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Filing Papers
DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. HACH APPOINTMENT OF CAMPAIGN TREASURER f; ; ;;_ i K'S OFFICE AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES 1,99 0 F C —3 P11 2: 2 (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. CK APPROPRIATE BOX(ES): 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 �S NS code) jo)8 Api Z?.o C)) p__ �rttew/ T VN 4. Telephone 5. E-mail address (561 ) 323 9qarj6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: (VjS'TMG J It/ 6oyKW AG" CV M1 5� IorfCr - ❑ 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. 1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer '10. Name of Treasurer or Deputy Treasurer 11. Mailing Address 12. Telephone 1375- Gkmw4 X-0 (32`/ ) 523 47�.05- 13. City wn 1 County 15. State 16. Zip Code 17. E-mail address 18. 1 have designated the following bank as my Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address / So IV i 21. City y 2W � (1 e� 23. State 24. Zip Code 33 Lt 8 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 Candi to 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, f i5%�� �l�N�S� do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer ❑ Deputy Tr Date Signature of Campaign r Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) OFFICE USE ONLY 'Jrf�G `t i''N BEACH vli , I"! EIRK'S 6FFICE 19 DEC -3 Pf a 2= 26 candidate for the office of 1-y have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x' ature of Candidate /2 -3- ! g 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 (05111) Cr - CANDIDATE OATH - 'lip B:;j yiq ! °; BEACH (., 'I< CLERF'S OFFICE NONPARTISAN OFFICE L C -6 AM 9� 4 (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021, Florida Statutes) (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 ��f 1�-- I (office) (district #) (2� I am a qualified elector of _ �n2;N% d✓06�'-4 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. q y- O -r vv'ir ISlgnature of Candidate Telephone Number Email Address Address Civ State ZIP Code } .7 947 41-� O Candidate's Florida Voter Registration Number (located on your voter information card): _ * 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): STATE OF FLO IDA COUNTY OFY1 Sworn before this day Dec 20 t to (or affirmed) and subscribed me of . Personally Known: or Queenester Nieves Si ure of Notary Public Produced Identification: Print, T r 'N I Public �~ ( �,' Notary a Type of Identification Produced: r I ��(�1 t� Q _I� r7 L �` G Queen =FI 2- o _ % r7 d}� n ExpireaMy mmission GG DS -DE 25 (Rev. 5111) Rule 1S-2.0001, F.A.C. RESIDENCY REQUIREMENTS I, qloHl�r m1w4wriq candidate for (Print Name) COM M Sj 0AV -- -- pj5 T- 4k 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)- 7- 19 (Date) S:\CC\WP\ELEC7I0N\Year2020\CANDIDATE INFORMATION CD\4. Residency Requirements\RESIDENCY REQUIREMENTS STATEMENT.doc i -- I, qloHl�r m1w4wriq candidate for (Print Name) COM M Sj 0AV -- -- pj5 T- 4k 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)- 7- 19 (Date) S:\CC\WP\ELEC7I0N\Year2020\CANDIDATE INFORMATION CD\4. Residency Requirements\RESIDENCY REQUIREMENTS STATEMENT.doc FORM 1 STATEMENT OF 2018 Please print or type your name, mailingFINANCIAL INTERESTS FOR OFFICE USE ONLy- address, agency name, and position below: LAST NAME -- FIRST NAME -- IDDLE NA E : sH mmilto �l _ MAILING ADDRESS : CITY: ZIP : COUNTY: C3+ o- yrorow- 6eocYi Xim cl ' / NAME OF AGENCY: CD �O NAS OF OFFICE�POSITION HE OR SOUGHT (�v /smcr T You are not limited tothe s ce 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(m check one): DECEMBER 31, 2018 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 (must check one): ❑ 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 WE S Gsl-i �wjq C • v' Onmpnoxl 6033� 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'Wa") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE Y 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. ' A/ ry INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1 - Effective: January 1, 2019 (Continued on reverse side) PAGE 1 Incorporated 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 "n1a") TYPE OF INTANGIBLE T PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "n/a") NAME OF CREDITOR BUSINESS ENTITY TO WHICH THE PROPERTY RELATES ADDRESS OF CREDITOR 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 "n1a") BUSINESS ENTITY # 1 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 PART G — TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. BUSINESS ENTITY # 2 ❑ I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: Signature: Date Signed: FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. To determine what category your position falls under, see page 3 of instructions. Local officers/employees file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Form 1 filers who file with the Supervisor of Elections may file by mail or email. Contact your Supervisor of Elections for the mailing address or email address to use. Do not email your form to the Commission on Ethics, it will be returned. State officers or specified state employees who file with the Commission on Ethics may file by mail or email. To file by mail, send the completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL 32303. To file with the Commission by email, scan your completed form and any attachments as a pdf (do not use any other format) and send it to CEForml@leg.state.fl.us. Do not file by both mail and email. Choose only one filina method. Form 6s will not be accepted via email. CPA or ATTORNEY SIGNATURE ONLY 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. CPA/Attorney Signature: Date Signed: Candidates file this form together with their filing papers MULTIPLE FILING UNNECESSARY: A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections. WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates must file at the same time they file their qualifying papers. Thereafter, file by July 1 following each calendar year in which they hold their positions. Finally, file a final disclosure form (Form 1F) within 60 days of leaving office or employment. Filing a CE Form 1 F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31, 2018. PAGE 2 ), F.A.C. The City of Boynton Beach F� b ri 11JN BEACfi .," CLEIRI ,�I 'S OFFICE : CITY CLERK'S OFFICE 3301 QUANTUM BLVD. 19 - PEC _ 6 AN 9: 4 3 SUITE 101 BOYNTON BEACH, FL 33426 PHONE: (561) 742-6060 FAX: (561) 742-6090 E-MAIL:,dtyderk@bbf1.us www.boynton-beach.org PUBLIC NOTICE 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 17, 2020 General Election will be held: Wednesday, February 26, 2020 @ 10:00 A.M. Palm Beach County Supervisor of Elections Service Center 7835 Central Industrial Drive Riviera Beach, Florida 33404 Attendance at the L&A testing is strictly optional for candidates and you are welcome to observe. PLEASE SELECT YOUR AVAILABILITY BELOW: I will be attending the Logic & Accuracy (L&A) testing of the voting equipment on February 26, 2020 @ 10:00 a.m. Estimated number of attendees: I will not be available to attend the Logic & Accuracy (L&A) testing of the voting equipment on February 26, 2020 @ 10:00 a.m. I ACKNOWLEDGE RECEIPT OF THIS NOTICE OF LOGIC & ACCURACY (L&A) TESTING. ndidate's Signature Date Received S:\CC\WP\ELECTION\Year 2020\L&A Testing Public Notice - For Candidate's Signature.doc Updated 12/5/2019 Miscellaneous Cash Receipt CITY OF BOYNTON BEACH Account No. 001-0000-369-10-00 No. 92191 $ 198.53 DECEMBER 6 2019 Received of RESHI (RICK) MAHARAJH Address 1018 AREZZO CIRCLE, BOYNTON BEACH, FL 33436 _ For 1% FILING FEE TO RUN FOR COMMISSIONER —.DISTRICT IV ON MARCH 17, 2020. Dept. CITY CLERK OFFICE By -- Miscellaneous Cash Receipt CITY OF BOYNTON BEACH Account No. 001-0000-369-10-00 G\t Y OA ~TON No. 92190 $ 25.00 DECEMBER 6 ,2019 Received of RESHI ( RICK) MAHARAJH Address 1018 AREZZO CIRCLE, BOYNTON BEACH, FL 33436 For CITY FILING FEE TO RUN FOR COMMISSIONER—DISTRICT IV ON MARCH 17, 2020 Dept. CITY CLERK'S OFFICE Bye d4 A OF guy Wendy Sartary Link z 00: F, _ Palm Beach County Supervisor of Elections CERTIFICATION i"; M0 f I, Wendy Sartory Link, Supervisor of Elections, for Palm Beach County, Florida, do hereby certify that 27 signatures on the Nominating Petitions of Reshi Maharajh for Commission District 4 for the City of Boynton Beach 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 Reshi Maharajh is a registered voter in Precinct 3168, in the City of Boynton Beach, Florida. Signed, this 6th day of December, 2019. 64 Supervisor of Elections;'`,,,. Palrn Beach County °. (SEAL) 240 South Military Trail, West Palm Beach, FL 33415 1 Post Office Box 22309, West Palm Beach, FL 33416 Telephone: 561.656.6200 1 Fax Number: 561.656.6287 CANDIDATE PETITION Notes: -All infb neation 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 fora;. t p� C=jJ 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 ofc-SN.L MA '-(/� placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ❑No party affiliation ❑ K Party candidate for the office of BOy,,11FofV �,et� cJTY 6oMM,Ss1or (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address City County State f Zip Code (� 0YVIIp �/ t rn'1 `� �t .F'%,o j1-1� 7 4-��' �► Signatur of oter. Date Signed (MMIDD/YY) [to be completed by Voter] Rule 1$-2.045, F.A.C. DS -DE 104 (Eff. 0911 C ,+ ms's - CT-) CC C') r , C> CANDIDATE PETITION Notes: - ,411 inforrnatioii on this form becomes a Farblic 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. 11 (pant name as it appears on your voter information card) M in said state and county, petition to have the name of Pe5mT, t � /t9 ulq placed on the Primary/General Election Ballot as a: (check/complete box, as applicable) Nonpartisan ❑ No party affiliation ❑ the undersigned, a registered voter Party candidate for the office of �y�?oiv (G�uI GI1'y CoMMiss)or� OrsrrzcT- L+ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address � (MM/DD/YY) City T County State Zip Code Signature of Voter Rule 1S-2.045, FAX, Date Signed (MM/DDNY) [to be completed by Voter] --Pik 12 -,C I DS -DE 104 JEM 0911 CANDIDATE PETITION Notes: - All infortnatiot? on th.t.'s form becomes a psrblic record ttporz 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] -1f all requested information on this form is not completed, the.forrrr will not be valid as a Candidate Petition form. V, t' ti 1A,1 t �'A I 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 _ rESHz M11 kf f)r� TK _ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of c7y,v'rory (X -Acs, GST y 66M1v1i55iar`1 0orifticr q (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address • (MM/DD1YY) City vY County State Zip Code Signature of Voter Date Signed (MM1DDNY) A [to be completed by Voter] �A. Cl1C'�{ 1 1z 6 VGRule 15.DS-DE 104 Eft. 09111 t 44- 7K - (f} - CD ,. rri f-, CANDIDATE PETITION Notes; -A// igfi)rrnation 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. j, ± ry the undersigned, a registered voter (print name as it appears on your voter information card) N1 in said state and county, petition to have the name of 4SN.Z t � m "t)P-A 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 r4TO0 ��.ACM GIT y 66MM15510r✓ 01,5r�IC'r Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) City _ County -LM Q State Zip Code r✓ 8goc ( CA w4t ql�lv 0-1 PA 4-a3Lf36 Sign/aturree of Voter Rule 15.2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] 7Z�6��9 DS -DE 104 tEff. 09/1 CANDIDATE PETITION Notes; -All information on this form becomes a public record upon receipt by the Supervisor of Elections. It is a cringe to knowingly sign more than one petition fol- a candidate. [Section 104.185, Florida Statutes] lf all requested information on this form is not completed, the fonn 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 PC— SNL t 'IM li Pf l 7K placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of 0YYV1ro1`V (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY � j City County State Zip Code Signature of Rule Date Signed (MM/DD/YY) (to be competed y Voter] DS -DE 104 (EN. 0911 cz M_ 0 M 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 fora: 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 PC' NHz ! ' M !f1 k(F(r� 7H placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of J�0yiVTorV I � C)7'i CoMM�Sslor✓ 0j.5r(z4cr It (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address D (MMIDDIYY) gp � �QJ't ' J� y C) S__ �� /� City County State Zip Code Signature of Vote Rule 15.2.045, F.A.C. Date Signed (MMIDDIYY) [to be completed by Voter] DS -DE 104 tEff. 09/1 cyl 'Tt rnC3 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. J40J__4 _�V©6/" 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 PC -SHL t ' M )l ;(�i f;6 7K placed on the Primary/General Election Ballot as a: (checklcomplete box, as applicable] Nonpartisan [:]No party affiliation ❑ Party candidate for the office of BoyYVTotf rVAw clg'i C"MMl3510r1 oi` r�4cr '-f (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[ C �O C(4 1� . City County State Zip Code 5 0yol q-0 W 9"�hcH P/ Lm 6 Lk" 14bo (1.1194- 33 ` 2 6- Signature of Vo Rule Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 {Eff. 0911 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 t,S u 1' , t1 P'� 1!f (<Wc�-j the undersigned, a registered voter (print name as it appears on your voter information card) N1 in said state and county, petition to have the name of PC- sNT placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan [:]No party affiliation ❑ Party candidate for the office of 'soy j/Too ix'AQ1 C=ITY c6MM135)O ✓ 01'5r(4cr � (insert title of office and include district, circuit, group, seat number, if applicable) Date of Blrth or Voter Registration Number Address � I 10�sphl _. ___ r-�\ye City County State Zip Code Signature of r Date Signed (MM/DDI") [ti=='o be completed by Voter] L a,31.Qtq Rule 15-2.045, F.A.C. DS -DE 104 Eff. 09/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition foi I,the undersigned, a registered voter (print name as it appears on your votef information card) in said state and county, petition to have the name of e57H Z I ' M ti N1i .-A ;Ti( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of j�®yW7oN (.QAC -r CITY C,,rAP [1Ss)0in/ 0ISq_R4Cr 'f (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 Y CIr L 1 L C C City County State Zip Code Signatureof Voter `I Date Signed (MM/DD/YY) [to be completed by Voter] Rule 1S-22045. F.A.C. 1 DS -DE 104 (Eff. 0911 (41 CD LO -T3 I 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 fort . USE i tJ 'JI yo J 1 the undersigned, a regisAtered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of peSMHz r . m Pf 19 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] E�fNonpartisan ❑ No party affiliation ❑ Party candidate for the office of Boy 1VToty 656AC49 nr y 01SF%►Cr It (insert fi- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or (MM/DDIYY `lz Voter Registration Number t^� r 13o 70 11(1 County State City bt,yl'/+rp Zip Code ri 9,�ftc.. , qcl o fi-Iofi �Y 33 3 Signatur o e Date Signed (MM/DD/YY) [to be completed by Voter] Rule 18.2.045, F.A.C. DS -DE 104 iEff. 0911 CANDIDATE PETITION 4irtt*s: .Ill Inform fill Orr this 6)1 In hei, arrre,,i a public r- ccwd tipuit ree cipt ht Me Saipel-visvi-r.,1 Eit ctic n,i. It i., a > r irrre to knr.winvty- sign more tharr on, - rition fnr a c€rndidiaw. i.Section 104.1.U. I'lorid a Stutur€:s; it u/i requested bOrmation on dris loam is not can nleted, the Jbon will prat be valid as a (andidati, Poutio E j the -tndersigned, a r Oster€ d voter (print name as it appears on your voter information card? .n - M � in bate state ana county, petition to have the name of 1"L ✓ H ' (; •P, places on the Prima:rylGenerel Election Ballot as a- [,check 1-omp;ate box. as applrcabiej Nonpartisan ❑ No party affiliation ❑ _ Party candidate for the office of (insert title of office and include district, circa 7t. group, seat number. If applicaD!e, hate of Birth or Vater Registration Number Address (MMIDDtYY) 7o lK, City ! county State Zip Codo i Y(V a 0 i� (_ ` P., till Signature of Voter Ru;c iS-2.006. F.A.C. A I Date Signed (MMIDDiYY) Ito be compieled by Vot€rrj l Lt AS -DE 104lEff. 09111? ') (4J r t�CJ co M rrt > n CANDIDATE PETITION Notes: All infonnatiorz 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 font. 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 55SHT r ' f rn ti kf ;7K placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Ej�Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BoytvToo 1,516, AC41 Girt' C"MMj'5510r✓ oi.5rrkr- Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birt`7 h r Voter Registration Number Address �/f f (M 1 7Y) City County State Zip Code &"-yfV 1-0 Signature of Vote t i Date Signed (MM/DD/YY) [to be completed by Votgc], E �= C�� DS -DE 1041Eff. 09/11 zz, Y CANDIDATE PETITION Notes: -A// 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 C -M 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 PENtSHI: t • Irk placed on the Primary/General Election Ballot as a: (checklcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of jB, oylvT00 66-AC41 clr/ or.SFfkr q (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 4,V0-1 City County State Zip Code W 9"r:.6q1 I P�Lm &A" 1 'C�' fl,"g, 33 kl(� C, Signature of Voter Rule iS•2.045, F.A.C. Date Signed (MM/DD/YY) [to be comp ed y Voter] DS -DE 104�Eff. 09!11 CANDIDATE PETITION Notes: -All infbrmation 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 jbrm. I, s' i N r) . Z—J l V 4 _-5 ( 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 iCC-SNs Mil k(firz41 7K 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_�v_Too (n�Cbw Cul i Co&%(V1j or✓ 01Sr1z+cr Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Addres-s7 (MM/DD ) / ��� flt a t��6 City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed y Voter] Rule 1S-2.045, F.A.C. DS -DE 104tEff. 0911 Q Tja; M rnM 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 or(your voter information card) in said state and county, petition to have the name of pt%5'rx t ' t�v1 il Ht 4� tri placed on the Primary/General Election Ballot as a Nonpartisan ❑ No party affiliation ❑ . Rule [checklcomplete box, as applicable] Party candidate for the office of ��yy��oN 6c� �)Ti C�MrSsjar/ 015�(trcr �f (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Add re s (MM/DD/YY) ` b 5 R�Q City CountyState Zip r✓ 9'�.Oc, PALM 6a-" 1"f -)_0 0 Signature of''oter Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104(Eff.09/1 CANDIDATE PETITION Notes: -A// 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 fo t, (print name as it appears on your voter information card) in said state and county, petition to have the name of e5Hz t ' tn�1 19 Ali placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable) Nonpartisan ❑No party affiliation ❑ 7N the undersigned, a registered voter Party candidate for the office of jB0YV T0l`V ( ACM CiTi Ct9MM13sror11 Of-5rlR4Cr 'f (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth (or Voter Registration Number Addess (M- T, \ 151 't-`�6 a J( City Sigriag`ture of Yater l _ 1 . Rule 15.2.045, F.A.C. County State Zip Code pyo 6L0" 7�f-,19/1- 3 3 Date Signed (MM/DDM) [to be completed by Voter] S -DE 104(Eff.09/1 L > C1 ^"*j CZ7 M M C-7 -T- CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It i's 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 1, Af sH-r N&no �5 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 ` _SMx Mil Hi rzz 7l{ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of �Oyr.IIFO0 � "AC J1 C,11-1 Cojv P ],5si0rxl oorr tkr Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) o b/V /72- �° [ g ( ?_ Z -o C-1�- CityCounty State Zip Code nature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 (Eff. 09/11 CANDIDATE PETITION Notes: -All information onn 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] - Ifall requested information on this form is riot completed, the form will not be valid as a Candidate Petition.form. t, L/-��v LJ 3 2 the undersigned, a registered voter (print name as it appears on your voter information card) M in said state and county, petition to have the name of PesH.� / ' 'M Hliri.p 7K placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of iB. omToo 66AC 1 col COMM13510 ✓ Oorf er "-f (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDIYY) City 5'_'' / g"C'041 County P LM &0" State Zip Code To P/ 1��O P -10A 33Y3(, Date Signed (MM/DD/YY) Signature of Voter n [to be completed by Voter] r3, _ Rule 1S-2.045, F.A.C. DS -DE 104 Eff. 09111 CANDIDATE PETITION Notes: -A// 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,//��a p ��ll �% 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 r-'5.5Hz Mil tM il H1irM 7K placed on the Primary/General Election Ballot as a: (checwcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of OY(VToo 166-Mcil GiT y ce7MMi5S1or✓ 0I.5ir(<T_ L -t (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address {MMIDDIYY) - -- -- °7 733a %(%a % Mas/"x14 d ta? AA, - 3G City County State Zip Code boy(J1-0W 9'5�'01 PALM 6a -C41 ��0ri-)f9A 33 Signature of Voter Date Signed {MM/DD/YY) [to be completed by Voter) Rule 1S•2.045, .A.C. DS -DE 104 (Eff. 0911 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 far 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 W4 b -Z� 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 a5sHz t ' l�/1 A HRr� ;7H placed on the Primary/General Election Ballot as a: (check/complete box, as applicable] Nonpartisan [:]No party affiliation ❑ Party candidate for the office of �Oy'TorV I� GiT i �oMM�Ssjor/ 0�s� f�cr Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or . Voter Registration Number Address q� I City County State Zip Code Signature of Voter X_ Rule 1S•2.045, F.A.C. Date Signed (MM/DDlYY) to be completed by Voter) '),--(S7 DS -DE 104 MIT. 09/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 Petitionfo n. the undersigned, a registered voter rint name as it appears on your voter information card) in said state and county, petition to have the name of E�;H,L t � M m Hfl r2p fir( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of ` oytvToi f � �[ry C�MM15Slor✓ o Strfkr Lf Date of Birth (MMIDDIYY) 2-/ (insert title of office and include district, circuit, group, seat number, if applicable) or Voter 2- Registration Number Address ' /0 t �.2 e ZZ� C c2`,( -L-- City County State Zip Code W Pnm 6-k". 11 bo AOL 3) Cr 3 Rule 15.2.045, F.A.C. Date Signed (MMIDD/YY) [to be completed by Voter] S DS -DE 104(Eff. 09111 �w � � T Cil` 2-C CA C CD .. -• $CU Cn M)> C-) CANDIDATE PETITION Notes: -A// information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition L �"- NJ w n u<Ii, t, the undersigned, a registered voter (print as it appears on your voter information card) in said state and county, petition to have the name of __ PC-5,Ht rM If) k(t) r o ;7H placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of BOY (VTo6/ CAS y COMr►)5sror✓ (insert title of office and include district, circuit, group,' seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDD/YY) �D I 1 /� V City County State Zip Code gca,01 PALM 6L0"- kLc,0 Signature of Voter Date Signed (MM/DDNY) a [to be completed by Voter] Rule 15-2.045, F.A.C. DS -DE 104(Eff. 09111 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly .sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form isnot completed, the form will not be valid as a Candidate Petition fory. t, �J A T the undersigned, a regisTered voter j T (print name as it appears on your voter information card) in said state and county, petition to have the name of ige-$M5Nt t ' til Pf +l r": 7K 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 fVTC) (cAC49 GITy r17MMi55I0n✓ 0j.5T_R4C_T_ 'If- _T (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) ce- City County State Zip Code Ii-°�/'� PALP, :��LaP-�I�� _ �- 3 3�F2r; Signat oter Date Signed (MM/DD/YY) [to be completed by Voter] 14 ,5-1 t Rule 15-2.045, F.A.C. DS -DE 104 Eff. 09111 CANDIDATE PETITION Notes: -A// 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] t - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. �Vc) the undersigned, a registered voter `((pint name as it a pears on your voter information card) in said state and county, petition to have the name of RC-sMs t ' 1rv1 11 H1 r Irl placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of "�Oyr4Tc)0 %A1:41 CJT y COMMISs+an% OJ5r(t4cr �f (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or (MM/DDijYY) � City bokw 1-0 Voter Registration Number Signature of Votgr ""1411, .2 Rule 1S-2.045, F Address ;-76 S ,,pe -r Vv County State Zip C LMQ Lr� -40 fl --I om- 1 Date Signed (MM/DD/YY) [to be )completed by Voter] DS -DE 104 (Ell. 09/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt b.v Me Supervisor of Elections. - It is a crime to knowingly sign more than one petr'tion 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 Petitiot ��rn. L 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 Pl! Sil z Mil kf 19 rl� tel`( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan []No party affiliation ❑ _ Party candidate for the office of �oyyv?otV C]T y r-oMMiSs]0t'✓ 01,5 - kr q (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDIYY) 01 City _ County State Zip Code Signature of Voter Date Signed (MMIDDIYY) _ [to be c mpleted by Voter] Rule 1S-2.045, F.A.C. DS -DE 104 Eff. 09111 ' J C" M rT{� CANDIDATE PETITION Noses: A!! information on this form beconies 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 Slatules] If all requested inforrn.ation on this form is not completed, the fibrin will not be valid as a Candidate Petitionf r r. the undersigned, a registered voter (print name as it appears on your voter information card) N1 in said state and county, petition to have the name of t S BHT, l • rl P(1q rLo 7H _ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ^ Nonpartisan ❑ No party affiliation F� Party candidate for the office of Boy rlTofV (-�' 6A':'I Cll'i 66IMMl55!Qr✓ 015r(Lrcr L -f - (insert title of office and include district, circuit, group, seat number, if appl ;Da"'of Birth or Voter Registration Number Address (MMIDD/YY) / City County State Zip Code 4-3 Signature of Voter Date Signed (MM/DDIYY) [to be completed by Voter] 1 Rule 13.2.045, F.A.C. DS -DE 104 Eff. 09/11 C-71 r—_ C) TIM M> CANDIDATE PETITION Notes: -All informalion 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] 1f all requested information on this form is not completed, the fibrin will not be valid as a Candidate Petition 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- 5 M -L M/I krnILO 7f( placed on the Primary/General Election Ballot as a Nonpartisan 7 No party affiliation ❑ [check/complete box, as applicable] Party candidate for the office of � 0yr./Tory CIT% CPMMi5510r`/ 01.54-4cr- 1+ (insert title of office and include district, circuit, group, seat number, if applicable) Dateof Birt or Voter Registration Number Address 1 -7 p t J � (MMID City County State Zip Code x _ Sig turQ of V:o:�ter4_ Date Signed (MMIDDIYY) [to be completed by Voter] Rule 1$•2.04 , F,A.C. DS -DE 104tEff. 0911 i CANDIDATE PETITION Notes: -All information on this for blies a public record upon receipt by the Supervisor of Elections. - It j'¢''MOk ti� �i�q*4n �L ore than one petition for a candidate. [Section 104.185, Florida Statutes] - If al('iejgl�e,�t�c� infor>iia ion on this form is not completed, the form will not be valid as a Candidate Petition form. I r r (print name as it appears on your vot r information car in said state and county, petition to have the name of K��q J Into/t {"1 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 4 the undersigned, a registered voter W onpartisan ❑ No party affiliation F-1 Party candidate for the office of CIT409701SS-MVI-1? & Y PY /�t � �/� i C. (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDIYY) ,2 1s 1 ! /'/ b City Co u State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be co//mpl ted bi Voter] e 15-2.045, F.A.C. DS -DE 104 (Eff. 0911 \C -- CANDIDATE PETITION Notes: -All information on this farm 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 youNoter information card) in said state and county, petition to have the name of P&-' 5 z MP-A ;7K 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 VVTo(V (jG-AC41 CiT y CoMM1551or✓ 01.5rR40- L+ (insert title of office and include district, circuit, group, seat number, if applicable) Date 19f Birth or Voter Registration Number Address (M f , 0 City County State Zip Code (boy,, ' -o ry C"4:'01 CALM SLA" 'C�ofI-)fq,t Signatu of V ter Date Si ned (MM/DDNY) [to ber mplete by Voter] Rule 15-2.045, r—.A.C. DS -DE 104 tEff. 09/1 CANDIDATE PETITION X1 lie C , -1e, 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 (p rifit name as it appears on your voter information card) in said state and county, petition to have the name of K5 r t � t/v1 'M 14thz- 7H placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of Vioy�Too � Ate( Cur/ CoMn55)0r✓ 015 H 1-f (insert title of office and include district, circuit, group-, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM D city it County State Zip Code Sig Date Signed (MM/DD/YY) [to be complet d by Voter] a DS -DE 1049Eff. 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 forret is riot completed, the form will not be valid as a Candidate Petition form. I, A 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 9E5Nt Mil 1 M 61 ;411�'� ;7q placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of 0yyv7orV �>G� -t CilCoMI'')155ioY✓ 01.5r(z4cr Lf' (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDIYY) 7 2- �`�� J d,�q '�' 0aj2'j C_�. City County State Zip Code Signature of Voter,-�— Rule 15-2.045, F.A.C. Date Signed (MMIDDIYY) [to be completed by Voter] : �w E- DS -DE 104 (Eff. 0911 0 1 t TPJW.l CANDIDATE PETITION' I 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 not completed, the,form will not be valid as a Candidate Petition form. j'�C O the undersigned, a registered voter (print name as it appears on yck4 voter information card) in said state and county, petition to have the name of ReN1.-H4 t ' Isl mli r" -A 7H placed on the Primary/General Election Ballot as a Nonpartisan [—]No party affiliation ❑ . __ _ [check/complete box, as applicable] Party candidate for the office of 50ytv'Tof/ "'-Aw C[T% Cotvgvil or✓ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or (MM/DD/YY) oc?1Z51 Voter Registration Number Ib Address i 0`1 rV FA reel, arde City County (� State Zip Code 1, PALM 1;7 y6' " .40A -, i CANDIDATE PETITION -Ckk e dCJC--1Z- 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) n� n in said state and county, petition to have the name of Pt 5m placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of '50yr4To-61 C Crr y CpM_ ('] i55)0r/ 015r(4u- Lf - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address j'J . v cr CJ !i1 e, Ci.� ^, City County State Zip Code Voter Date Signed (MM/DDrN) Voter,,,-,, [to be completed by Voter] DS -DE 104 ( Eff. 09t1 CANDIDATE PETITION Z) -e d -JC 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 tiN h 4A PQKthe 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 RC_5Hz Mid HtiP) 7K 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 g � _ C'.Uti Re R coki c t (MM./DDM) �, � � � 1 .i y . - � — 8 y-r� �c N R ACf( F1 City County State Zip Code Signature of Voter Date Signed (MMIDDIYY) [to be completed by Voter] Rule 15-2.045, F.A.C. _ _ DS -DE 104 (Eff. 09/1 CANDIDATE PETITION .Note.v: All irtt.7trncafwn on this lann he;,wnes apublic rrtnr-d upon ree,•tpt in the Supei-visat c; l;k� nvtzs, it rt a c rirrtr to krtctsingt l Sign more, than wic perition Mr a c•rtndidut, . !Soc•t on iO4,M5. 3'?. 1-7,.rida StatureS-rj . Il ali requested iglbonution nn this-,irrr"rtt is that completed, the forst tiviil not be valid as a C undidate Petition w -n, E % //` f 1 1/%A3 / -- 'ne undersigned, a registered voter (prin, n3tne as it appears on your voter information card) in saic state ano ci:unty, petition to have the name of `+e �—> H z 1"ii; rA ✓f r [_l'� :Tit plzicea on the PrimarylGeneral Election Ballot as a; fchecr.certrpiete box. as applicsimp-11 Nonpartisan ❑ No party affiliation ❑ Party candidate for the office o' yl� s ON �ff�a-! c fi Y t%JMMf�l�t" �! `a7�tC.r t.$ r ttnsen title of office and include distnct, cttcu?t- group, seat number, if appiwinlei Dateof Birth or iioter Registration Number �Stiil ,s 4 O (MMIDDIYY) 17-1.3 °33yr3� l i 5#gnat Rule 15.2.046, F.A.L. County I '. 6e-'a=,t State Zip Codo Date Signed (MMIDD/YYk 3 t� ?u completed try Voter'i -- - - T----- QS -QE 104 (Eft. 09111; CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 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, * lq Jk (ZD L. ( 3 Ro t.,) /lj 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 "01FS Hz t � M fl Nle rl. ;7K_ placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ _ ._ _ _ Party candidate for the office of �dy�Tonr �x�w ��TY C�MMlssror✓ (1(s�-R+c�- � (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address /D 1 )? 44c 22d c- t 2c[ C (MM/DD/YY) Lill S- City County State Zip Code Signature of Voter Rule 15.2.045. F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 1041Eff. 0911 t C 1 rn C- 79 r- cw} ryl � -y" I CANDIDATE PETITION h'ores; �W int0onation rrrt this limn i t.ecllues u public n -col -d upon receipt h: !ht- Supervisur of h7tenons. it is rime to knowirrg+li',eign more than ont, petition.kir a cundidwe. [Sverie n 104.185. Fluridu Statutes] ti all requested ittjrarutatiun tin this farm iv not completed, the,lursi s it not he valid as a C andidutc Petition kuru_ g I. -J6 J'1 V A J I the undersigned, is registered voter (pr,n, name as it apwt~ars on ;our vo!er information card) z ,n saic state and county, petition to have the name oe p!;icec: on the Primary/General Election Ballot as a. fcheck,,co nplete box, yrs applicaWd rL Non.pamsan [] No party affiliation _ Party candidate fur the ufftc;e n`. 4`5OIli vjV ('oN bt5A1:11 i -iT � ��v,N!,,.5`i�ti/ p (insert title of office and include district, circ it group seat number. i` applican"e) Date of f Birth or Voter Registration Number Address A re (MM}DD") 41108//97,6 City sigrititur _i Rule 15.2.045; FA.C: I County -_._.._ State Zip Code 04 I Date Signed (MMiDDfYY) I )to be completed by Voteuj LL - 'T 03.0E 1,D4 iEh. DWII rem r.=V. �rap— CANDIDATE PETITION _'Vle CbL4-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 form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter print name as it appeks on your voter information card) in said state and county, petition to have the name of RC—SHz t ' I/Y1 fl �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 '60yyyTo 0 I66AC41 G[T y CL? j1AM 155ar✓ oorfz►cr Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number FAddress City County State Zip Code Signature of Voter Date Signed (MMIDDNY) [to be completed by Voter] ( 'r' L- Rule 1S-2.045, F.A.C. ; ® DS -DE 104 REff. 0911 r�7 C�7 : C:: rul Ti i CT) fit, -Ti CX7 M n CANDIDATE PETITION ke dCL-�C-c 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 fibrin will not be valid as a Candidate Petition form. t%dile _z- /�,'��� 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 PEsNI; 1 ' M A ,7K placed on the Primary/General Election Ballot as a: (check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of IV?oiV 6&AC41GTi CoMM►Ssror✓ OJIST-94CT- LF (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) City County State Zip Code Signature of Voter Rule 15-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 {Eff. 08/11 r CANDIDATE PETITION \eYfrt: il,' • ' .t>r,e{ ;xetp ,e_ Frts +� +re3 _-._.. i.� i:aP:;fz r4as~as sa Wn , .-1 (.ac 1a?.; k : . ML-. 1 .P a ?d...�.a.... •� c< r�ease�_ YI kYltilr4aksth lagrY est.lsar ;hilt 'it3¢' :Fc`twGY: Fere 104 1'�'`. i'ttr7ttYs? :9aydFlRfaes. .n :vp [tis r.. -m i.4 ?,fkt d, Int t, 1711 .,a:; lw;i€ta as n L".otdit ar, Pe€ilpcn: +r•,rae r, (J J • I w '"T L ��1 �' 1 tne- inds rsigrs s# ca vole wr", tYi—e if$ 4;K1r*W$ ore VOL! dWer mtc,maho C.?.,. dr RaC'tale a -C, :Ct.-`., pi�':ef!C":`? ti. �ie�rti .�.L E-„2...� - t '� J 'i`"�1• :� � �` �{-��..;� r�)� placec or the P-.mary.`G€,neraf Lier!ic:n Pa--�jo! 35 F, �•” '':. =L''11 �'}a II, ii.; •+ a° •- • "3ea N:�r �:;� tieo :19r:�' �!�ra;�sfir�n t.,...] - _ F';�!y ,;�^t�iV:�t+; t- t'.t; Uf�:4:+3 �' t ,e �,i F ia �,< s� aP a.f.e•.".e C.S..�,A ; _r C,fs � «} :r c;�r � ^,.'near ? Hate: of ESirtnor Voter Registration Number Address -- — ►a`+4�i31$5 3101 �u�i .�r-o_c(R DAY county ossa' �v ;rv,,�44( .,Yt�=r�,h 33.1- 2 Saynt€ttire . Date Stgnect (rAMIDDIYY)w L -,,-)c Ll( -e -,r- Ila I XD p W-- Z c4a ;' IS -PE 154 Eft ti s<. _-A CZ7 - C-) ^r r— C3l r_ - to -�rT �•3 r` -q y' L`� Notes: I the undersigned, a registered voter (print name as it appears on your voter information card) M 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] for Nonpartisan ❑ No party affiliation ❑ Party candidate the office of �Oy fVToliV C,iT y ce7MM i5Sroft/ 01.5q-�4CT" (insert title of office and include district, circuit, group, seat number, if applicable) F—Date of Birth or Voter Registration Number Address (MM1DDlYY) �..n wt, City County State LP1 bofL-)(9 Zip Code �g 1-0 Signature of Voter Date Signed (MM/DDIYY) /7 L, [to be completed by Voter] Rule 1B.2.045, F.A.C. DS -DE 104 Eff. 09111 CANDIDATE PETITION XCIe 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 12 (print name as it appears on your voter information card) in said state and county, petition to have the name of P-5mt t � t/v1 ri HI placed on the Primary/General Election Ballot as a: (checWcomplete box, as applicable] E2fNonpartisanE]No party affiliation ❑ Party candidate for the office of Y(VI-0o (,5 ` OCA Cil CYT y CI?MMi5S10r✓ 01 HZ4Cr '-f (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address f City County State Zip Code boy,/q-0 rV 9" Oql CALM fL-) 17" 7 C7 Signature74, ter Date Signed (MM/DDNY) .� [to be com leted by Voter) r Rule 15-2.045. A.C. ! DS -DE 104 (Eff. 09/1 Ci C ,ofw- CANDIDATE PETITION Ne do t-C__-� 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. 11 f)l 1AQ., the undersigned, a registered voter (print name as it appears on yw� voter information card) r� in said state and county, petition to have the name of ��5 rt M ^ t ' it �l�i7K placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [—]No party affiliation ❑ Party candidate for the office of Boyi,4TW 6.>EAC41 clry cpmo lorv. of rfkr Lf - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD1YY) ` City '5"y(vTo r/ Signature of Voter dle Rule 15-2.04&f.A.C. F 9"r�:'041 County State Zip Code Date Signed (MM/DD/YY) [to be completed by Voter) J/ .3RI DS -DE 104 f Eff. 0911 4S CANDIDATE PETITION SIIQ, � -C Notes: -All information on thisform becomes a public record upon receipt by the Supervisolection. - 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_ " SG. 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 M ESN t ' iI placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of '0yfvTofv (�c-r���iTY cor+M1ssror✓ (�,sv-(L►cT (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) t O ( �2l l qZ90 c4v2 . City _ County boy(il-d Iy/ Signature of, Rule 15-2.045, F.A.C. State Zip Gode 'Co(-)at -S3%-A -6 Date Signed (MMIDDIYY) [to be completed by Voter] DS -DE 104[Eff. 0911 r . rr MC: r CANDIDATE PETITION Notes: -A// 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, C,144 J M _ (LdW AJ 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 PC— 5HT t � n� L11 Hlj z -p ;7K placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of �oyivToiy 6 AC41 C1Ti Cpj%,AMi551or✓ 01.5r(Licr If (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) City County State Zip Code boy(" -o w CALM 6 4elk I -b0 f1 It X 3 3 4-3. Signatu �ofy Rule 18-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 (Eff. 09/1 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, ; t,? - T �1�4ayva 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 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 tyCou ty _ State Zip Code ~ Il SWnm�re of Voter Date Signed (MMMONY) [to be completed �byy Voter] Rule 15-2.045, F(c. _ DS -DE 104(Eft. 1 11 � CANDIDATE PETITIONS GQ�C 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 riot be valid as a Candidate Petition form. t C_it CIL 564 -e' -) the undersigned, a registered voter l31 rint name as it ap ars on your voter information card) in said state and county, petition to have the name of I ' IM fl kol C-41 ;YK placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of OYc VTOO (.6AC41 Cur/ DISr(z+CT- It (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address j (MMI, D YY) _ s t { /V Green I-er-il City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) - [to be completed by Voter] V3q ) Rule 1S-2.045. F.A.C. DS -DE 104(Eff. 09/11) C'5 n e-6 oo_.>rte. CANDIDATE PETITION 4�142 (�C�-� Notes. -All information on this form becomes a public record upon receipt by the SuperyElections. - 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, 1,j Y✓G f 41 a4e—L 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 w Ce.5�%11 1 ' IM placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of B0yr-/1F00 ��AIZ41 CIT% CpMMJ55r0 ✓ oj,5F(40_ Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address DDIKY){' (MMI c� � i� City County State Zip Code boy( /, TV gic,041 P/�0 6L0" 33yi6 Signature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be c plated y Voter] DS -DF 104lEff.09111 Aq -p- -A- ,j�A i�e ckc>-4-e 1<8�5(05 oawulcb, 5"Cl -:33 1-1 3 (p CANDIDATE PETITION Si' .. ;:ir •rr i! rl, i r:ll#t. .. Pr.'i�. tr-:F, ��'t 1'?I 2,x .. �,.Cd t .L.ti.i�:. tMr t + SSI}r'7! *t.t i �\' 1 r'� _ cis 5ty�ni3;; F, ee��r`t�rt•4 iV>C" r ..., Wun:y..7ellwr. w r+z.r •.;, -., <. ;. } t t.t:,, ^ ,� i f Y ,_{i r1 r e`'E-••rr+errlCiBnarel E1e,-' :;r; Ga ' as t- . �'r t%f3�+( L�1T.r1i�)tnf tdf Sit i Gate of Sirth or Voter Registratior, Number Address � — — (N8M,P00)YY) A lob-.i�.�- Git Cniir ty flake Zig Code Etsfr€ss U6 -of Vo r -- Gate Signed (1�ifi81C1£hY`) - - d(�. 1 Fuie 15 .dd5 c A i ..... S•DE *C31vf' C+++� 4 "'cam R-1 CANDIDATE PETITION f7� C-) r— C-1 r-, -Ef, or yoj,l 2, 'i'dicalo o', Datt- of Binh or V, rRegi trau, nn humbler Address (woolm 3W City comity State Zip c*do Sign Date Signed (MMfDDIYY) le ls•2 D—DE 04 Elf I f7� C-) r— C-1 r-, If D CANDIDATE PETITION c�ati r,: • ' � 7> a--- , � ._.�t,i ' ., t c c � .. ...�Ssj .-t-'L , ' 1;7 ' • ., �Y .. .. ,', J>t . ht. I r 4 xt t:Jf�. �S: ... jfl.1.. k, x tZ::. 1}aakt `s'. f,r 1z� 7•� atr; . tn,, '� rb Tat, trx r. ,.rpt, i.s ia.aa'I" t. f Dante Signed (MMIDDi"Y'Y)_ co t;i f%:fst• 3 ci: .e.drOL"�+LLi1"1 PdL:rurv'�^e�,P'"8�id„" � —.,... rry� �ti� ��Rri •(�a�,�_-_ M _.....____..._.. prim'.- '?P_C�¢f21 � : II^, �3�i?° 93 3; , .. ^•j;;p �.: i ,. �;,: .. .. i eo'tire'. rtNifli%! i✓i.i)ti�y?. Date of Birth or Voter Registration NUm4cr (MmjDD/YY Address -f -70 city courlty ... -•. sty ,.. Zap Code .......... __..... _ Dante Signed (MMIDDi"Y'Y)_ co t;i f%:fst• 3 CANDIDATE PETITION d -ELL E lion 50 a! J - !R; B - 'talc Of Bi& or Voter RegistrM.'on Num4er Addr (MmqD/YY) City i County State Zip Code Iii, p"JU, 't �. -- t ,-. V e lt-2 US 9 A C Date Signed (MMfDD?"YYj 104 77, rl rrl> CANDIDATE PETITION Notes: -A// 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 riot be valid as a Candidate Petition form. the undersigned, a registered voter F 11 (print name as it appears on your voter information card) in said state and county, petition to have the name of Mil "'IL'417H _ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of �0yrvToiv (36"C-" cry COMM,S510Y✓ 01'SrR+cr- L -t (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MMS Address City County State Zip Code boyril-otv gr -'041 PALM 6ik" -cof at Signature of Voter f Rule 1- Date Signed (MM/DD/YY) (to be comp eted by Voter] iZl l DS -DE 104 (Eff. 0911 CANDIDATE PETITION ' 1k 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 fonn the undersigned, a regisct�red voter (print name as it'appears on your voter information card) rz in said state and county, petition to have the name of 9ES%tz t ' M fl Pffirlil 7K placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan [—]No party affiliation ❑ Party candidate for the office of V..0yYvT06r C AC'ki ciTY COMMtsslor✓ Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth (MM/DDIYY) .r, � Zai or Voter Registration Number Address City County17�fi_10/1_ Zip Code 3�3z/, Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] Rule 1S-2.045, F.A.C. DS -DE 104tEM 0911 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 , 16 ; 1-7 o e;; }` Y i -� .r• 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 ofMil IM Jl tel'( placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of A1:41 CITY CL7l`^1115510r/ 01.5v' k -r y - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address [� (MM/DD) ) 0 7 ' J /�i -� ` � f.�-� P jeJ p7L r P City County State Zip Code ' bo y(v ro W 9"'r:'041 C LM Q Lith'" �I.O f -I ott 's Signature $f Voter Date Signed (MMIDDIYY) [to e completed by Voter] Rule 1S-2.045, F.A.C. DS -DE 104(Eff. 0911' f `'1 C, —r OU CY- TP CAS; �E � firt '� r't �-OYo nci n t'--� CANDIDATE PETITION 'Now.w AH infiwyna!ion on thes Jinn b-' Geon+es a public- rec w -d upon reccipt hr the Super-imw (11 Elcctions, it is a eritne to knriwingty sign rnore than rine petition Jor a candidate. (Sa:tion 104, /85. Florida Statures; 1/'all reyuesled hybrrnation carr this.form is nor completed, the.1brtn will not he valid 'JS 07 C;undidcttr .0 Prion 1001' 1, ' l7A- (I— me undersigned, a regislered voter --� . 1prirlt name as it appears on you, voter information card) n!1 in said tatfr and county, petition to have the name of e.5 tHL f j;9 ! f t� placer on the PrimarylGeneral Election Ballot as a; ;checkicomplele box, as hppli��gb;el CZfNo O No party affiliation _ _ Party candidate for the office o, '50yi11TDfV I�i -+ c,r y c mmpil.s3iory 0, 5rf4cr If (insert title of office and include district, circuit, group. seat number. if applicable) Dale of Birth or Voter Registration Number Address City ;county� State Zip Code [/•J�/ j �J fV� y ll�41 i F;' LM �ttt}vi4 t - bo y`10h. Signature of Voter -- - — Date Signed (MMIDD,YY) !— (to be completed by Voter) r - 0 15.3.045. F.A.C. f 1 DS -DE 104 tEff. 09111 �7 r —.7 r: 1 � ms's L� ltJ CD r F3 r C CANDIDATE PETITION Notes: -All information on this forrn 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 N ! the undersigned, a registered voter i. 1-1113:n, (print name as it appears on your voter information card) �} in said state and county, petition to have the name of ESM.Z t ' ll9 placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable) Nonpartisan ❑ No party affiliation ❑ Party candidate for the office of ���y,�Tofv (��� CITY CoMN1i5s►or✓ (�is�(�cr � (insert title of office and include district, circuit, group, seat number, it app icaoie) Date of Birth or Voter Registration Number Address (MM/DDIYYk _ C1 1 _ _ City County State Zip Code Si nature of doter Date Signed (MM/DDIYY) (to be completed by Voter) Rule 1S•2.04, FAC. 104 Eff. 09111 � � T C-3 C-3 r-') t i T V - CANDIDATE PETITION Notes: -All infJrniation on this form becornes a public record upon receipt by the Supers isor of Elections. It is a el-ime to knowingly sign more than one petition for a candidate. [Seclion 104.185, Florida Statutes] If all requested information on this form is not completed, the fonn will not be valid as a Candidate Petition form. I,r 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 955 m r t � tN1 tm Ali j Hi placed on the Primary/General Election Ballot as a: (check/complete box, as applicable] Nonpartisan [—]No party affiliation ❑ Party candidate for the office of IVeroiv ���t`-t cirY �oMl''�►ssioi�/ D�s�(ticr �i (insert title of office and include district, circuit, group, seat number, if applicable) Date tea of Birth or Voter Registration Number` Address (MMIDD/YY) City County boyo/ State Zip Code F0 tv LM Signature of Voter Date Signed (MNi1DDNY) �— to be completed by Vot�r] qW Rule 1S•2.04C4-F- c, DS•DE 104 i Eff. 09/11 CANDIDATE PETITION Notes; - All inforrnation on this form becorrtes a pt.tblic• 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 fonn will not be valid as a Candidate Petition form. t t the undersigned, a registered voter 1 (print name as it appears on your voter information card) in said state and county, petition to have the name of P C-.5' H 1, 1 ' N1 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 BoylvTOO ( ti�lcsl ciTY C12MM15510r✓ 01.5r�-ICT 4 f (insert title of office and include district, circuit, group, seat number, if applicable) Date of alkdl r or V'0 -w Registration Number Address (MMI YYi9 N City — Co/u�nty (� State Zip Code /t Signature of Voter Date Signed (MM/DDIYY) [to be comp! ted by Voter) l�(bl/ Rule 15.2.0 , FlA.C, — - S-oE 104 Eff. 08111 C"-3 f1 T! 71a .. 0 ryr rn > 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 f L I_ the undersigned, a registered voter L l (p nt name as it appears on your voter information card) in said state and county, petition to have the name of PC-5mz t ' ! M 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 Boy fvTo fy A :$I Gi1 y 01,Sq_ 4C _ 't (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD1YY) d�� 'S�� oCCc�n iiCTv j w ( City County State Zip Code boyo/ `ro fin/ 8,C:'041 P/W LtM 6 i— ft" '�L° (i-) 19A zf Signature of Voter I Rule 13.2.045, F.A.C. Date Signed (MMIDDNY) [to be completed by Voter] 2�L IT DS -DE 104 tEff. 0911 i 7 CANDIDATE PETITION Notes: - All infornnation on this foam 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] - Ifall requested information on this form is not completed, the form will not be valid as a Candidate Petition form. `' r /yl i ck (Yj xxot I i (print name as it appears on your voter information card) in said state and county, petition to have the name of GSNL placed on the Primary/General Election Ballot as a: (checkkcomplele box, as applicable) Cil Nonpartisan -]No party affiliation E] 7'N the undersigned, a registered voter Party candidate for the office of �0yVVri0N (Gig GJT % C�M/►'1 i5sror� (�►.S� R+cr �-1 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or�oter Registration Number Address • (MMlDD/YY) �7 �b9.7 ('fit° ;&?"A City_ / f� County f State Zip Code h>3 Signature of voter�r ule 1S-2.045. F Date Sig►+ed-(-M6't!tRNY) e co p! lei! oter] DS -DE 104 f Eff. 09111 CANDIDATE PETITION I.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 form is not completed, the form will not be valid as a Candidate Petition form. 1, 'Jk' i"'1r, l� �` the undersigned, a registered voter v (print name as`itJappears on your voter information card) 1/� in said state and county, petition to have the name of Ei, rSN., iI "�.i l� 7K 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 yVToru�u-I GT y CoMMi5S1ar� 01.5x- <-r Lf (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) _ City County State Zip Code 6':--"'1(V'r0 IX/ PALM a w t '��o fl -I 4. 3-5t-13 Signature. Voter Date Signed (MM/DD/YY) [10 be +npfb7ed_by Gate? Rule 1S-2.045, F.A.CP -DE 104 Eff. 09111 T `�. 'T !� r� oo rTI