -e- 13 c'h 1 'BED e� Cart (14) F6t4 117A any 2-6 Signature of Voter Date Signed (MMIDD/YY) [to be completed by Voter] 0 3o Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) tai . = Cr, 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. )4 - the undersigned, a .registered voter (print name as it appears on your voter information card) , in said state and county, petition to have the name of J A5 on ® `1KC. k, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►'� Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Byv \an beAc\rt � ,d`mrn' 351 cM Lrerr (insert title of office avld include district, circuit, group, seat number, if applicable) • Date of Birth or Voter Registration Number Address (MM /DD/YY) ce6 S'i,J 10 431 crccer City County State Zip Code gonA-b^►. Sea c1e1 0O\r" , $Eo Cdtkn Re'A IDA �3 2 Signature of Voter i Date Signed (MM /DD/YY) [to be completed by Voter] L0 ?0 7„0 s Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09111) cep r w 0_ rni Sri s C . 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 forth is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print me as it appears on your voter information card) in said state and county, petition to have the name of J Uc5ln Q1, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BOV'k 11 ) beAch c: � ,d‘crlrn k 3Z I cM Ln' rig - (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) a0( 8 3. a N OLK,40mk Lckos �r City County State Zip Code 5c -try -. c■■ QalNN Bo ck Cam ` J Rd'A SPA S a� Signature o - Date Signed (MM /DD/YY) [to be complete by Voter] 1D 30 I.S Rule 1S-2.1.5, F. DS -DE 104 Eff. 09/11 ( Li– Lis v P tiJ fr J C °mot t ; (11 - 774, :: — uj o cti CANDIDATE PETITION 7 Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - I1 is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. '�" �a � 1 I/ I 1 �/ @ r n c 4,- e. [it � _ I_ . the undersigned, a registered voter M• ' , Cal- . "1 (print name as it appears on your voter information card) • county, P in said state and coun petition to have the name of _J U 3 •4 ∎ n k placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD ) 03 3D,7s1 i /6 .s w c2 fie. City County State Zip Code gc . 5 ch 9,a1fv. Beock Caln4) F i »A ? yoL (O Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] . . _ irla-1,2 6/5 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) li.S C1. La- • L 1 _ _ _ _ 769) 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 forin is not completed, the form will not be valid as a Candidate Petition form. I, Cilleil .t y rC04 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 -.j Usk Q,, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►'i Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Boynkvn beAc‘ri ��� \,d`cir►m v 3z i cfY■ c 1 - 5`Yr t c -k- (insert title of office avid include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY 9-qOS S, d(hd /-714) /9 City County 11 State Zip Code go4o ,, 5t. ch tPaln� ' $EoGk Crz o4y 1 IPA 33 2 si• of Vo - Date Signed (MM /DD1YY)10-30 - [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) mi if tiri• - CANDIDATE PETITION 69, Notes: All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. T • / / / 1es/2( j the undersigned, a registered voter (print name as it appears o ' n your voter information card) in said state and county, petition to have the name of _JU+ ' \ \<Qx placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] • Nonpartisan ❑ No party affiliation ❑ ■ Party candidate for the office of O V i t tPn ;7e�►ch ��� C�cx azIcM c ���r +� - (insert title of office as include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) `hj`� i// 9cz._ 7/ 7 /'11 r 02'/AT City County State Zip Code gcy r. ca c1'1 ( i .) a 1 o CPA a4 F «A 351j317 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) trs s lnf� a C4 C e sue° CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. �J - 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 l nri E / t the undersigned, a registered voter (print dame as it appears on your voter information card) ` in said state and county, petition to have the name of _J (A h (N , placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Ki Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of _BoVv \en #C , ►� �T onrn ~ 5� I cr1r\ ° 1 \ ∎ c (insert title of office arid include district, circuit, group, seat number, if applicable) . Date of Birth or Voter Registration Number Address (MM /DD/YY) City County State Zip Code ge4na-zrr. 5Ca c�'1 QO •BEocL crawl) RaAL!7/4 J9 2 - 6, Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter] I1 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) r FL 1 crs y L.✓ 4 ~ w ti-J �r y h C / 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 1 -•••/•■A• (print name as it appears on your Voter information card) in said state and county, petition to have the name of -..jUt3 \<13, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] P2 Nonpartisan 0 No party affiliation D Party candidate for the office of • • . BoyclAen beAcY% Ccf•cncn 3 I ay\ vz k (insert title of office at include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) th V I n 1 / 4 ( - City County State Zip Code EpoyAtrw.. 3ta c P Beock Cf4n4) P SS,gnature of Vot Date Signed (MM/DDIYY) to be completed by Voter] ° Rule 1S-2.045, 16 DS-DE 104 (Eff. 09111) , e.,A .4;7. 4 c:3 „ en >•• frft c=` CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - I1 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. � tiSeL the undersigned, a registered voter (print nart a as it appears on y¢ur voter information card) • in said state and county, petition to have the name of -J0t541(\ \Ka ,Z, placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ■`i Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Boc beAch ccvmrn ■ -sz icy Thz`tr +c' ' (insert title of office m918 include district, circuit, group, seat number, if applicable) Date of Birth or Voter I Registration Number Address / (MM /DDlYY) 12/ / / lib , S log � Ai., City County State Zip Code n o nom,, a ch Pal ock l.dL i�(4,41Ga 3 (' 3 g � SF � 3 1 Signature of Voter Of Date Signed (MM /DD/YY) [to be completed by Voter] r 11/ �. / Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) qk f 0 to t;_ CANDIDATE PETITION ll // 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 forin is not completed, the form will not be valid as a Candidate Petition form. l c� � the undersigned, a registered voter S' 0,norct ��rn� I've (print name as it appears on your voter information '.card) in said state and county, petition to have the name of .J U 5 4 0 n ` ,placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] P2 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of o.0-cm JeAch x e ►aPin(n \sa ian c IzA - r (insert title of office arid include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ba g Sj 3r-ci /9-V (MM /DD/YY) / 6/ 72 5 2 7- B y 8eac`® 3 3Y 2 City County State Zip Code Signature of Voter Date Signed (MM /DDIYY) [to be completed by Voter] • Lebo �d�e�in� . / 1)2 -� Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) V) SL t — N 4 f ( 5 . . _ 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] Iftill request'. 'nformati • on this or 1 is not completed, the form will not be valid as a Candidate Petition form. I, , 1N._ + II A _ _ 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 �(.A5 \< k '„ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] VI Nonpartisan ❑ No party affiliation ❑ P arty candidate for the office of L - BovAcn, beA`� a',� )4Nt - ncn l ss [ cm. - � � l'aIT i c, 4 0 (insert title of office vrid include district, circuit, group, seat number, if applicable) Date of Barth or Voter Registration Number Address ( ryg iv p VS ' (Ci 3 r ft\ City County State Zip Code 1301nAtr. t4 C VI 0c•tf SEock Cd244 1 a 117A Sign f Voter Date Si • ed + Dat, (MM / NY) D a t i.S a - ( MM / p OCr f ___,_ Rule 1S- 2.045, 14A .D DS -DE 104 (Eft. 09/11) k k ter) Z �c. - LI - c C N CANDIDATE PETITION G 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 forth is not completed, the form will not be valid as a Candidate Petition form. I, - '� te- 4 �G� O, the undersigned, a registered voter �rint name as s it appears on your voter information card) • in said state and county, petition to have the name of U 5 - 1 - \ (\ \KQ1, k 'L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BovA� -\<n, beACVI `,�i� Cci`Of1 1 3Z I CPA. �.o5 4 • (insert title of office a� include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) O/^ / Z- / q 7 c l O Sal s't u City County State Zip Code 5ea ch Palw $Sock C'dzi(a4) RIA LDA r3-3 L( Signature of V er Date Signed (MMIDD/YY) [to be completed by Voter] 1 1'1C--/ (‘ 9r9-c 7' 2- 2 -- e/ Rule 1S- 2.0450 C. DS -DE 104 (Eff. 09/11) C", ~ i1s c-7 C"3 s,. GL_ • 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 forin is not completed, the form will not be valid as a Candidate Petition form. q the undersigned, a registered voter Gn�� .�r� a, 11 (print name as it appears on your voter information card) in said state and county, petition to have the name of U5 an ` , Qa k'Z 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 BoycI4i<l» be4chn ir CciThrtn l Sa l ° I V\ c J (insert title of office arrd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (M DD/YY) /1[3011T L k e t CCA„r C, City County State Zip Code gort-VCn, '3 cM 9o,I Be GI-. Cal �C�ti 1 3`1413b Signature of Vo Date Signed (MM /DDIYY) [to be completed by Voter] /11a - 1 2� �S Rule 1S- 2.04'A.C. DS -DE 104 (Eff. 09111) c t o ;') .. CZ, 1 w+✓�: d a'�1 CANDIDATE PETITION 0 Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this forth is not completed, the form will not be valid as a Candidate Petition form. I ' M IC lJdi✓L� , �GL�/r i� (_xsJ_Jl 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 -JUS 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 (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD1YY) 0'11 r Z I CD �r= r sTZG( , Jv . .3 t o City County State Zip Code Bo jo4tin, t o ch (Pal("'• 'Scott-. Cd24n4 Re IPA 33 `-1,3 Signature of Voter.. ✓ Date Signed (MM /DD/YY) [to be completed by Voter] If I (1211 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09111) k °r,- co : (' tti ZrZ r CD JO' faa e„e7 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of - Ut \So, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►`"i Nonpartisan ❑ No party affiliation : ❑ Party candidate for the office of Bo�cIACCI be .Ac,h t C4`mrr» I c�tr (insert title of office am include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) / 3 l 2-? T r City County State Zip Code Bola -►• 5tc cV1 Poi $Eoclk• Call n`) F 1 P 3L-13s- Signature of Voter Date Signed (MM /DD/YY) [to be comp) d by oter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) 1 CC e , Y al `w CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime fo 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 formic. I,- the undersigned, a registered voter W (print name as it app -:rs on your voter information card) in said state and county, petition to have the name of J (. 4 C1 \KQ1,' L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►\ Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Boy -ken be4ch CAM ClThrn salmn II err +c- (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth o Vot r Registration Number Address / I / (MMlDD 5— /6 9 a 7,2S �l.J" . 2- 6 / City County State Zip Code goyo4trK 3ta ch 9chkrv. Bfock Cdtrtn) F(e,c 1DA 33 9 3,r Signatu of Voter Date Signed (MM /DDNY) [to be complete by V ter] o Z ( � — Rule 15- 2.045, . • C. S -DE 104 (Eff. 09/11) • Lea 47,7, CO w C) • a 1 _ 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 forin is not completed, the form will not be valid as a Candidate Petition form. I, hc9eVle,i,CN the undersigned, a registered voter (print name as it appears on your vote information card) in said state and county, petition to have the name of j(A3 \<d1, placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Bo�c�?iOn Je4c1n �,'►�- Cd`mrn ∎ �s l cfr c \V‘r 4 o (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address `,, (MM /DD/YY) n S S S' O s (� I I -1-" t City County State Zip Code 6o1n4tn,„ t c1n Pc r BFoc C'dtAn`) RdAIPA 33Lf 2G Signature of V o � Date Signed (MM /DDNY) [to be co 1 plete by Voter] tS Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) I thy} 00 D"- ; = { • • _ 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. 1, 44 ‘ 6YER, 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 JU5 k', placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►`i Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of • BoV <(h . 14-1/40 1 d`(Yttfl n dYi (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address DD (M . ) �, ,9Z 5`702 V. �. 11 a e ec os 24 , City County State Zip Code gcyi4tn, en ch kra1++r. BFo(k Cdt4a ,l i1 G IPA -354624 Signature of Voter Date Signed (MM /DDIYY) S a [to / be c p /efed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) nr F;., SS) C.) f,.:! C7 Cwt C• G1} CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, 'I 110 Pi 47 ' - 4'`3 5C-1-g----- 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 Juts \ Ka \-7_ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] .P..73 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of B�ciA<,, beoecGil ..i� CTc�ranksa ° V temiC" (insert title of office alqil include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD �, / YC i 7 w V-5 S e/' C /Ted or City County_ State Zip Code / ljoyo . en c11 RAIN. �Eoc Cdz4a`Ij �`(s�4IPA 3 ' ('�-6 Signature e ' .ter ✓ Date Signed (MM /DD1YY) A). , ,, , , ..... ,...._ ____ : _ [to be Frompleled by Voter] Rule 15- 5, E C. DS -DE 104 (Eff. 09/11) 6.:x:4 i + :,';',4 i 1 km. d cr.: } ,1 ', C.) ..1.', — • ° . _ rte ( CD . -w -. } 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] - lf all requested information on this forin is not completed, the form will not be valid as a Candidate Petition form. Is De-ia rariie/ . the undersigned, a registered voter (print name as it appears on ur voter information card) . in said state and county, petition to have the name of. -J(5(\ \Ka k placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan 0 No party affiliation D Party candidate for the office of Bov\ beACV1 CsTonfrn Lrrerric-A- (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDIYY) // - 02 ( //d," City County State Zip Code 15onlrer c11 RAI Cr% " geOCk Cat t) R.ric /PA ce4. Signatur Voter Date Signed (MM/DDNY) [to be completed by Voter] Rule 1S-2.045, F.A.C. DS-DE 104 (Eff. 09/11) •f;f-',3 ." +.0 ::c C....) • • :".-"": La (') CL. C.) tt I CZ) Lf . 4 , CL.c . C"..4 < or) CANDIDATE PETITION (ov 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 re uested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (pr t name as it appears on your voter information card) , in said state and county, petition to have the name of ' ) J U s +∎ n \Ka placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] • ICI Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Boc\c‘Aen btAch Cckcvl Ccvmrnvsa cllrfl ° 1V'rr +c, (insert title of office alai include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DD/YY) z9 — z 3 `/ -'- l0- S7 z /6-- City County State Zip Code L / ojn4•tn. 3ta Qc $eocL l nn ain` FziA IDA 3 3 ` 77 g Signed ( Signature MM /DD/Y ned Date r ,/! • • ure :- Si Y) • • completed by Voter] t20 / Rule 1S- 2.045, - • C. DS -DE 104 (Eff. 09/11) ctl c' * 11' CD En . II CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. t,3 ) _ ` 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 _JLA5 0. 1 L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of • (insert title of office a•n include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 0 p (MM/DD/YY),� _ S 3 fJ , _4 w. City County State Zip Code PAC - I 33 Li 3 J° Signature of Voter Date Signed (MMIDD/YY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09111) .. €? C4 ti • 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. Collet() K I a 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 cS '4s('� O. VL placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►1 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of • clIv <fY1 e�c� � ,� ` Cdhnr'1' 'aa i cM • � cz``Yr ‘ (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) 413 5 SW 1 Ave- 031111 83 Boyn -F-on, beach, FL. 33`f35 City County 1 State Zip Code 6o64: t 4 ch 9a9016v. / � $Eocl, l,dtln`t�{ FC.IA ll7�A 33435 Signatur of Vot r ,f Date Signed (MM /DD/YY) [to be completed by Voter] I / / /5 Rule 1S- 2.045, F.l DS -DE 104 (Eff. 09/11) J•• c ri "c L f • — f*3 ca' - - - / CANDIDATE PETITION Cr 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 { �Ck \-6,y-,l.e\/ the undersigned, a registered - voter (print name as it appears on your voter information card) in said state and county, petition to have the name of � As"I O. k'L. 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 oc�cYk<rn beAc� Q �►allon c n l - SZ I cry‘ ° 'r C + c 4 (inser title of office a include district, circuit, group, seat number, if applicable) Date of Birth ) or Voter Reg" tr� n Number Address � ^� 24 (MM /DD/YY 09106 5 173 ' lvV cot City County State Zip Code Signature o V •te r Date Signed (MM /DD/YY) [to be complete by Voter] �� \‘101 15 Rule 1S- 2.045, F.A.C. + DS -DE 104 (Eff. 09/11) - 7 DJ Lt... -a- t e op. co L} w — . 11. d a"„ CANDIDATE PETITION G� • 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, ) 04 n n F the undersigned, a registered voter (print name as it a pears on your voter information card) • in said state and county, petition to have the name of (A5 4f1 \KQ. L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] P Nonpartisan ❑ No party affiliation ❑ Parry candidate for the office of • Joco<m be4cAni C4vnmk5SIcnR - c� (insert title of office arrd include district, circuit, group, seat number, if applicable) Date of Birth rth or Voter Registration Number Address (MM /DD/YY) City County // �� 11 State Zip Code 150y1A�en, 3e® c�'1 Palms Be (I, Ca2.44`t) � AA (4.4 tDA j 3 `"1 7 6 Signatur of Voter _ Date Signed (MM /DD/YY) cp titA4 1 — ( r— r - [to be completed by Vote Rule 1S- .045, F.A.C. DS -DE 104 (Eff. 09/11) Li Q- Cs :: -4% 1 R 7 7 - 4 C C 7 N Z ; • L CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. k ,, 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 \<( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ►`� Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BM,cv\en beAct � � C.:Damn n i cm I c�Yc 1 ‹. - V (insert title of office artd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ill 5 2 ./L,i� (MM /DD/YY) 1 "` " City County State Zip Code 6. 3c ®csn p0,1„„ .1 0 L l n d1AA4 R A ld`4 y2‘ Signature of Voter Date Signed (MM /DD/YY) [to be completed by Voter Rule 15- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) 2 / !Z Rai CID LILJ Len t7 ct= . y�i3 "W MAP. 76p/ 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 1701 completed, the form will not be valid as a Candidate Petition form. /A V /.0 ®® Alia vz-E the undersigned, a registered voter 1`1 (print name as it appears on your voter information card) - , in said state and coun petition to have the name of J U cS !('\ tY. P \< placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] P21 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM /DDIYY) 1 ` �D r 6S oC o�C.��� 'SW l / C T City County State Zip Code g oy drert, ( 3e® cV1 9 ft Sep Ccatn4 Red IPA 33 Yet tS Sign ure of Voter Date Signed (MMIDDIYY) [to be completed by Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) LeL i gMti;. 11 fit: VT 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 forth is not completed, the form will not be valid as a Candidate Petition form. C i 4 A 1 4 10 + oo \ o sE 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 ( A 5 , ( - 1Q1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ki Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Bkvv\en beAcYl , c a ,���a , c . vz4t (insert title of office acrd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ` (MM DD ) 12 t3 61 595 Sui 114°' CT ES %4 t .) lila, F L 364 City County State Zip Code goy ,,. 5ta cM ( PakM SEoci Cd 4a4) 1.(.1A IDA S3421 21 Signature of Voter Date Signed (MM /DDIYY) 21,91CutSin� [to be,com�eted by Voter] 1l 'Z- Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff: 09111) AS? 1 -5 0.. c • fir& / 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� the undersigned, a registered voter (print ame as it appears on your voter information card) • in said state and county, petition to have the name of _J 3 7L L 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 Bot nn 't ��� C n 1 S3 I cM a TJ h '5 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ` �Ms D D_ r I 49 1.0 ME frekti City County State Zip Code 4 447) Signs •ter Date Signed (MMIDD/YY) jto be completed by Voter] Rule 1S- 2.045, F.A.C. / /S -DE 104 (Eff. 09/11) C3 W CI— v 7 CANDIDATE PETITION U 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. cS m o 1 VJy- Le 11q1 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 -J (As \ KCA, � L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 63 Nonpartisan ❑ No party affiliation D Party candidate for the office of Bvv an be,kcial Cronrn% z[cM \-etr 'c. A- 4 (insert title of office arrd include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address � � (MM!DDfYY) 1^ � ('` 'O > 3 iG City i e- - Coun SSta Z de , 35 V 6�r�'"1 1 of Voter \ Date Signed (MM /DD/YY) [to be completed y Voter] Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) tom! — 7a"' Ca ,41 . v a vtt CANDIDATE PETITION I Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] / -If all requested information on this forth is not completed, the form will not be valid as a Candidate Petition form. I ' D dL �' � IVU k C_ASS � d � d V I'-'1 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of -i(3 S(1 cZf ,. 1. placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] lei Nonpartisan ❑ No party affiliation D Party candidate for the office of Bo n beihctirt .°1-k-k c nnv3-5Icrn c o +c..-k- ‘ (insert title of office avid include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ( << - I- 1 — s l a' _s,lr 5-�.� City County State Zip Code ` p 0 i 1 --1, -� P)c___IA P c, FL . 3 V a Signature of Voter Date Signed (MMIDD/YY) 1 0 &f ( /��' [to be completed by Voter] Rule 1S- 2.045, F.A.C. / DS -DE 104 (Eff. 09/11) I 1.f"+ , 14.0 Z Lk . 4s . 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 forth is not completed, the form will not be valid as a Candidate Petition form. I, .J©n'G --L i1 7V) C MG( 10 n :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 RAS \<. placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 121 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BoCl \(n be4Ort C4Scni-n' 3z i cM ° 1 - fi r ' (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or .Voter Registration Number Address (MMI D ) 02117 82 3 Qui,i4-u,. 1 Icilve,r DR. City County F4 _ State Zip Code 90,1n .g 9o l nn lln`) F4.14 IPA 33`12( Signature of Voter ,JJ Date Signed (MMIDD/YY) [to be completed by Voter] 10/1q Rule 1S- 2.045, .A.C. DS -DE 104 (Eff. 09/11) tLi LIJ f via C Sti e 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 forin is not completed, the form will not be valid as a Candidate Petition form. `c , 1 �in'eA 4 � 1 �( 1 L . the undersigned, a registered voter V (print name as it appears on your voter information card) , in said state and county, petition to have the name of U5!n \K L placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] GI Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of B be4ch �,'�� Cd`mcn k n cfr c err ' (insert title of office a include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address • (MMl DIYY) City County � State Zip Code !� gc4nA-tn. ca ch i" 0o�• '$Eo(L Cam+) F( .1ti iPA / Signat •f Voter ,f Date Signed (MM /DD/YY) [to be completed by Vot r 0 la R Rule 1S- .04 F.A.C. , R 2 5, � DS -DE 104 (Eff. 09/11) a Ls- --- • 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. kt i„ „p , f �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 _i (A5 ∎C1 \KC.. k ' placed on the Primary/General. Election Ballot as a: [check/complete box, as applicable] P.11 Nonpartisan ❑ No party affiliation D Party candidate for the office of Jok tm eAch Cavmmlaalclh D (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address �� i / o Th 2708 StA) LOT City County State Zip Code 5c to c%1 Pal(" $Folk Cat n4) �kIPA 33q7.(0 A Signatu = of Voter giA Date Signed (MM /DD/YY) [to be complet d by Voter] ,��� _ y— l 1 1 1 Rule 1S- 2.045, F.A.C. DS -DE 104 (Eff. 09/11) Lei ,s!a arv ��e3ryry rte± t c iv tea