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Filing Papers CITY CBO ti+uh BEACH RESIDENCY RE UIR311-A, S I ►�` G� <� L3 F' ct , candidate for (Print Name) 7, T2.ccr � 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. __,e/t)/1/4 4- (Signature'of Candid ) (Date) 11/12/2013 12:31 PM S:\CC\WP\ELECTION\Year 2017\CANDIDATE INFORMATION CD\4. Residency Requirements\RESIDENCY REQUIREMENTS STATEMENT.doc OFFICE,67:: ..Y;Utt BEACN STATEMENT OF ' S OFFICE 7 CANDIDATE JU'�2 ! P�''�2: 4 (Section 106.023, F.S.) (Please print or type) rFr di candidate for the office of C- S►2ONt,e_ -- ; have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X 2__ _. (Jx-irre l l Signature of Candidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84(05/11) CANDIDATE OATH — NONPARTISAN OFFICE .-:1ur E IN ION BEACH cl TY CLERK'S OFFICE (Do not use this form if a Judicial or School Board Candidate) .teck box only if you are seeking to qualify as a 19 JUS 2 I Prti 12: Ll write-in candidate: ❑ Write-in candidate OFFICE USE ONLY Candidate Oath (Section 99.021(1)(a), Florida Statutes) I, te, 1--/.4 a r-ci W rL9ci i - (Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed�� `` on the ballot, the name must be printed above for oath purposes.) am a candidate for the nonpartisan office of COY"---N M L :SS(..�Lc—I . : (Office) (District#) I am a qualified elector of pm,. ��e-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; end I will support the Constitution of the United States and the Constitution of the State of Florida. Candidate's Florida Voter Registration Number(located on your voter Information card): I t05wc, 7 3 93 Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities(see instructions on page 2 of this form):[Not applicable to write-in candidates.] X�.-,-4,2________„_6/e:),(17(751()' 2,k-t- b _--07�6-7 l rc(T i J t T,c(,,-r - Signature of Candiaaie Telephone Number Emall Address 7/ h - w - a Nd 5 T ' o\/Cb&,3LL .i bt-r d4kis 3 3 Y-735— Address City State ZIP Code STATE OF FLORIDA Signature of Notary Public COUNTY OF Print,Type,or Stamp Commissioned Name of Notary Public below: Sworn to(or affirmed) and subscribed before me this day of , 20 'rsonalty Known: _ or Produced Identification: ``{f Type of Identification Produced. f DS-DE 302NP(Rev.11/17) Rule 15-2.0001,F.A.C. I Compound Last Names If your last name consists of two or more names and has no hyphen, check the box in the Candidate Oath section. If you tail to check the box, your name will be listed with the name appearing last on the line. Example: John Jones Smith—lithe last name has no hyphen and you do not check the box, the last name on the ballot would be "Smith". If you check the box, your last name woul be listed on the ballot as"Jones Smith," If you have a hyphen within your last name,the last name would be listed as"Jones-Smith . Guide for Designating Phonetic Spelling of Candidate's Name for Audio Ballot 1. Use tables below. 2. Use upper case for"stressed" syllables. Use lower case for"unstressed" syllables. 3. Use dashes (-)to separate syllables. 4. Add any notes such as rhyming examples, silent letters, etc. Vowels Stressed Vowel Sounds Unstressed Vowel Sounds EE (FEET)feet uh (SO-fuh)sofa(FING-guhr)finger I (FIT)fit E (BED) bed A (KAT) cat (KAD) cad AH (FAH-thur)father(PAHR) par AH (HAHT) hot (TAH-dee)toddy UH (FUHJ)fudge(FLUHD)flood UH (CHUHRCH) church AW (FAWN)fawn Certain Vowel Sounds with R U (FUL)full AHR (PAHR) par 00 (FOOD)food ER (PER)pair OU (FOUND)found IR (PIR) peer O (FO)foe OR (POR)pour El (FEIT)fight OOR (POOR) poor Al (FAIT)fate UHR (PURR) purr 01 (FOIL)foil Y00 (FYOOR-ee-uhs)furious Consonants B (BED) bed R (RED)red D (DET) debt S (SET)set F (FED) fed T (TEN) ten G (GET)get V (VET) vet H (HED) head Y (YET)yet HW (HWICH) which W (WICH) witch J (JUNG)jug CH (CHUCRCH) church K (KAD) cad SH (SHEEP) sheep L (LAIM) lame TS (ITS) its(PITS-feeld) Pittsfield M (MAT)mat TH (THEI) Thigh N (NET) net TH (THEI) Thy NG (SING-uhr) singer ZH (A-zhuhr)azure (VI-zhuhn) vision P (PET)pet Z (GOODZ) goods(HUH-buhz-tuhn) Hubbardston Examples of Phonetically Spelled Names NAME ON BALLOT PRONOUNCED AS Mishaud mee-SHO('d'is silent) Jahn HAHN(rhyme:fawn) Beauprez boo-PRAT(rhyme:hooray) Maniscalco man-uh-SKAL-ko Tangioahoa TAN-ji-pah-HO-uh Monte Mahn-TAI Tanya TAWN-yuh(not TAN) Do not submit this page to the filing officer. DS-DE 302NP(Rev. 11/17) Rule 1S-2.0001, F.A.C. CANDIDATE OATH - NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) Teck box only If you are seeking to qualify as a write-in candidate: ❑ Write-in candidate Candidate Oath `: DEC -3 P 2: 13 OFFICE USE ONLY (Section 99.021(1)(a), Florida Statutes) 1, e 1rm CQt` (Print name above as you wish it to ppear on the ballotif your last name consists of two or more names but has no hyphen, check boxE3. (See page 2 - Compound Last Names). No change can be made after the end of qualifying. Although a write-in candidate's name is not printed on the ballot, the name must be printed above thr oath purposes.) am a candidate for the nonpartisan office of��— (office) I am a qualified elector of �A� v► -T TRe-" (Circuit #) (Group or Seat #) (District #) County, Florida; 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. Candidate's Florida Voter Registration Number (located on your voter Information card): /,=Q 66-? V3 T3 Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page 2 of this form): INot applicable to write-in candidates.] I clHANA1i4�M t ff-i— i Signature of (75�J .2, 7 Vs+h e Telephone Number Emall Address ) _ �; N . Lj S c 3s"' Address City State �� ZIP Code STATE OF FLORIDA Signature of Notary Public COUNTY OF P4 i..M —'t�> Print, Type, or Stamp Commissioned Name of Notary Public below: Swom to (or affirmed) and subscribed before me this day of �) JW4Em b 'Z,� 20 srsonalty Known: or Produced Identification: V L_Lof Identification Produced: F 7 Qom` DS -DE 302NP (Rev. 11/171 =07/16/2022 ate of Florida ieves GG 21002122 Rule 15-2.0007, F.A.C. '-','M APPOINTMENT OF CAMPAIGN TREASURER 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. 1. CHECK APPROPRIATE BOX(ES): er-Initial Filing of Form Re -filing to Change: ❑ 2. Name of Candidate (in this order: First, Middle, Last) 4. Telephone 5. E-mail address (76't-) a44 -t)767, � e •c�Lur•�g��s� .ec 6. Office sought (include district, circuit, group number) al i S111 ijU i i% { 1,11'E I;H4f1 CI 1 Y C'.EFK'S OFFICE 1.3 .I if 25 01 J' 1, [1 OFFICE USE ONLY Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 3. Address (include post office box or street, city, state, zip code) `7 f Z Az t_j c h.t d S r 7. if a candidate for a nonpartisan office, check if applicable: ❑ My intent is to run as a Write -In candidate. 8. If a candidate fora artisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write -In � !moo Party Afriliation Party candidate. 9. 1 have appointed the following person to act as my a` Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 11. Mailing Address 12. Telephones [- ?/.3 alt • (-K-V } a a7� 13. City 14. County 15. State 16. Zip Code 117. E-mail address (��. �- � 333-5` &�ca�wr,, 5-.:)Fy, 18. 1 have designated the following bank as my primary Depository ❑ Secondary Depository 19. NamWLRORGQBANK, N.A. 20. Address Woolmght Store 21 City I Imu b FederalHwy 22. County 23. 24. Zip Code Boynton Beach,l7L 33435 4' � (.,�--' 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. Sign ture of Candidate �e / 0_r � �s- 27 Treasurer's ce ante of Appointment (fill in the blanks and check the appropriate block) I, �'�cLr,- �� _ +L � -,do hereby accept the appointment designated above as: Print or Type Nan4e) 0 Campaign (P� / I / ( X Date Signature of kampaign Treasurer or DS -DE 9 (Rev. 10110) Rule 1S-2.0001, F.A.C. APPOINTMENT OF CAMPAIGN TREASURER ViI 4/4..AV ��' 4° C E; 4' 0FFICE AND DESIGNATION OF CAMPAIGN il� � 9 AM DEPOSITORY FOR CANDIDATES . (Section 106.021(1), F.S.) 14. County (PLEASE PRINT OR TYPE) 16. Zip Code NOTE: This form must be on file with the qualifying 18. 1 have designated the following bank as my officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): ❑ Initial Filing of Form Re -filing to Change: 0--'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 L,, G4 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND code) r71_3 /l! . L.J • "` d S i -)f—; 6 c�e�-c �3 Uy r- CA, L �L 4. Telephone 5. E-mail address X ( 7j -y -t ) 2 q6- D-7 67 c0w. 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: CaLL 5 51 v u .e r "7 s l r i c7t— ❑ My intent is to run as a Write-in candidate. 8. If a candidate fora 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. 19. 1 have appointed the following person to act as my ❑ Campaign Treasurer ©Deputy Treasurer I 10. N aA of Treasurer or Deputy Treasurer rr Inc CLr-,A r e °i k i 11. Mailing Address 12. Telephone 71-3 N . '� ­- d . s . PfLf );L+6 6 1 13. City 14. County 15. State 16. Zip Code 17. E-mail address 3eruQr.LL-jri L 5Z o. [.a 18. 1 have designated the following bank as my ❑ Primary Depository Secondary Depository 19. Name of Bank F,N f- 5-D 20. Address l L 61:� t-�-L­3 1y 21. City 22. County 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. 25. Date 19 q 26. Sig�re of Candidat X 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) do hereby accept the appointment designated above as: Date DS -DE 9 (Rev. 10110) (Please Print or Type Name) ❑ Campaign Treasurer DepATreasurer. Signature of Campaign or Deputy Treasurer Rule 1S-2.0001, F.A.C. it City of Boynton Beach CITY CLERK'S OFFICE 3301 QUANTUM BLVD. SUITE 101 BOYNTON BEACH, FL 33426 PHONE: (561) 742-6061 FAX: (561) 742-6090 E-MAIL: dtyderk@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 17, 2020 General Election will tentativel% be held: Friday, March 06, 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 March 6, 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 March 6, 2020 @ 10:00 a.m. I ACKNOWLEDGE RECEIPT OF THIS NOTICE OF LOGIC & ACCURACY (L&A) TESTING. Q5,k___ -_ - Candidate's Si nature S:\CC\WP\ELECTION\Year 2020\L&A Testing Public Notice - For Candidate's Signature.doc l,a --'s i 1 Date Received The City of Boynton Beach CITY CLERK'S OFFICE 3301 QUANTUM BLVD.Lo _ — SUITE 101 .. BOYNTON BEACH, FL 33426 PHONE: (561) 742-6060 FAX: (561) 742-6090 ?0 E-MAIL: cityderk@bbfl.us www.boynton-beach.org PUBLIC NOTICE :)oMCI 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 0 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. A � Candidate's Signature S:\CC\WP\ELECTION�Year 2020\L&A Testing Public Notice - For Candidate's Signature.doc Updated 12/5/2019 Date Received FORM 1 STATEMENT OF ,.. 2018 Please print or type your name, mailing °�OF}�FINANCIAL INTERESTS } [ `FbRIC address, agency name, and position below: �LA�ST�NAME -- FIRST NAME -- MIDDLE NAME : _ t1: .� J i f ; I t/�— L R- T; cr i A Q ('d it L_ MAILING ADDRESS: 3 d S T CITY: ZIP: COUNTY: C i _i6-11 _L. - NAME OF AGENCY NAME OF OFFICE OR POSITION HELD OB -SOUGHT: C - 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, 2018 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR: MANNER OF CALCULATING REPORTABLE INTERESTS: FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further details). CHECK THE ONE YOU ARE USING (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 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 ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE � �- ►-a. � �` �'�ik.� es ���'r-: L � D+s s x'11 3 �r . t� - �- a.d S � � V,r ��a'�-�r� a.s- PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] FILING INSTRUCTIONS for when (If you have nothing to report, write "none" or'Wa") and where to file this form are located at the bottom of page 2. 1 INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FCRM 1 - Effective: January 1, 2019 (Continued on reverse side) rn�� 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] I (If you have nothing to report, write "none" or'Wa") TYPE OF INTANGIBLE j BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E — LIABILITIES [Major debts - See instructions] (if you have nothing to report, write "none" or "nia") NAME OF CREDITOR ADDRESS OF CREDITOR PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothina to reoort. write "none" or "n/a") BUSINESS ENTITY # 1 NAME OF BUSINESS ENTITY ADDRESS OF BUSINESS ENTITY PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY 1 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: )a. -3 - 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 ;our f,:rm to..he 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 filing method. Form 6s will not be accepted via email. - Effective: January 1, 2019. by reference in Rule 34-8.202(1), F.A.C. 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: 1 , 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 1 F) within 60 days of leaving office or employment. Filing a CE Form 1 F (Final Statement of Financial Interests) does D—ol relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31, 2018. PAGE 2 Miscellaneous Cash Receipt CITY OF BOYNTON BEACH U O` P. qtr Account No. 001-0000-369-10-00 s 25.00 Received of BFR TARP ERIC WRIGHT Address 713 NW 2ND STREET BOYNTON BEACH, FL 33435 _ -- .- For CITY FILING FEE TO RUN FOR COMMISSIONER - DISTRICT TT ON MARCH 17, 2020. Dept. CITY CLERK'S OFFICE By , ol Miscellaneous Cash Receipt No. 92182 CITY OF BOYNTON BEACH Account No. 001-000 - 9-10-00 a_fLF, s3 LU,dg4,kP-/- � , 20 _L - Received of BERNARD ERIC WRIGHT ON MARC14 17, 70 -2 -0 -Dept. ('TTY T FRKS OFFTCF. By - Wendy Sartory Link Palm Beech County Supervisor of Elections W .0 CERTIFICATION CD X. n I, Wendy Sartory Link, Supervisor of Elections, for Palm Beach County, Florida, do hereby certify that 44 signatures on the Nominating Petitions of Bernard Wright for Commission District 2 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 Bernard E. Wright is a registered voter in Precinct 7182, in the City of Boynton Beach, Florida. Signed, this 2n' day of December, 2019. ;Supervisor of Elections -Palm Beach County (SEAL) 240 South Military Trail, West Palm Beach, FL 33415 1 Post Office Box 22309, West Palm Beach, FL 33416 Telephone: 561.656.62001 Fax Number: 561.656.6287 CANDIDATE PETITION Notes: -All information on this fibrin becomes a public record upon: receipt by the Supervisor of Elections. - It is a crime to knoivingly sign more than ogre petition fora candidate. (Section 104.185, Florida Stati4tesj - If all requested information on this fonn is not completed, the form will not be valid as a Candidate Petition, form. the undersigned, a registered voter (print name as if apf ears on your voter information card) ' ++ s in said state and county, petition to have the name of L; " Q1� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisano party affiliation _--Party Party candidate for the office of r= (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) V zf City County State Zip Code t G'1'� ,L'_�C;ttQ_ F1 3 —� `-f Signature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter) 1 DS -DE 104lEff. 0911 CANDIDATE PETITION Notes: - All i» for•trtation ort tltis form becomes a public record upon receipt by the Supervisor of Elections. - It is a critne to knoivingl>> sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested irlfonnation on thisform is not completed, the form will not be valid as a Candidate Petition form. H (print name as A appears on your voter information card) ii Y p 7 in said state and county, petition to have the name of � C placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] the undersigned, a registered voter ❑Nonpartisan o party affiliation Party candidate for the office of rrr r>L S Sin ('ti a `�—iLL—T— (insert (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number City County `ice State Zip Code of Voter We 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be cmpleted y Voter �E Zl DS -DE 104 tEff. 0911 CANDIDATE PETITION A'otes: -All hiformation on this form becomes a public record upon receipt by the Supervisorof Elections. - It is a crime to krrotirirrgly sign rrior-e than orre petitiorr.for a candidate. (Section 104.185, Florida Statute.y] - If all requested infor7rzatiorr ori this form is nut completed, the_for7u r,�ill riot be i•alid as a Candidate Petition.for7n. 1. ZYID 4 z ��, — {'/ the undersigned, a registered voter (print name as it aDnears on vour voter information card) in said state and county, petition to have the name of b, E placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisano 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 {MMIDDIYY) Address Z f��1 City county State Zip Code 3i,/l i t j.;�, i [ r : Flj � GZ i :'Y-'� r-- Signature of Voter 11Date Signed (MM/DD/YY) [to be completed by Voter] e 18-2.045. F.A.C. DS -DE 104 (Eff. 0911 CANDIDATE PETITION Rotes: -All information on this fnrur becomes a public record upon receipt by the Supervisor of Elections. - it is a crime to knotivingl}, sign more than ore petition for a candidate. [Section 104.185, Florida Statutes] - fall requested irrfvrrnation on this jor7n is trot completed, the form Will not be valid as a Candidate Petitiorr_fo"nr. M the undersigned, a registered voter V " (print nerrie as it appears on your voter information card) in said state and county, petition to have the name of "ter` Ct.I�C,� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan o party affiliation 7 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 Add7rr ss (MMIDD/YY) City County State Zip Code T Lt f :. r , 17 xlki0'_ Signature of Voter ? Date Signed (MMIDDIYY) [to be completedg� by Voter] F.A.C. DS -DE 104 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a ct-irrie to kiioiviiigly sign more than ogre petition fora candidate. [Section ]04.185, Flor•idu Statutes) - If all requested information on thisf01711 is not completed, the_form will not be valid as a Candidate Petition fonn. 1, the undersigned, a registered voter (print name as it appears'on your voter information card) i � � in said state and county, petition to have the name of 6 L ; IL 1 Q FSC � LJ �—Cr%A'T placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisano party affiliation Party candidate for the office of F (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number (MM/DD/YY) J. _ r � Address /. City County State Zip Code PAJ Signature. of Voter Rule 1S -x445, F.A.C. Date Signed (MMIDD/YY) o—'�` '• [to be completed by Voter] I ! q... 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 n2ore than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested infonnution on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card in said state and county, petition to have the name of _ d1'A 1 T_ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] F-1 Nonpartisan 0110 party affiliation Party candidate for the office of C7YH vv\ LS -5 0ti1 e—r r�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 County State Zi ode cam. Signature of Voter Date Signed (MM/DD/YY) � d � [to be ompleted by Voter] Rule 18.2.045, F.A.C. DS -DE 104 iEff. 09111 CANDIDATE PETITION Notes: -All information on this form becornes a public record upon receipt by the Supervisor of Elections. - It is a crime to knolvingly sign more than one petition, for a candidate. [Section 104.185, Florida Statutes] - If all regerested information on this form is not completed, the form will not be valid as a Candidate Petition form. I. v (print name as it appears o your voter information card in said state and county, petition to have the name of e- f KS Q r '31 T placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] the undersigned, a registered voter ❑Nonpartisan ❑No party affiliation ❑ _ Party candidate for the office of C: C, Y%--\ 0J"4 c__r tiS r�L t (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth ji Voter Registration Number Address City County State Zip Code t br�� j1, j l r,- t (c C, F1 Signature of Voter Rule Date Signed (MM/DD/YY) [to be completed by Voter] '� 6 -� DS -DE 1041Eff. 0911 CANDIDATE PETITION Notes: -All information on this fibrin becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition fora candidate. [Section 104.185, Florida Statutes] - If all requested information on this jbmi is not completed, the form will not be valid as a Candidate Petition fornn. IN the undersigned, a registered voter (print name as it appears on your voter information card) rr 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 o 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 Plumber Address (MM/DD/YY) e (Ile lg 7_ ` "4_1 � City County State Zip Code Signat of oter Date Signed (MMiDD/YY) [to be completed by Voter) •2.045, F.A.C. DS -DE 104 1 Eff. 09111 CANDIDATE PETITION Notes: -All information on this fornn becomes a public record upon receipt by the Supervisor o f 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, fo"In is not completed, the form, will not be valid as a Candidate Petition form. ( rint the undersigned, a registered voter V name as it appears on your voter information card) in said state and county, petition to have the name ofL_"-3 r,,6- t --t T— placed on the Primary/General Election Ballot as a: [checkicomplete box, as applicable] ❑Nonpartisan No party affiliation {� R V 10-c.V40, r.rk.a. Party candidate for the office of a CC__ i 5 2 �T . .`-�L P -W -A XS S LL t-4 tA (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) cit County � State Zip Code 7,3,-1=, Date Signed (MMIDD/YY) (to be completed by Voter] 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] all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. r. (print name as it on your voter information card) in said state and county, petition to have the name of r. __:� eru a r d the undersigned, a registered voter placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan Q No party affiliation El 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 cDIYY � . Z City County State Zip Code Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed b Voter] L )2 1 MOF Ind IFff_ n911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knolvingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information oil this form is not completed, the forryn will not be valid as a Candidate Petition./brill. I, the undersigned, a registered (print name as it appears on your voter information caro i in said state and county, petition to have the name of ) e-�� Q `�`- r. �'��k i placed on the PriTary/General Election Ballot as a: [checWcomplete box, as applicable] ❑Nonpartisan �No party affiliation ❑ _ Party RJ iJ:N\ Vln t_ 5 � Cid( �r' 'D#3' (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or n City 1.3 candidate for the offic Voter Registration Number I Address County State Zip �� i ate[ I j A l i-, ( r �L, t( Signatu a ofn er ' Date Signed (MM/DDIYY) 977i ] .Ic.9 nes. PCE 104 [E CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Electrons. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested ig nation on this for to is not completed, the form will not be valid as a Candidate Petition fonir. U the undersigned, a registered voter (print lame as it appears on your vo er information card in said state and county, petition to have the name of e_ �ti 'rr �: � r ` 31�,t--� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] NonpartisanNo 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 NumberAddres (MM1DD/YY 2 � � r� 3)L) City County State Zip Code 1 Sig ture of Voter l Date Signed (MM/DD/YY) If [#qbl completed Voter] Rule 18.2.045. F.. C. I DS -DE 104 (Eff. 09111 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supe►-t,isor of Elections. - It is a crime to knowingly sign more than one petition fora candidate. [Section 104.185, Florida Statutes] - If all requested it formation on this_ form is not completed, the form will not be valid as a Candidate Petition form. >> F the undersigned, a 119 red voter (print name as it appears on your voter information card) } in said state and county, petition to have the name of E j-' P,4 Cil<d LJ O\ placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑Nonpartisan o party affiliation❑ �`'�J-- `- Y� ` - Party candidate for the office of Jmv :L` —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) c L J —! / 1� t City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] Rule 1S•2.045, F.A.C. DS -DE 104 iEff. 09/1 CANDIDATE PETITION Notes: -All information on this for•nr beconies a public record upon receipt by the Supervisor of Elections. - It is a critne 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 fibrin. the undersigned, a registered z (print name as it appears on your voter information caro in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: (checwcomplefe box, as applicable] ❑ Nonpartisan ` Vo party affiliation ❑ Party candidate for the offic 4 C, CJ 1°V1 ►rte L S S CiN e— (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address ?7` (MM/DDYY) J {V &chCKJ. City County State Zip Code Signature of Voter Date Signed (MM/DDIYY) [to be completed by Voter] e 164'.046. F.A.C. DS -DE 104 E CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Super visor ofElections. - 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 farm will not be valid as a Candidate Petition form. I, Q L( the undersigned, a registered � (print name as it appears on your voter information card in said state and county, petition to have the name of 1B e— ��'tQ R `(_J" . l i placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] p Nonpartisan ❑ No party affiliation ❑ Rule Party candidate for, the offic i rcL (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address � (MM/DDT,) z l i t) � �It w 7ncA S4 City County StateZip Code Date Signed (MMIDD/YY) [to be completed y Voter] Ll -5-- CANDIDATE PETITION Notes: -All 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 Statutes] - If all requested in formation on this, for-nr is not completed, the for7n will not be valid as a Candidate Petition form. the undersigned, a registered (print name as it appear§ on your voter information card ` in said state and county, petition to have the name of 6 0_• placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] []Nonpartisan E]�No party affiliation ❑ _ Party candidate for the offic 5 C �.% )til V'V\ t_ S .S 0? -4 �-r- � � l l—lL l (insert title of office and include district, circuit, group, seat number, if applicab►e) Date of Birth or Voter Registration Number . Address (MMIDD/YY)242 2 f� City County State Zip Code f3 �c�L, Voter Rule 1 Date Signed (MM/DDNY) [to be completed by Voter] DS -DE 104 CANDIDATE PETITION Notes: -All hiformation on this forint becomes a public record upon receipt bP the Supervisor• of Elections. - It is a crime to knowingly sign niore 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. 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 6 e -`t" Q i�I �_j �– -). } —'placed on the Primary/General Election Ballot as a: [checwcomplete box, as applicable] L� ❑ Nonpartisan o party affiliation ❑ Party C, 6 >r � s S Ctit e -x- 'D c:T— --'Z— (insert title of office and include district, circuit, group, seat number, if applicable) candidate for the office of Date of Birth or Voter Registration Number Address I i / r / , I I Z' q 9 '�O�>_ -� I z! Z'l I �L' L. . n� MM DD/YY City County --� State Zip Code � Signature of Voter �\Lt Rule 15.2.045, F.A.C. j Date Signed (MM/DD/YY) [to be completed by Voter IN - DS -DE 104 i Eff. 09/11 CANDIDATE PETITION V Notes: -.411 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 thisform is not completed, theform will not be valid as a Candidate Petition form. _ the undersigned, a registered voter e _ Vi (prin 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] ❑ NonpartisanNo 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 ' /Ysttraation Number Address ,�l (MM/DD/YY)( Vg510,7 GU 7 6 Signature of Voter K F.A.C. Coynty State Zip Code 1AA 01 - Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104IEM 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 orae petition for a candidate. [Section 104.185, Flori , tatutes] - If all requested information on this form is not completed, the form will not be valid as a Can ate Petition form. 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 EPW CAr L' -JA & +4 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan Q o party affiliation _ Party candidate for the office of _ r�2��-, r�-� tiS �S �5 X12 Y� � ��►`�x.�-� � _ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDIYY) City County State Zip Code Signatureof Voter Rule 75-2.045, P.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104IEff. 0911 CANDIDATE PETITION 1Votes: -All in formation 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 infomiation on this fibrin is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it ape rs on yopr vot r information card) in said state and county, petition to have the name of _C-"2 C Gt LJ } T placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisano party affiliation Party candidate for the office of Signature of Voter Rule Date Signed (MM/DD/YY) [to be completed by Voter] _5 DS -DE 1041Eff. 0911 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) — cs County City State Zip Code Signature of Voter Rule Date Signed (MM/DD/YY) [to be completed by Voter] _5 DS -DE 1041Eff. 0911 CANDIDATE PETITION W Notes. -fill information on this form becomes a public record upon receipt by the Sup rvisor of Elections. - It is a crime to knoivingly sign more than one petition for a candidate. [Seer 104.185, Florida Statutes] - If all requested information on this fore: is not completed, the form will not be valid as a Candidate Petition form. I, w (print name as it appeay-e'on your voterinformation 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] QNonpartisan F-1 No party affiliation ❑ the undersigned, a registered voter Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) City County State Zip Code Y14 h5 Aj MIgoter IS -2.045. F.A.C. Date Signed (MM/DD/YY) `t���"Vdied DS -DE 104[Eff.09/1 CANDIDATE PETITION ATotes: -All hiformation 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 irrforwiation on this form is not completed, the form will not be valid as a Candidate Petition.fornn. the undersigned, a registered voter —" "('print name as it -appears on your voter information card) tt f 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 F o party affiliation Party candidate for the office of -T- (insert (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 F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] -- 66— 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, :IN the undersigned, a registered voter (print name as'll appears on your voter information card) '' ll in said state and county, petition to have the name of 9 F_ r,]L4 a Rd 1� P\ J_&iA placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ]Nonpartisan o party affiliation _ Party candidate for the office of ��. m,rtel� S S1.�in[ 'az_. s5'T_AA_` T_ Q - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDIYY) City County State Zip Code (3nYt� x EDW��h 1�a Z,�►-1 `i erk FI 3 `f35 Signature of Voter Date Signed (MMIDD/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 Supers isor of Elections. - It is a crime to knolvingly sign niore than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested irlforrnation on this form is not completed, the,form will not be valid as a Candidate Petition form, the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 9 a t�, L4 axe L.JoN /_ to 7 ` placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan o 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 (AMM/D D/YY ) City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 1S- 045, F.A.C. DS -DE 104 1 Eff. 09111 CANDIDATE PETITION A'otes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knoiuingly sign more than one petition fora candidate. (Section ]04.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 9 the undersigned, a registered voter (print name as it appears on your voter information card) J in said state and county, petition to have the name of `. t Q Rd L.J ►-k i_&tA.T- placed on the Primary/General Election Ballot as a. [check/comp/ete box, as applicable] - Nonpartisan o party affiliation Party candidate for the office of I t r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 5— ( /D [YY) m Ci(ty�ni_ County State Zip Code Signature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] MOE 1041Eff. 09/1 CANDIDATE PETITION A'otes: -All information on this form becomes a public record upon receipt bil the Supervisor of Elections. - It is a cr•nrie to knowingly sign »tore tliari one petition fora candidate. [Sectioii ]04.185, Florida Statutes] - If all regitested irrf enation on this form is not completed, the form will not be valid as a Candidate Petition fibrin. I, �` /�" the undersigned, a registered voter 42 (print name as it appears on your voter information card) in said state and county, petition to have the name of 6 ELL Q i-71Cd placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] Nonpartisano party affiliation M Party candidate for the office of r "�5 (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 CSignature of Rule Date Signed (MM/DD/YY) [to be c9rrrp1etecj'by_Voter] DS -DE 704 ! Eff. 0917 CANDIDATE PETITION 1Votes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knoivingly sign more than one petition, for- a candidate. [Section 104.185, Florida Statutes] - If all requested information on this.fo1711 is not completed, the form will not be valid as a Candidate Petition.fornn. (pfint ham s it appears on your voter information card) in said state and county, petition t ave the name of 61 Qf;0 LJ 'k l—(3 placed on the Primary/General Election Ballot as a: [checWcomplete box, as applicable] ❑Nonpartisan o party affiliation 0 the undersigned, a registered voter 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 (MMIDD/YY) f N� City County State Zip Code r t! Signature of Voter Date Signed (MM/DD/YY) Y"j c [to be completed �y Voter] CANDIDATE PETITION v 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 ort this form is not completed, the form will not be valid as a Candidate Petition form. 1, d. d L el (print name as it appears on your voter information card) r in said state and county, petition to have the name of 1 .. ; -e- r. --to, f � �- D " - placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan E] Noparty affiliation 1 the undersigned, a registered voter 1�, 1 _ 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 367 rl-N (i"Cot ) City County State Zip Code Sure of Voter Rule 18-2.045, F.A.C. Date Signed (MMIDD/YY) [to be completed by Voter] DS -DE 104 tEff. 0911 CANDIDATE PETITION Notes: -All information on this forni 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] all requested information on this form is not completed, the form will not be valid as a Candidate Petition fonn. the undersigned, a registered (print name as it appears on your voter information card in said state and county, petition to have the name of �� �'F-' o placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan EdNo party affiliation ❑ Party candidate for the offic --a- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number 1 Address (MM/DD/YY " / 1 _4L/0 qa, 3qy City ;� County + State Zip Code l �1 f b3_t ) Jai A I t—A. Ec'_L, I S I Sig re of V Rule 5.2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] D5 -DE 104 {E CANDIDATE PETITION Notes: -All information on this fo7n becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign nnor•e than one petition fo- a ca►rdidate. [Sectiorn 104.185, Florida StatnrtesJ - If all requested information on thisform is not completed, the.fo m will not be valid as a Candidate Petition fom. the undersigned, a registered (print name as it appears on your voter intormation caro in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑ Nonpartisan ,Nc party affiliation ❑ Party candidate for the offic (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�1i City County State Zip Code Signatu o oter Date Signed (MM/DD/YY) [to be completed by Voter] ®9_c)6-- 2©I? DS -DE 104 E Ru S•2.045, F.A.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 b-rrowinghl sign more than one petition fora candidate. [Section 104.185, Florida Statutes] - If all requested hiforination on this form is not completed, the form will not be valid as a Candidate Petition fibrin. f C t 4 the undersigned, a registered ky cJ (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: [checWcomplete box, as applicable] ❑Nonpartisan ❑ No party affiliation ❑ Party candidate for the offic (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address 0 ylip_ City County III�State Zip Code 4z1 2 Signature of Voter Date Signed (MMtDDIYY) [to be competed by Voter] DS -DE 104 11 Rule 1S•2.045, F.A.C. CANDIDATE PETITION A'otes: -All information on this form becomes a public record upon receipt by the Super visor of Elections. - It is a crime to knowing/)'sign more than one petition.for a candidate. [Section 104.185, Florida Statutes] - If all requested imfonnation on this fibrin is not completed, the font will not be valid as a Candidate Petition forst. the undersigned, a registered voter (tint name Js it appears on yoi�r voter information card) + in said state and county, petition to have the name of 67 C ,l' r_4 Q 1{C� L'J dN l_&i placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan o party affiliation F1 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 (MM/DD/YY) 1 Address Cfty County State Zip Code Signature of Voter Rule iS•2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] OS -DE 1041Eff.0911 L- A CANDIDATE PETITION Notes: -All information on this fibrin becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knotivingly sign more than one petition fora candidate. [Section ]04.185, Florida Statutes) - If all requested it formation on this form is not completed, the form will not be valid as a Candidate Petition form. I, the undersigned, a registered voter (print name as it appears on your voter information card) A l in said state and county, petition to have the name of `.: I`j placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisano 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 Numb Address (M D /YY) City JJ i County State Zip Code Fi Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 i Eff. 0911 CANDIDATE PETITION Notes: -All information on this.form becomes a public record upon receipt by the Supervisor ofElections. - It is a crinte to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes) - If all requested inforntation on this foryn is not completed, the form will not be valid as a Candidate Petition fot in. I, the undersigned, a registered voter (print name as it appears on your voter information card) 11 I ��17t. in said state and county, petition to have the name of � aKd Lj oNj`( to (— placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisano 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 �U City County State ZiCode 75 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] .� DS -DE 104tEff.09/1 V/ . CANDIDATE PETITION Notes: -gill information on this formr 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 it formation on this formi is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (prlt name as it appears on your voter information card in said state and county, petition to have the name of ° , �� ei �I �q '� i' �--I— placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑ Nonpartisan ErNo party affiliation ❑ Party candidate for the office of C, C� vv_� vv" � S S ©N e_.r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) Z�h V City County State Zip Code Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 fEff. 09111 CANDIDATE PETITION Notes: -All information on this form becomes a public record rspon 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 inlorrnati�on on this fora: is not completed, the fibrin will not be valid as a Candidate Petition fonn. 1, /' D �' U 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 t placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] Nonpartisan ErNo party affiliation ❑ _ _ Party candidate for the office of CY%—\ vv--, �N e—r (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address �Q (MM/DDIYY) n r !�— �G / ` '__A6 City County State Zip Code F I �F3S Signa a of Voter Date Signed (MM/DDIYY) [to be completed by Voter] Rule 18.2.045, F.A.C. _ DS-DE 104SEff. 09111 CANDIDATE PETITION Notes: -All information on this.form beco»res a public record upon receipt b}, 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 formr is not completed, the fo►mr will not be valid as a Candidate Petition.fonn. the undersigned, a registered voter (print naM6 as it appears on your voter information card )) in said state and county, petition to have the name of tB <!_o'; ei t'C� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan ffNo 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(/ !2 City County State Zip Code Signa r Date Signed (MM/DD/YY) [to be completed by Voter] Rule 111.2.045, F.A.C. DS -DE 104 {Eff. 09111 V,/ CANDIDATE PETITION Notes: -All information on this foryu 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 ]04.185, Florida Statutes) - If all requested informatio7 onlhis for7n is not completed, the form will not be valid as a Candidate Petition form. H (print the undersigned, a registered voter as r appears on your voter information card , in said state and county, petition to have the name of V ) C_�� Q R- �'�� f–, C, t placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan No party affiliation ❑ Party candidate for the office of C: CJ YvN vl,-, L S S Com( e—r > t`iCr (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number ; Address (MMIDD/YY) City County State Zi Code Date Signed (MM/DD/YY) 1 [to be completed by Voter] DS -DE 1041Eff. 09111 CANDIDATE PETITION A'otes: -All information on this form becomes a public record upon receipt by the Supet-visor 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 fo»n will not be valid as a Candidate Petition form. 1, 1 <"1,( the undersigned, a registered voter (print name as it appears on your voter information lard) 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] ❑NonpartisanoNo party affiliation ❑ Party candidate for the office of 1..� : C7 Yv\ Vv-, L S S C),q E_ 1- 'D w3 I t– cl— (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) _ 7 ' �L r i i br^: 13�C_i.11 I- 1 r '.5 City County State Zip Code � f b�–k Ry lbw l P--, (� e_cL__L' F 1 -3 =7 If S — Signature of Rule 15.2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] CL 't3- 19 DS -DE 104 tEff. 09111 V/ . CANDIDATE PETITION A'otes: -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 it formation oil this form is not completed, the form will not be valid as a Candidate Petition form. 9 :e the undersigned, a registered voter (print name a's it appears on your voterinformation card in said state and county, petition to have the name of �- q,� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan ❑party affiliation ❑ Party candidate for the office of 4 _ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address I (MM/DD/YY) _ City County ; State Zip Code y c . �i f d rpt 7777%, Date Signed (MM/DD/YY) [to be completed by Voter] �� DS -DE 104 iEff. 09111 J CANDIDATE PETITION Notes: -All irlforniation on this form becomes a public record upon receipt bi, the Supervisor of Elections. - It is a crime to knouvingty 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 formr. 1 the undersigned, a registered voter (print name as it appears on your voter information card f in said state and county, petition to have the name of �- `� f'C placed on the Primary/General Election Ballot as a: [check/comp/ete box, as applicable] ❑Nonpartisan No party affiliation ❑ (!)vv -%v -v-, �SSo+.1er Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY l � I I W Al 6 ear c t City County State Zip Code Signature of Voter Rule 1S•2.045, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] epi- CANDIDATE pi CANDIDATE PETITION Notes: -All information on this fo"M becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowinghy 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 (print name as it appears on your voter information card l 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 Q No party affiliation ❑ _ Party candidate for the offic C ( Y,, LSSoru.et' ti51r�L (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter RegistrationNumberAddress (MM/DD/YY) ,'! `t City County State Zip Code Signature of Voter Date Signed (MM/DDNY) "+f [to be completed by Voter] DS -DE 104 � E Rule 1S-2.045, F.A.C. �" Uta. l�rs1' CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt b_y the Supervisor of Elections. - It is a crime to kriowingli, sign more than ogre petition fora candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form rill not be valid as a Candidate Petition forn. U ` - (print namd as it appe8irs on your voter information card) in said state and county, petition to have the name of a ". f ._� Gl cid placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑Nonpartisano party affiliation ❑ the undersigned, a registered voter 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 re State (MM/ D_ (� il}'i ' ;t L F1 . -f 3 � City County 'Rj State Zip Code Z -� r] il}'i ' ;t L F1 . -f 3 � Signature of Voter Rule 1S-2.045, F.A.C. Date Signed (MM/DD/YY) [to be et y Voter] DS -DE 104 MIT, 0911 CANDIDATE PETITION Alotes: -,311 irrfornratiort orf this fnrrrt becomes a preblic record trport receipt by the Supervisor of Elections. - It is a crinte to knowinghv sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested igfw matioii j)n this toren is not completed, the.forsm will not be valid as a Candidate Petition,form. the undersigned, a registered voter �. - .. (pnnname s it appe rs on your voter information car i in said state and county, petition to have the name of 7 }� Ct placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan ❑'Ioo'partyaffiliation ❑ Party candidate for the office of [y (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/Yl(} q City CountyState Zip Code -7��_d fi .) _1 Signature of Voter ! Date Signed (MM/DD/YY) [to be completed by Voter] w �...na,. F.a... DS -DE 104 iEff. 09111 CANDIDATE PETITION Alotes: -gill information on this fibrin becomes a public record upon receipt hi, the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 1014.185, Florida Statutes] - If all requested information on this.forin is not completed, the fior m tivill not be valid cis a Candidate Petition form. L � AA 11 h f% / we . (2 1 Y t. I n 1))A the undersigned, a registered voter ' ' l (print name as iValpf ars on your voter information card) in said state and county, petition to have the name of j -•t_ 4 C# i<d placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] F�Nonpartlsan o party affiliation F1 Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number ' Address (MM/DD/YY) � City County State Zip Code �5A, e' V"l It j 2 Signature of Voter FDate Signed (MM/DD1YY) [to be completed by Voter] A 1s.2.nas_ F.a.c. DS -DE 104 iEff_, 09111 �� -- - lv CANDIDATE PETITION Notes: -All information on this fibrin 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 fonn will not be valid as a Candidate Petition fann. 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 �- ci f Z+ L.�.� 'f �•� ►J placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑ Nonpartisan to 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 M/ /YY) City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to _44be c /. /e 2 Voter] Rule 1S•2.045, F.A.C. DS•DE 104 iEff. 09111 CANDIDATE PETITION 1Votes: —411 information on this form becomes a public record upon receipt ht' the Supervisor of Elections. - It is a crime to knou•ingli, sign more than one peritioii.for a candidate. [Section ]OA.185, F/Dr•ida Statutes] - If all requested hifolMation on this form is not completed, the.form will not be valid as a Candidate Petition form. the undersigned, a registered voter ' (print naive as it appears on your voter informatioYcard) in said state and county, petition to have the name of �6 Lai-' t-4 C4.lZCJ �--t } placed on the Primary/General Election Ballot as a, [check/complete box, as applicable] Nonpartisan E31 o party affiliation 7 _ 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 Add re s7 (MM/DD/YY) l �S �Iyij / � ___j City County State Zip Code Rule 1 Date Signed (MMIDD/YY) [to be completed by Voter] DS -DE 104Ei ff. 0911 CANDIDATE PETITION Nates: -All inforntatiorr on this for7n becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign nrore than one petitionfor a candidate. [Section 104.185, Florida Statutes] - If all requested it foi7nation on this.form is not completed, the form wi11 not be valid as a Candidate Petition for7n. 1, voter i card) in said state and county, petition to have the name of _Le-j—l`( ext. r- c4 L--3 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] the undersigned, a registered voter ❑Nonpartisan ! No party affiliation _ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DQ1YY) City >C_tx County LState Zip Code P�� � �--' �3 . Date Signed (MM/DD/YY) [to be completed by Voter) DS -DE 104 tEff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor- ofElections. - It is a crime to knowingly sign more than one petition.for a candidate. [Section 104.185, Florida Statutes/ -If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card ?? in said state and county, petition to have the name of 6 ��QQ'r`C� r-, '- G.\ i placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑ Nonpartisan ❑o party affiliation ❑ _ Party candidate for the office of R _ (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/Y)(..) City County State Zip Code ('`.' Signature of Voter F.A.C. Date Signed (MM/DD/YY) [to sbeco pleted PyVoter] _ _ DS -DE 1041Eff. 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 krrotivirrglp sign more than onepetition a candidate. [Section 104.185, Florida Statutes] - If all requested inform on this farm is not completed, the fibrin will not be valid as a Candidate Petition fon n. tIN- V, the undersigned, a registered voter (print na i appears on your voter information card) in said state and county, petition to have the name of ex- Ca, r a L c- u t -i placed on the Primary/General Election Ballot as a: [checklcomplete box, as applicable] ❑Nonpartisan ' No party affiliation Party candidate for the office of c� i S t r2i r✓T a. G�' -L C_ L (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDlYY) Cit y WCount Y State Zip Code of Voter Date Signed (MM/DD/YY) (oP completed Voter] Rule 1S•2.04 .A.C. . --... DS -DE 104 (Eff. 09111 CANDIDATE PETITION Notes: -All information on this forint becomes a public record upon receipt by the Supervisor• of Elections. - It is a crime to knowingly sign more than one petitiorr.for a candidate. [Section 104.185, Florida Statutes] r� If all requested infornation on this. form is not completed, the form will not be valid as a Candidate Petition fibrin. (print name as it appears on your Voter information card in said state and county, petition to have the name of ►�� Q t'C� �� r placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan o party affiliation ❑ _ __ the undersigned, a registered voter 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 City C�ty State Zip Code Signa a of Voter Date Signed (MM/DDlYY) [to be completed by Voter] Rule 1Sd.045, F.A.C. If D5•DE 104 iEff. 09111 CANDIDATE PETITION Notes: -All information on this fore 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 riot completed, the.ror711 will not be valid as a Candidate Petition.form. I, 'S' `iZ-411 YLU-n I/• S the undersigned, a registered voter (print name as it appears on your voter information card j in said state and county, petition to have the name of _ 1 � t `- f k All i placed on the Primary/General Election Ballot as a: [checWcomp/ete box, as applicable] ❑ NonpartisanNo 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 (MMIDD/YY) City County State Zip Code 1_3L .t E ar�l j �e �, �� i ,�—� (� c c,��� F r 3 3 4 5 Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] Rule 15.2.045, F.A.C. MOE 104 tEff. 09111 CANDIDATE PETITION Notes: -All in formation on this form becomes a public record upon receipt 8v the Supervisor of Elections. - It is a cr-i»:e to krioivirigli, sign rrrore t/tan one petitio►r fora candidate. [Section ]04.185, Florida Statutes] - Ifall requested it formation on this form is not completed, the form will not be valid as a Candidate Petition form. (print name as it appears on your voter information card) t } in said state and county, petition to have the name of 17 C `: (t i.�; d L� r placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan o party affiliation ❑ the undersigned, a registered voter Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) n ` e la City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 l 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 is not completed, the form will not be valid as a Candidate Petition form. I, (print name as it appears on your vot7op—rmation-dard) in said state and county, petition to have the name of 4" 1 --FA *— placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan EEJ, No party affiliation C -DY --A S S i v int 2� the undersigned, a registered voter 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 Z y ( 17`x' fid -- City Count State Signature of Voter r - Rule Zip Code ` 33�-35� Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 1041Eff. 09/1 All � �\ �� I W CANDIDATE PETITION A'otes: -All lnfoirmation ori this form becomes a public record upon receipt b1, the Supervisor of Elections. - It is a citinre to knoiviughv sign more than one petition, for a candidate. [Section 104.18'5, Florida Statutes] -If all re nested irlfoimation on this form is not completed, the.foim will not be valid as a Candidate Petition.1617n. I. (print name as it appears on your voter information card in said state and county, petition to have the name ofL placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan No party affiliation 13 the undersigned, a registered voter 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 (MMIDDlYY) , 3 i ' _3ad m A 1 � � \ W IZ-�-kU�__ City County State ! Zip Code i �� (y. til �i S � , `i � �y„ � j � t � "l (•� C_ U!._� t �" ' cJ ✓ � �/ Signature of 4%��7 GC Rule Date Signed (MM/DD/YY) j j[to be completed b Voter] X1 -12-f ! DS -DE 104 1Eff. 0911 1� T CANDIDATE PETITION 1Votes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knoivingiy sign more than one petition.for a candidate. [Section 104.185, Florida Statutes] -,[f all requested information on this forin is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of 6 a Y F _j 611�d LJ o% k& -t placed on the PrimarylGenerai Election Ballot as a: [chack/complete box, as applicable] Nonpartisan o party affiliation Party candidate for the office of - t h (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MMIDDIYY) 11-30-72. City Coouun�ty State Zip Code Yllitti� [c3h C"G114m 2JCt�l Fi Signature of Voter Date Signed (MMIDWY) [to be completed by Voter] e 1S-2.045, F.A.C. DS -DE 104 Eff. 09111 CANDIDATE PETITION Notes: -All irfforrrtatiort ort this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knotivingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this_ form is not completed, the,fo7n will not be valid as a Candidate Petition form. I, the undersigned, a registered voter (print name as it appears on your voter information card) rr 11 4 in said state and county, petition to have the name of 1z') t't L2rr.C� l'V_ placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan o party affiliation __ Party candidate for the office of r (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 /a3D ijo�^�«� City County State Zip Code 1 ivrx Signature of Voter Rule 18-2.045, F.A.C. Date Signed (MM/DD/YY) [to bye cpleted by Voter] C ✓! DS -DE 104 iEff. 0911 U0� CANDIDATE PETITION A'otes: - 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 h1fomiation on this form is not completed, the foi7n will not be valid as a Candidate Petition foi7n. the undersigned, a registered voter (print name as it appears on your voter information card) II in said state and county, petition to have the name of 9 a JrzL izd l" a, J placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisano party affiliation M Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/OD/YY)i W7 A A'x 1-a County j State Z2ip Code Signature of Voter Rule 1S•2.045. F.A.C. Date Signed (MM/DD/YY) [to be completed by Vot r] z � L DS -DE 104lEff, 0911 t (')_0 7.n 41 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 Statirtesj - If all requested information on this_ forni is not completed, the farm will not be valid as a Candidate Petition form. I, L, LLtrr i Sh the undersigned, a registered voter (print name as it appears on your voter informationcard in said state and county, petition to have the name of � tQ f—C. �jr t �11� I`� placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan Q No party affiliation ❑ -Party candidate for the office of C, byvn v -v\ L5.5 oN er c: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) J ? I 1vt­ /J City County State Zip Code Sig atu a of Voter Date Signed (MMiDD/YY) (to be completed by Voter] Rule A-2.04 F.A.C. DS -DE 104 Eff. 09111 CANDIDATE PETITION A'otes: -All information on thisform becomes a public record upon receipt by the Supervisor ofElections. - It is a crime to kno►vingly sign more than one petition.for a candidate. [Section 104.185, Florida Statutes] all requested information on this fibrin is not completed, the font will not be valid as a Candidate Petitionfibrin. 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 e__ +`_ CC fZ -): R h __� - placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] F1 Nonpartisan ErNo party affiliation C, G y-,,,\ vv\ � S S ©N A3- -"L Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth o(�r, Voter Registration Number 1Address (MMlDD1YY) City County State Zip Code Of Date Signed (MM/DD/YY) [to be completed by Voter) CANDIDATE PETITION Nates: -All information on this form becomes a public record upon receipt bs, the Supervisor of Elections. - It is a crime to knoivingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this_ faro is not completed, the.forni will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] 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 I Address (MM/DD/YY) „ r City County State Zip Code Rule 1 Date Signed (MM/DD/YY) [to be 7771 by Voter] d Q DS -DE 104 {Eff. 08111 UP(L CANDIDATE PETITION Notes: - All in formation on this form beconies a public record upon receipt by the Supervisor of Elections. - It is a crinte to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested it formation on this fornr is not completed, the fibrin will not be valid as a Candidate Petition form. I, f - the undersigned, a registered voter C% (print name as it appears on your voter information card tt 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 [nNo party affiliation ❑ _ Party candidate for the office of CYV\ 1r�-N LS S 0&. e—r 1� i fiL (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDtYY City County State Zip Code l:'i f L r.,ij , F1 S Signature I Rule 1 Date Signed (MM/DD/YY) [to be co pletedy Voter] DS•DE 104[Eff. 08111 q � � CANDIDATE PETITION Notes: -All information on this fibrin 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 oil this form is not completed, the_form will not be valid as a Candidate Petition form. �!M������� 1 will —, Mild 66 N1caral in said state and county, petition to have the name of f -r, U r placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] the undersigned, a registered voter ❑Nonpartisan ❑ i�o party affiliation ❑ _ _ Party candidate for the office of CDry e—I-- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (/DD/YY City County State zip Code Rule 1S•2.045. F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter] ns.nE /06IEff. 0917 CANDIDATE PETITION Nates: -All information on this forrn becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knorvinghv sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested infor7nation on this form is not completed, the form will not be valid as a Candidate Petition form. (print name as it appears on your voter information card in said state and county, petition to have the name of . 3 0. r� R I -J placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ❑Nonpartisan EDNO party affiliation ❑ Rule the undersigned, a registered 11✓ Party candidate for the offic -#— .- (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address L State Zip Code (MMIDDNY) Sta City County _ [-3 c1' k -(6 �_i ) �i4 l r Signature of Date Signed (MM/DD/YY) [to be completed by Voter] DS•DE 1041 E CANDIDATE PETITION Notes: - All information onthis forrn becomes a public record upon receipt bi, the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - ff all requested information on this fornt is not completed, the.form will trot be valid as a Candidate Petition foi7n. the undersigned, a registered I' 1:nayGt. ",•1 0 vt — (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 offic C: C)Yv, v-,, t_ -S,5 Cyt e-, t r cLr (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address �/ (MM/DD /YY (� / A/W 3"kel S-� f 4c City County State Zip Code Signature of Voter Rule 1S•2.015, F.A.C. Date Signed (MM/DD/YY) [to be completed by Voter]