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Filing Papers QTY OFBOYN TON BEAN r' CLERK', OFFICE PPOINTMENT OF CAMPAIGN TREASURER 13 FEB -6 PH �; �� AND DESIGNATION OF CAMPAIGN 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. HECK APPROPRIATE BOX(ES): y i Initial Filing of Form Re- filing to Change. ❑ Treasurer /Deputy [] Depository ❑ Office El Party 2 Name of ) Candidate (in this or er. First, Middle, Last) 3 Address (include post office box or street, city, state, zip _)1 ) L 1 0)-01 cJ, 1� code) az y, SC -e- C'D ,i �J! 1iD 4 Telephone 5 E -mail address A p,- )7 ©,c, l , mil F. _g � t , ( 561 ) e 6 30I�11. -, e A't L apT 6 Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if __ & ! applicable: W M 1 SSL0/t'�/� , - 1)1 577 0 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 C) Write -In El No Party Affiliation J Party candidate I have appointed the following person to act as my E Campaign Treasurer Deputy Treasurer 0. Name of / Treasure7or Deputy Treasurer (N 1JIiRYrj :1 ' /7 11 Mailing Address 41/g) 12 Telephone 0 2 3 y� s5� (561) , :f l C -0) ii 5o 13 ity 1 C 15 State 16 Zip Code 17 E-mail � dress / / I, :7 , ,h 6 4144 4 ? k 33 ‘A.P . c,c /Pi L . Co{,, 18 I have designated the following bank as my 0 Primary Depository 0 Secondary Depository 19 Name of Bank ) Address i' fJ G c2� �/c > S /g1/ 21 ity 22. p 23 State 24 Zip Code Pc`.>fr -.4e-&c. f " f 7 , , V...Z 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 o Candidate (je;./ 27 Treayurer's Acceptance of A n (fill in the blanks a eck the appropriate block) _ 1, 1 /iJ�� 3 . /977;4_, , do hereby accept the appointment (Please Print or Type Name) , signated above 0 Campaign Treasurer X eputy Treas - &l X 71 , ' Date Signature of Ca p •aign reasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. QTY OFSOYN TON BEAN ci3'Y CLERK'S OFFICE PPOINTMENT OF CAMPAIGN TREASURER 13 FEB -6 PM 1: ps AND DESIGNATION OF CAMPAIGN 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. HECK APPROPRIATE BOX(ES): Initial Filing of Form Re- filing to Change 0 Treasurer /Deputy El Depository ❑ Office ❑ Party nt i 2 Name of Candidate (in this or e Middle, Last) 3 Address (include post office box or street, city, state, zip A 3) )1/ / 0Yrl cJ, / f / ,ti code) v2 ?1 S T S Ca . /5 /1'D 4. Telephone 5. E-mail address �p / f/. ' 6 ($ / ) eliG (24304/2./%72',. LIZ, 6 Office sought (include district, circuit, group number) 7 If a candidate for a nonpartisan office, check if :1 / applicable: ) 1 J'?'! ! 5 S1 e.v P1.57-7 ❑ 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 1 have appointed the following person to act as my El Campaign Treasurer Deputy Treasurer 0 Name of Treasurer]or Deputy Treasurer 1 I / t P Yr) �l , ' � 11 Mailing Address 12 Telephone 02 `� ? " ,---,4_, AI) (,lv /) ,p'si�o -oZ1/5 D 1 ity o 1 Cpu 15 State 16 Zip Code 17. E -mail dress /3s 7 // - 4 0�� ) 33� /gd�.c �,9T7,�� /2 L . I� 18 I have designated the following bank as my ❑ Primary Depository ❑ Secondary Depository 19 Name of Bank i - 20, Address Z -(-3 e -2-(- j ,A a- c_.) c 2c.) _. 4. / 4 /P 1 A 21 Ity J 22 9pu 23 State 24 Zip Code 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 . r ' 25. Date 26. Signature o Candidate 63 /6 / 27 Tr urer's Acceptance of A nt (fill in the blanks a eck the appropriate block) 6 0/ 60/ I, / /` / /7� J -. ��✓ 2 � , do hereby accept the appointment (Please Print or Type Name) 'signated above ❑ Campaign Treasurer eputy Treas r 4' /g x Date Signature of Ca p •aign reasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. CITY OF BOYNTON BE A ! CITY CCERrs r or PPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN 13 FEB -6 PH 1:08 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. HECK APPROPRIATE BOX(ES): Initial Filing of Form Re- filing to Change' 0.! Treasurer /Deputy Depository [] Office ID Party 2. Name of Candidate (in this order Fi t, Middle, La 3 Address (' clude post office box or street, city, state, zip l O �I i ! )9hI a. 197,0 code) 023 3 sW ar1 U/ d1 io 4 Telephone 5 E -mail address 1 . (51 ) g- 6.2 /& eAI)6 1 �;) � � 99c2 L 6 Office sought (include district, circuit, group number) 7 If a candidate for a nonpartisan office, check if applicable: ©7o1 5-' _ �1 j 7"'' / fl 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 EJ Write -In JJ No Party Affiliation El Party candidate I have appointed the following person to act as my X Campaign Treasurer El Deputy Treasurer 0 Name o Trea urer or De uty Treasurer Fl J v(e ) ( [ c {, n ►1 e-it 1- u 11 Mailing Address 12 Telephone 1 o, S I , 5`t'‘ (. 03 ) s`rq -l i A q/ 13. City l (7)46``-'1\ 14. County 15 State 16 Zip Code 17. E -mail addr ss 0 () 1 i k 1 w\ 0 <OL FL U 3 4 e zA I'h 1^ Q - d 51 4-11 o (-6 ..$ 18 I have designated the following bank as my Primary Depository Secondary Depository 19 Name of Bank 20 Address 21 � 22 uJnty 14 23 State 24 Zip Code UNDER P NALTIES OF PERJURY, 1 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 E. 25 Date 26 &gnat re of Candi e f;2-/6 /43 X 27 Treasurer's Acceptance of Appointment (fill in the blan and check the appropriate block) I, rt vi 1r.e. uu d' ' A h vt e ` v" , do hereby accept the appointment ppointment (Please Print or Type Name) signated above as 17q Campaign Treasurer El Deputy Treasurer e '3 X (...,)4201/44,,,, (...,)4201/44,,,, / t 61tirt � a te Signature of Campaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. RESIDENCY REQUIREMENTS 661' Z 19-77,<.) , candidate for (Print Name) )'T l 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. /z ) (Signature of Candidate) -/V/ (Date) ..r w'< �1P I ? .0 Cr ` .FC.Z ui 9/27/2012 11:03 AM -n4►� S: \CC \WP \ELECTION \Year 2013 \RESIDENCY REQUIREMENTS STATEMENT.doc ---‘ 11#ftWrOliiitf AC* STATEMENT OF S OFFICE CANDIDATE 13 FEB -6 PH 1:08 (Section 106.023, F.S.) (Please print or type) r J � 1. 1112 ;01 candidate for the office of eey/11777/5:1/0,08g- /21 l ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X C/e0X- ( 2? 6 /Y Signature of Candidate ate 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) 49„.0 ,t. Miscellaneous Cash Receipt N o. — - CITY OF BOYNTON BEACH - Account No. IP 0 I - U 0 3 9 -- $ • 20 Received of 104 LLIA.M J. PATTEN Address 39.3 SV4 Congress Blvd For A Stoti.., Asses Fe4.; for the District 1 13,!at th#_ Karch li, 2013 eit..%Aon D Ltt' Clerk's By - - Miscellaneous Cash Receipt CITY OF BOYNTON BEACH No. 0 \ 0 4, • 0 N Account No. 001-0000-369-10-00 $ 25.00 ' 20 1_ Received of WILLIAM J. PArrEN Address 2393 SW Congress Blvd.. For City Filing Fee ter the Commission 1 District se for March 12, 2013 election , Dept. Cit‘ Clerk's Ot t1.3t - -: By r • Miscellaneous Cash Receipt ms's Y ° ° NO. CITY OF BOYNTON BEACH 5 r 0 U ~TON 0 Account No. X01- 0000- 369 -10 -00 1 4 ' G -{ S V43 $ 222.57 VE3 O ' S O 6( -7- , 20 La Received of WILLIAM J. PATTE1 .," 00 O' Address 2393 SW Cpngrgss. j}vd.' For i% State Assessment Fee for the District 1 seat for the March 12, 2013 election / Gate: 2/87/13 81 Receipt nu: 142491 Total tendered t0A.T.57 Iota nt $222.57 Dept. City Clerk's Office By :.; Miscellaneous Cash Receipt ' Y ° CITY OF BOYNTON BEACH No. 77110 0 - _ -_ r g o 0 I M 4 'ro N 9 Account No. 001- 0000- 369 -1 tot P, 1 " "1 ��� ` 013 E� ' J V o� 1 `eCk s 0 C . $ 25.00 G;.`! G 7 , 20 La a Received of WILLIAM J. PATTEN Address 2393 SW Congress Blvd. For City Filing Fee for the Commission 1 District seat for Opel': BYR2RSB I March 12, 2013 election Date: 2/87/13 81 Receipt no: 142498 - TUtd1 tendered $n. tlb -nt Dept. City Clerk's Office s ! r t �� 5• FORM 1 STATEMENT OF 2012 Please print or type your name, mailing FINANCIAL INTERESTS r address, agency name, and position below: I FOR OFFICE USE ONLY: LAST NAME -- FIRST NAME -- MIDDLE NAME : , , MAILING ADDRESS 0? 2? g C.5 & 0( 1 ,-$ i/, ri t CD bd 10 / 0-7;10 fl rZ I/ ‘ 3, 1 ,02 i --. ,e CITY d 7 7 ZIP . • COUNTY • 3 Of 4 )( : ). "-- i NAME OF CY . N ' NAME OF OFFICE OR POSITION HELD OR SOUGHT : You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF )(CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE * * ** BOTH PARTS OF THIS SECTION MUST BE COMPLETED * * ** DISCLOSURE PERIOD: THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON A FISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): DECEMBER 31, 2012 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING: ❑ COMPARATIVE (PERCENTAGE) THRESHOLDS 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, you must write "none" or "n /a ") NAME OF SOURCE SOURCES DESCRIPTION OF THE SOURCE'S OF INWAE AD RES /P,, INCIPAL BUINESS ACTIVITY A.), >I. e a� ./) #(...1 /0 €Lei /e),k. d ) - (:)7 / 1, / ,,,,,_,,, , ..s $a L s t.y.ei,- LL 5. GvLJ r7 ; 5 )C-jR L 5ecr,2 ? ry PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "n /a ") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS NTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE 0 ° PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] FILING INSTRUCTIONS for (If you have nothing to report, you must write "none" or "n/a") n /' j / when and where to file this ,29p (J eat/ 59 /,� /11) / " ov ,P el/c/ form are located at the bottom / l of page 2. C�u� ti INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1 - Effective: January 1 . 2013 . Refer to Rule 34- 8.202(1), F.A.C. (Continued on reverse side) PAGE 1 PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] (If you have nothing to report, you must write "none" or "n /a ") TYPE OF IN 7 NGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES / (-1 °.- PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, you must write "none" or "n /a ") NAME OF C EDITOR ADDRESS OF CREDITOR fr PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, you must write "none" or "n /a ") BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY i i j PRINCIPAL BUSINESS ACTIVITY »( e 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 r uir : ) DATE SIG E (required)j f --------- i2 7 / ,_ FILING- INSTRUCTIONS: WHAT TO FILE: WHERE TO FILE: WHEN TO FILE: After completing all parts of this form, If you were mailed the form by the Commission Initially, each local officer /employee, including signing and dating it send back on Ethics or a County Supervisor of Elections state officer, and specified state employee only the first sheet (pages 1 and 2) for filing. for your annual disclosure filing, return the must file within 30 days of the date of form to that location. his or her appointment or of the beginning If you have nothing to report in a particular Local officers /employees file with the of employment. Appointees who must be section, you must write "none" or "n /a" in that Supervisor of Elections of the county in confirmed by the Senate must file prior to section (s). which they confirmation, even if that is less than 30 (s ) y permanently reside. (If you do not days from the date of their appointment. permanently reside in Florida, file with the NOTE: Supervisor of the county where your agency Candidates for publicly - elected local office MULTIPLE FILING UNNECESSARY: has its headquarters.) must file at the same time they file their Generally, a person who has filed Form 1 State officers or specified state employees qualifying papers. for a calendar or fiscal year is not required file with the Commission on Ethics, P.O. Thereafter, local officers /employees, state to file a second Form 1 for the same year. Drawer 15709, Tallahassee, FL 32317 -5709. officers, and specified state employees However, a candidate who previously filed are required to file by July 1st following Form 1 because of another public position Candidate file this form together with their each calendar year in which they hold their must at least file a copy of his or her original qualifying papers. positions. Form 1 when qualifying. To determine what category your position falls Finally, at the end of office or employment, under, see the Who Must File" Instructions on each local officer /employee, state officer, and page 3. specified state employee is required to file a final disclosure form (Form 1 F) within 60 days Facsimiles will not be accepted. of leaving office or employment. However, filing a CE Form 1F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if he or she was in their position on December 31, 2012. CE FORM 1 - Effective: January 1, 2013. Refer to Rule 34 -8.202 (1), F.A.C. PAGE 2 MY ROYN FQN BEACH CITY CLERK'S OFFICE CANDIDATE OATH - 13 FEB -7 AM II: 12 NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99 021, Florida Statutes) ad) (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT 1J * - NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of G�- OT/ tJ/?? f /5 IJ LS 4 (lice) (district #) , I am a qualified elector of _ P.4 4-gad County, Florida, (circuit #) (group or seat #) I am qualified under the Constitution and the Laws of Flonda 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 C �>� % � Signature of Candidate Telephone Number Email Address e2 ? ‘- -C A - / - ) ) 9/2_ee - ; ig))4t 1 /1;49ed 3.9 i. ,o 2 4 Address /City % ZIP Code 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). � t,'L- /'r /v STATE OF FLORIDA COUNTY OF PALM Sworn to (or affirmed) and subscribed before me this 7 day of l rtickr y , 20 1 5 . Personally Known t� or ' / 1 / + ature of Notary Public Produced Identification 't, Type, or Stamp Commissioned Name of Notary Public NOTARY PCBLIC -STATE OF FLORIDA Janet M. Prainito Type of Identification Produced Commission # EE028433 �„ „,,,, Expires. SEP. 22, 2014 BONDED TKRU ATLANTIC BONDING CO , INC. DS -DE 25 (Rev. 5/11) Rule 1S- 2.0001, F.A.C. The City of Boynton Beach ,1 T ur 11 l5tMi CITY CLERK'S OFFICE City Clerk's Office 13 FEB - 7 AM I I I Z 100E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.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 12, 2013 General & Special Elections will be held: Friday, February 22, 2013 @ 3:00 p.m. Supervisor of Elections Warehouse 7835 Central Industrial Drive Riviera Beach, Florida RECEIPT of this notice is hereby do mented: / 3 J r Signature ate eceived DETACH IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy (L&A) testing on Friday, February 22, 2013, please detach and return the lower portion of this notice to the City Clerk. Signature #Attending S: \CC \WP \ELECTION \Year 2013 \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 � c,OFF4O e ciALN A y. _ ! _ Palm Beach County o f pA 240 SOUTH MILITARY TRAIL WEST PALM BEACH, FL 33415 POST OFFICE BOX 22309 WEST PALM BEACH, FL 33416 SUSAN BUCHER Supervisor of Elections TELEPHONE• (561) 656 -6200 FAX NUMBER (561) 656 -8287 WEBSITE www.pbcelections org CERTIFICATION I, SUSAN BUCHER, SUPERVISOR OF ELECTIONS, for Palm Beach County, Florida, do hereby certify that William Patten submitted 44 petition signatures for the office of Boynton Beach Commission District I. I further certify that 43 of those signatures are registered electors in the City of Boynton Beach, according to the registration records on file in this office. This is to further certify that William Joseph Patten is a registered voter in Precinct 3196, in the City of Boynton Beach, Florida. w coo m i + Signed, this the 6th day of February, 2013. � �w Z q .T rn ' USAN BUCHER NI m in SUPERVISOR OF ELECTIONS PALM BEACH COUNTY (SEAL) 'ITY OF It1YN TO BEACH NOMINATING PETITIOSt C' E K.s errt7 13 FEB -7 Mil: 12 We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH (Sec. 2 -42, City Code of Ordinances), do hereby nominate: bk )1M/ to be a candidate for City Commission, DISTRICT NO. I City of Boynton Beach, Palm Beach County, Florida, for the term: / � MARCH 2013 to k../ ARCH 2016 pursuant to the Charter and Ordinances of said City. SIGNATURE ADDRESS i - ' --- -__-.- ,,%A2- > 64,/ G f / - / I ` "',‘ , 7 „, (1. ,a i / `,_ 727 Sc) [ 9 tiro,/2, 6rz4. `-', ,..1 kr- u , - ' r 51() ` C G. ✓ -),,i �4 H i , ,- ...-- h 1 f /`. 3 3 kf L4.: ( a I/ _ 1(-7cY ilt- /. 3// 5 / / x � ' 5 ; 1 , - r'e( ti ( , as llt^/! f-,'i =L ;'Sic N -, -4 �,iz �9 - - / ? Sex--/ / y ✓ k-, Rc1� ` ,.�.? 5��. I ' '.-V7 / , . ' -.e / - c l %0' 61 o S I� �? C� ` t .. i' f,/,' - il ! ? % I c) A .4/ V.- \ it -1 ?g 1 1 1 i ti s iL) 1,17 0 r”' , ite). 52,-H/L - - .,,.�' 4 c �� 3 (� ae_z_111 C =I ,/,.),/1/' L s, ,44 J /,J _ a o �6 G(l ��-�- b'— ' ANA/ "' 1/ A 14) kc d CA/z- ik. _ & , - �, i, i' C e i2( i La, - C/' -L- 1 7--- � *. Vtth(e j/ 7 � Q /& �j ,'?/' (:) c , /,'L' i--(jf k (,:rye l d/ OA:: I '4 � � ' J J 7 i itZ,�,..., 4) ,.z ��- I - 1 5 I idi - rig--.P/Z. N/ I 4/41. 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Fd . i , L... / ? f r- 3 `/4(: , ' lig..1 1 _,% ) 4 - 1 _ A ...- / 1 ' it : . ., , , -,' /6Z9,`:? , ,,,5/ ) .34: (Z, 66'4 Arinib i,--2-3-4A- . )--- L ,'=‘ '1G` 5 L c) fkli- „11, _ . ‘ 1+ , r ( < 3i' -7;2 , cc ,,J ,/: 2—f (2,, / l � 1 *W./ c (./0A/ - I / ,.) (0 i I 4k-,,,, ia}of__,, J 3 ' I co - ..! Ar...< — °„'i= - - f1 ** -11151 I, the undersigned, L'tJ i (1 i c�.�r► � i (( PfiTraIN , do solemnly swear (or affirm) that I am duly qualified to hold office under the Charter and Ordinances of the City of Boynton Beach, Florida, and I do hereby accept the foregoing nomination as a candidate for the office of City Commissioner for the City of Boynton Beach, Florida. y./9 i i(-3 ' d, L0 Sworn to and subscribed before me at Boynton Beach, Florida, this 7 day of fre rat a A.D.20 l3 . l ( ) .. luA.,;n - P�..t Received at the City Hall in Boynton Beach this 7 day of t -eD ( Li cur Y , �... 20 /'?? at / I ~ Tact. City Clerk .-, :.,t w �.,-< rn CO n OP --I m ° xx a _ " Q o .. - 7, m OP N Mil \shrdata \cc \wp \election \nominating petition doc =