Filing Papers CANDIDATE OATH —
NONPARTISAN OFFICE 1 CI
of' Bi 1 ri i UN BEACN
en y CI_ER` S OFFICE
. (Do not use this form if a Judicial or School Board Candidate)
eck box only if you are seeking to qualify as a 19 JAN 114 PH 3: 2 t
write-in candidate:
❑ Write-in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
I, MH-Che 11 S CLEa ayi oSY1
(Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no
hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write-in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.)
am a candidate for the nonpartisan office of COMMSS?dnbr -- C,i`T'y ac Zeiron Zeetbh ' t
(Office) (District#)
; I am a qualified elector of pal yn Y3 e Cv h 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;
^d I will support the Constitution of the United States and the Constitution of the State of Florida.
I
•
Candidate's Florida Voter Registration Number(located on your voter information card): i 2.1 9 ZO S S 3
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities(see instructions on page 2 of this form):(Not applicable to write-in candidates.]
MI - C.1 -uI-. LL SA - U4-Nos4
X � ,r.
( 'Sys f� 2- h b • ,ll it M, 11 . .
Signature of Candidate Telephone Number Email Address
32s L;vc oc,k Lane 3on46n "i3eu.On F\orJa 33'-13C2
Address i City State ZIP Code
STATE OF FLORIDA ateee- / t' I 6:47-61-
Sig ature of No.§No. t 11 lic
COUNTY OF 1 k\or\ (9PCACL- Pri t,Type,or``viD 1 5ic%jl flame of Notary Public below:
%
- • N�..• OTA/4,•,...‘-'0�.
Sworn t (or affirmed) and subscribed before me this �� :Q.: N
day of ru,ICI rt' , 20 L
; Ct :My Comm.Expires: -.1
November 20,2022: Z
zonally Known: or Produced Identification: S N No.GG 27. 8053 . :
I . of Identification Produced: PIUn �- "'X.'..� E309.0-0.Q -
DS-DE 302NP(Rev.11117) iii +Or �`,'����� Rule 1S-2.0001,F.A.C.
..T_� 111111 t
SAN --u .
Compound Last Names
If your last name consists of two or more names and has no hyphen, check the box in the Candidate Oath section. If you fail to
check the box, your name will be listed with the name appearing last on the line. Example: John Jones Smith—If the last name has
no hyphen and you do not check the box, the last name on the ballot would be "Smith". If you check the box, your last name wo
be listed on the ballot as"Jones Smith." If you have a hyphen within your last name, the last name would be listed as"Jones-Smit
Guide for Designating Phonetic Spelling
of Candidate's Name for Audio Ballot
1. Use tables below.
2. Use upper case for"stressed" syllables. Use lower case for"unstressed" syllables.
3. Use dashes (-) to separate syllables.
4. Add any notes such as rhyming examples, silent letters, etc.
Vowels
Stressed Vowel Sounds Unstressed Vowel Sounds
EE (FEET)feet uh (SO-fuh) sofa (FING-guhr) finger
I (FIT)frt
E (BED) bed
A (KAT) cat(KAD) cad
AH (FAH-thur)father(PAHR) par
AH (HAHT) hot (TAH-dee)toddy
UH (FUHJ)fudge (FLUHD) flood
UH (CHUHRCH) church
AW (FAWN) fawn Certain Vowel Sounds with R
U (FUL)full AHR (PAHR) par
00 (FOOD) food ER (PER) pair
OU (FOUND)found IR (PIR) peer
O (FO)foe OR (POR) pour
El (FEIT)fight OOR (POOR) poor
Al (FAIT)fate UHR (PURR) purr
01 (FOIL)foil
YO0 (FYOOR-ee-uhs) furious
Consonants
B (BED) bed R (RED) red
D (DET) debt S (SET) set
F (FED) fed T (TEN) ten
G (GET)get V (VET) vet
H (HED) head Y (YET) yet
HW (HWICH) which W (WICH) witch
J (JUNG)jug CH (CHUCRCH) church
K (KAD) cad SH (SHEEP) sheep
L (LAIM) /ame TS (ITS) its (PITS-feeld) Pittsfield
M (MAT) mat TH (THEI) Thigh
N (NET) net TH (THEI) Thy
NG (SING-uhr) singer ZH (A-zhuhr) azure (VI-zhuhn) vision
P (PET)pet Z (GOODZ) goods (HUH-buhz-tuhn) Hubbardston
Examples of Phonetically Spelled Names
NAME ON BALLOT PRONOUNCED AS
Mishaud mee-SHO('d'is silent)
Jahn HAHN(rhyme:fawn)
Beauprez boo-PRAI (rhyme:hooray)
Maniscalco man-uh-SKAL-ko
Tangipahos TAN-ji-pah-HO-uh
Monte Mahn-TAI
Tanya TAWN-yuh(not TAN)
Do not submit this page to the filing officer.
DS-DE 302NP (Rev. 11/17) Rule 1S-2.0001, F.A.C.
ADFFICELISEONLYE A CH
STATEMENT OF C,-EF:l;•S OFFICE
CANDIDATE 19 JAN -3 r 3: �9
(Section 106.023, F.S.)
(Please print or type)
1, Ai; --C/hC-1\ S -0)hC,n SailfAnOSh
candidate for the office of u ,o f C3or+on Cow';SS,onc_p -Ds+r.c,+y;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X /3/20 ¢
Signature of Candidate Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84 (05/11)
SCANNE [
RESIDENCY REQUIREMENTS
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/Y :--c, - , i Sr,tG.aOSh
� , candidate for
(Print Name)
Coi-nS5 /rrb ( - S--r► ( t 14H of the City
(Mayor/Commissioner— District #)
of Boynton Beach, have received, read and
understand the residency requirements of Article II
of the Charter of the City of Boynton Beach.
//./;,,‘"
(Signature of Candidate)
1/ )/20 9-
(Date)
2/15/18
S:\CC\WP\ELECTION\Year 2014\Information Packets\RESIDENCY REQUIREMENTS STATEMENT.doc
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