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Filing PapersAPPOINTMENT OF CAMPAIGN TREASURERii t AC ' -" `'` ' OFIF ICE AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES�� 3 j (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re -filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip ZJ00 goy L code) y2-7�� 4. Telephone 5. E-mail address F Z 33/3 s (.� 6 ) 13/d , 74 9�5"` 1 �n�1?0 G�N,Z0M 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if r Z applicable: ❑ 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 60%,_ No Party Affiliation ❑ Party candidate. 9. 1 have appointed the following person to act as my Mcampaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 00 ?-_G Lj .L. < 11. Mailing Address �%/, T1 _ 12. Telephone _ C \address 13. City �b yr✓rdN ���i`f 14. County /�,�% f'�'�r.� 15. State �L 16. Zip Code 33 y� S 17. E-mail 1,�oc��ir�®c� ��1 � w� sal, c� ,M 18. 1 have designated the following bank as my Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address /V�j 21. City �,/ 22. County 23. State ,J�— 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 2X6. Signature ofCandidate 27. Treasurer's Acceptance of A pointment (fill in the blanks and check the appropriate -block) I, LN 4©�I�4Lc� /_ . `1 7 , do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer ❑ Deputy Treasurer. x Date Signature of Campaign r asur@LDz D putt' Treasurer DS -DE 9 (Rev. 10/10) / Rule 1S-2.0001, F.A.C. fBEACH APPOINTMENT OF CAMPAIGN TREASURER OFFICE AND DESIGNATION OF CAMPAIGN Al)„ - f Ni 3: I DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): ❑ Initial Filing of Form Re-filing to Change: Q 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 /-/)()C,ePRZYGt) ,-/;15') code) Ar 4. Telephone 5. E-mail address c ) ,5apv?3, / , Efiediij FL 3-3 /33'--- 6. 3 /33'---6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if applicable: 14 A/ - 7R. *Z. ❑ 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 a No Party Affiliation [] Party candidate. 9. I have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer 1,1). ,e3pRv2.) I, /VA Y 11. Mailing Address 12. Telephone 13. City 14. County 15. State 16. Zip Code 17. E-mail addracc .So9/4/74# � 74-2M ,FE Y F2 332/3-c i 18. I have designated the following bank as my ❑ Primary Depository ❑ Secondary Depository 19. Name of Bank 20.Address gt1"/ s r A E�'2 c•Q /Z3 5- // 4.AI R E5, 44,1L 3.3 3.34/2,421. City 22. County23. 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 26. Signature of andidate X 27. f,' 3T�reasurer's Acceptance �lofAAppointment(fill in the blanks and check the appropriate block) I, A2�il'o2 L /LAW , do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer ❑ Deputy Treasurer. � Date Signature of Campai•• easurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C. OFFICE USE ONLY STATEMENT OF ' � 4�. q i`� `; G _ERK'S OFFICE CANDIDATE 19 JUL 31 Pr- 14. : 9 (Section 106.023, F.S.) (Please print or type) 1, /z(,), PRO zAJ t /---/ ) candidate for the office of 4.1.7. 5.1-en l*Es7 If 2 have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X Ge 4, -- 1 -- 1 Signature o an•!date 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) Coact- dye, RESIDENCY REOUIREMENTS li � 3 c_ w �^;_ r � - —0 ci; cDr t " < a-'> .D r*1 2dic,_PRv 2 4 y , candidate for (Print Name) ZZ, hs �s�� � /6 2t$7 2 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. ./ (Signature of Candidate) - --- / (Date) 11/12/2013 12:31 PM S:\CC\WP\ELECTION\Year 2017\CANDIDATE INFORMATION CD\4. Residency Requirements\RESIDENCY REQUIREMENTS STATEMENT.doc CANDIDATE OATH — �E�`�CN `` 1Ci 'j`"511C� NONPARTISAN OFFICE 1`3 D -r _3 K3: (Not for use by Judicial or School Board Candidates) OFFICE USE ONLY OATH OF CANDIDATE (Section 99.021, Florida Statutes) f (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * – NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) am a candidate for the nonpartisan office of (r 7" y ; , (office) , / (district #) I am a qualified elector of4G14l County, Florida; (circuit #) (group or seat #) I am qualified under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the Constitution of the United States and the Constitution of the State of Florida. Signa O an Telephone Number Email Address y2 7A)57y1AW# X0Y�Z A1,&g(,--A�I R 33Z _3 -.�3 Address City State ZIP Code Candidate's Florida Voter Registration Number (located on your voter information card): 1/21 0-7-6�F * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructions on page 2 of this form): STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this day of 20 1 G1 . Personally Known: _ or Queenester Nieves- / Signature of Notary Public ' Produced Identification: V Print, Type, or Stamp Commissioned Name of Notary Public Type of Identification Produced: 0 1 1 V leir rov Notary Pubtic StateofFl:M:da10 Queenester Nieves(7 (7 [� �CJ 2 -�{w_ �j t(U — (� My Commission GG 210 DS-DE 25 (Rev. 5111) FORM 1 STATEMENT OF 2018 Please print or type your name, mailingFINANCIAL INTERESTS FOR OFFICE USE ONLY: ] address, agency name, and position be,.,,, LAST NAME -- FIRST NAME -- MIDDLE NAME: 114 y Ae)O DW MAILING ADDRESS: 2 f ' f C: ; CITY: ZIP: COUNTY: :w NAME OF AGENCY: 40 NAME OF OFFICE OR POSITION HELD OR SOUGHT 2 G`xr pis 7wrc i You are not limited to the space on the lines on this form. Attach additional sheets, if necessary. CHECK ONLY IF X CANDIDATE OR LJ 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): x 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 "nla") NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY SLR. r rS`qSTE P0 AaXD llA A95Er" FL 3x315 -Yzs .ol✓oF tPEZtRtn2EN /,80,17 ,�'il1�ENis�QL X�s� COQ -of ^ DSC owroN OFFztF R Si AN�v7-4 �E77�'RE►nE�✓r 7NcaMt F.rPlel.rT" fWYE a I-.NT 87/2s ?e7.T9,C fFg7" Z�VVFs/►1,E WZS .Soex.1 LeCUI?.r'T F4 X-'UrRA WA 12o0RICIlfh A! 1AJ O0-6 - RX!4 flrq mrAm A►q crAL See#& ril BeNFirr r PART B -- SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person - See instructions] (If you have nothing to report, write "none" or'Wa") NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE /y/7 rz /7 tl V PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nothing to report, write "none" or "nla") FILING INSTRUCTIONS for when and where to file this form are located at the bottom of page 2. INSTRUCTIONS on who must file this form and how to fill it out begin on page 3. CE FORM 1 - Effective: January 1, 2019 (Continued on reverse side) PAGE 1 Incorporated by reference in Rule 34-8.202(1), F.A.C. IPART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions] I (If you have nothing to report, write "none" or "n/a") TYPE OF INTANGIBLE I BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" or "n/a") NAME OF CREDITOR I ADDRESS OF CREDITOR PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions] (If you have nothing to report, write "none" or *Wa") BUSINESS ENTITY # 1 NAME OF BUSINESS ENTITY BUSINESS ENTITY # 2 ADDRESS OF BUSINESS ENTITY X PRINCIPAL BUSINESS ACTIVITY POSITION HELD WITH ENTITY I OWN MORE THAN A 5% INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PART G — TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S ❑ 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: ),;; P Date Signed: 12 - 3 -Z/` FILING INSTRUCTIONS: If you were mailed the form by the Commission on Ethics or a County Supervisor of Elections for your annual disclosure filing, return the form to that location. To determine what category your position falls under, see page 3 of instructions. Local officers/employees file with the Supervisor of Elections of the county in which they permanently reside. (If you do not permanently reside in Florida, file with the Supervisor of the county where your agency has its headquarters.) Form 1 filers who file with the Supervisor of Elections may file by mail or email. Contact your Supervisor of Elections for the mailing address or email address to use. Do not email your form to the Commission on Ethics_, it will be returned. State officers or specified state employees who file with the Commission on Ethics may file by mail or email. To file by mail, send the completed form to P.O. Drawer 15709, Tallahassee, FL 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Tallahassee, FL 32303. To file with the Commission by email, scan your completed form and any attachments as a pdf (do not use any other format) and send it to CEForm1@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. CPA or ATTORNEY SIGNATURE ONLY If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, prepared the CE Form 1 in accordance with Section 112.3145, Florida Statutes, and the instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. CPA/Attorney Signature: Date Signed: Candidates file this form together with their filing papers. MULTIPLE FILING UNNECESSARY: A candidate who files a Form 1 with a qualifying officer is not required to file with the Commission or Supervisor of Elections. WHEN TO FILE: Initially, each local officer/employee, state officer, and specified state employee must file within 30 days of the date of his or her appointment or of the beginning of employment. Appointees who must be confirmed by the Senate must file prior to confirmation, even if that is less than 30 days from the date of their appointment. Candidates must file at the same time they file their qualifying papers. Thereafter, file by July 1 following each calendar year in which they hold their positions. Finally, file a final disclosure form (Form 1F) within 60 days of leaving office or employment. Filing a CE Form 1 F (Final Statement of Financial Interests) does not relieve the filer of filing a CE Form 1 if the filer was in his or her position on December 31, 2018. CE FORM 1 - Effective: January 1, 2019. PAGE 2 Incorporated by reference in Rule 34-8.202(1), F.A.C. The city of Boynton Beach CITY CLERK'S OFFICE 3301 QUANTUM BLVD. SUITE 101 c _ BOYNTON BEACH, FL 33426 PHONE: (561) 742-6061 FAX: (561) 742-6090 . f E-MAIL: dtyclerk@bbfl.us �n 4 www.boynton-beach.org " " CD 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 tentativelV 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. Candidate's Signature S:\CC\WP\ELECTION\Year 2020\L&A Testing Public Notice - For Candidate's Signature.doc 1-2 --3� — Date Received Miscellaneous Cash Receipt CITY OF BOYNTON BEACH Account No. 001-0000-369-10-00 iI . . • , , iliTf7N417m X60 P. \ Y OA • 92188 Address 42:7 NW 5T1Ff AVFNIJE ROYNTON BEACH. FT 3343-9 • 1� • •uu •� In, MARCH 11. 2020- -- ` Dept. ('TTY CLERK'S OFFICE By Miscellaneous Cash Receipt CITY OF BOYNTON BEACH Account No. 001-0000-369-1 0-00 G\T v O`e _ No. 92189 ETON � $ _ j 9Y, S3 - 3 20 A - Received of—W001)ROW L UAY Address _477 XW STH AVENUE ]BOYNTON BEACH, FL 3343-5 Dept. CT'PV rT.FRR 1 S QFFICE By 4z,r — OF FQa9' to v% 7` In Wendy Sartory Link , F�► - ° Palm Beach County Supervisor of Elections tea CERTIFICATION I, Wendy Sartory Link, Supervisor of Elections, for Palm Beach County, Florida, do hereby certify that 34 signatures on the Nominating Petitions of Woodrow L. Hay 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 Woodrow L. Hay is a registered voter in Precinct 7182, in the City of Boynton Beach, Florida. Signed, this 2nd day of December, 2019. Supervisor of Elections Pari Beach.County (SEAL) 240 South Military Trail, West Palm Beach, FL 33415 1 Post Office Box 22309, West Palm Beach, FL 33416 Telephone: 561.656.6200 1 Fax Number: 561.656.6287 CANDIDATE PETITION Notes: -All 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 Petitio I, the undersigned, a registered voter Wnt name as it appears on your voter information card) in said state and county, petition to have the name of Zk o o /.?d zq placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan E] No party affiliation M . — Party candidate for the office of C D _MM X s s.xo� DC 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) S Q6 1 ✓�� City County Statte,� Zip Code ( [§Tlature of Voter RUI61S•2.045, F. C. Date Signed (MM/DD/YY) [to be completed by Voter] DS•DE 104 f Eff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate, [Section 104,185, Florida Statutes] - If all reriuested information on this form is not completed, the form will not be valid as a Candidate Petition I'/ 12 411 the undersigned, a registered voter G 1 (print Ome as it appears on your voter information card) in said state and county, petition to have the name of Q 0 p j?© &) L . ,;�l Y Placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan []No party affiliation M Party candidate for the office of Cd M M Z s s.roN4' D.r, 7R.x c j-- 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address C N Coun State Zip Code L r -Z-- — Signature of Voter Date Signed (MM/DD/YY) [to be complet d by Voir] DS -DE 104 (Eff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections, -It is a crime to knowingly sign more than one petition for a candidate, [Section 104,185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 4-1')I5 p Y7 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 ze— 0 en 2) /? 6 &) L , 1%114 Y placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ONonpartisan [D No party affiliation Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Dais of Birth or Voter Registration Number I Address `0 126 9L 71JAI. to. 5-�� fiuLe-- L City County state =zy;315- I Signature of Voter f Date Signed (MM/DD/YY) [to be completed by Voter] Rule 15.2.045 F.A.C. DS -DE 1041Eff, 0911' CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I'a rd a the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of Ze 0 02) /: p W L placed on the Primary/General Election Ballot as a: (check/complete box, as appllcab/e] Nonpartisan [:] No party affiliation F-1 Party candidate for the office of d rvtyvt S s_ON� (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDNY) � L County . State Zi Code Rule 1S•2.045, F.A.C. Date Signed (MM/DD/YY) [loLy'be orrl�let yvo� 104 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] 1 - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 1, 1 , ` r A Ci ; �th '_f repro 0 ra 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 4/0 C) -D /1?0 "'d placed on the Primary/General Election Ballot as a: [check/complete box, as appllcable] Nonpartisan [3 No party affiliation [] Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) 610 City CountyCode State ec)t MCA &-ocl- palm cG„ Zip S Signature of Voter i Date Signed (MM/DD/YY) [to be completed by Voter] 08 -DE 104 iEff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] 1 • - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition 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 410 o /?o Gc,1 L . 17/7 l placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan EDNo party affiliation ❑ Party candidate for the office of �. d rv1 rn L S szoNG D.l' -- �' T (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address City unty State Zip Code _Y1 r 4 C q-- l cc 3 X35 Sign of Voter �Q Date Signed M/ D/YY) [to be comp! ted V r] 2- , 7 IS -2.M, F.A.C. 08 -DE 104 [Eff. 0911 CANDIDATE PETITION Ir 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 104.183, Florida Statutes] - If all requested information 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 Z4/0 C) 2) R0 Gt) placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] the undersigned, a registered voter [Nonpartisan []No party affiliation E , —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 7 Address (MM/DD/YY) City County State Zip Code Signature of Voter �"—` 1S•2.045, F.A.C. Date Signed (MM/DD/YY) ompleted by Voter] DS -DE 104 (Eff. 09/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes) �l all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. b, cQ the undersigned, a registered voter (pr nt name as it appears on your voter information card) in said state and county, petition to clave the name of Z,(,Io 0,7,E Q w L . h� I 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 LorVoter Registration Number Address (MM/DD/YY) l Ci County S t Zip Code � �eac-� of Voter I Date Signed (MM/DD/YY) [to be completed by Voter] c D3 -DE 104 (Eff. 09M 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, 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 ze'./(j o 2) R p 4o placed on the Primary/general Election Ballot as a; [check/complete box, as applicable] Nonpartisan M No party affiliation M (insert title of office and include district, circuit, group, seat number, if Party candidate for the office of IR Date of Birth or Voter Registration Number Address (MM/DD/YY) AN 2v -j' �. City County State ZIP Code Pik- C33 signature of voter Rule 1 Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 {Eff. 08/11 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] Ifall requested information on this form is not completed, the form will not be valid as a Candidate Petition form. V the undersigned, a registered voter (print namd as it appeart on your voter information card) in said state and county, petition to have the name of Z4,16 O DRO Placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan MNo party affiliation D rv� rte ;� s s.�plVC (insert title of office and include Date of i31rth or Voter Registration Number Party candidate for the office of D,z-z-,rR_r c T' 2 district, circuit, group, seat number, if applicable) Address City County � State ZfpCode — JJC4 CA L Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] 1 • 45, F.A. 08 -DE 104 [Eff. 09111' CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate, [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it ears on your voter information card) in said state and county, petition to have the name of zelo O.D'q 0 ' co placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan E]No party affiliation (insert title of office and include .D.r,5--rR.Z- c 7- circu group, seat number, if Party candidate for the office of Date of Birth or Voter Registration Number Address, I (� (MM/DD/YY) County State Zip Code Date Signed (MMlDD/YY) [to be completed by Voter] DS -DE 104 (Eff. 09/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. 1 - 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. (print name as it appears on your voter information card) in said state and county, petition to have the name of Zk,./() o2) R w placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan M No party affiliation M Co the undersigned, a registered voter (insert title of office and include district, circuit, group, seat number, if Party candidate for the office of Date of Birth or Voter Registration Number Address (MM/DD/YY) � 9 IV E_ City County State Zlp Code of Voter F.A.C. Date Signed (MM/DD/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] - 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 z'&/a o 2) iR© W placed on the Primary/General Election Ballot as a; [check/complete box, as appllcable] Nonpartisan [:] No 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 (MM/DDlYY) City County Signature of Voter Address State ZIP Code Date Signed (MM/DD/YY) to be com let by Voter] DS -DE 104 (Eff. 091V 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 on this form is not completed, the form will not be valid as a Candidate Petition form. I' �0 i � &� —`JA G the undersigned, a registered voter wi 1int name as a appears on your voter information card) in said state and county, petition to have the name of Z'-'10 0 Z RQ GO 1711 Y placed on the Primary/General Election Ballot as a; [check/complete box, as appllcable] [Nonpartisan F] No party affiliation 0 ___ 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,,�`7 / , jJ 5r (MM/DD/YY) �- C1co"Y State c Nl©� � } Z1A Code Signature o EDateSigned (MM/DD/YY)com etfe by Voter] Rule 13.2.045, F.A.C. DS -DE 104 [Eff. 091111 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, J (print nam as it appears on your voter information card) in said state and county, petition to have the name of z"f'10 0 Z> TS D l c,l placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] [Nonpartisan F] No party affiliation 7 the undersigned, a registered voter Party candidate for the office of �.-re T� (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or 1V'oter Registration Number Address �j�� J l G4,, city County State Zip Code =� a 7 Date Signed (MM/DD/YY) [to be comp ted � Voter] Y V'YG CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185. Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as i appears on your voter information card) /J in said state and county, petition to have the name of !e/ o O2) %?© placed on the Primary/General Election Ballot as a: [check/oomplete box, as applicable] Nonpartisan F1 No party affiliatlon M Party candidate for the office of C d �, m x s s�o �� .D.r �•" rx�,� cr � (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address a�pIn r U (MM1DWYY) j � City County [State �Zip Code Signature of Voter Y % •n I 1 Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 fEff. 0811 } 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 voter information card, in said state and county, petition to have the name of !e/ o c>.D j�© W placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] the undersigned, a registered voter Nonpartisan []No party affiliation M Party candidate for the office of C o M m z s s ro IV D.r zv 7-R,x c T 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) County State ��7z Q7 a Signature of Voter i Date Signed (MM/DD1YY) [to be Completed by Voter] 03 -DE 104 {Eff. 09/1 CANDIDATE PETITION 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 this form is not completed, the form will not be valid as a Candidate Petition form. KA 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 !.d/ Q o 2) �:? p &) Z . /�-114 Y placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] [Nonpartisan F] No party affiliation [] Party candidate for the office of (insert titre of office and include district, circuit, group, seat number, if applicable) Date of Birth (MM/DD/YY) or Voter Registration Number Address City' County State Zip Code resew I �i�C. Js Signature Voter Date Signed (MM/DD/YY) [[�tobe completed by Voter] IS -2.045, F.A.C. '�� DS -DE 104 [Eff. 09111' CANDIDATE PETITION ' Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections, - It is a crime to knowingly sign more than one petition for a candidate, [Section 104,185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition forma I' : Z fire, 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 Z, "/ o C> D j? placed on the Primary/General Election Ballot as a: [oheck/oomp/ete box, as applicable] Nonpartisan E] 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 Ad/dreess City' County Stat / 21p Code Signature of Voter mate Signed (MM/DD/YY) [to be completed by Voter] 104 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 Porn _6 /' (print name as it appears on your voter information card) in said state and county, petition to have the name of Lam/ ro O.D j?© ia,l placed on the Primary/General Election Ballot as a: [check/comp/ate box, as applicable] the undersigned, a registered voter Nonpartisan [] No party affiliation 0 — _- Party candidate for the office of �O m m x s sZoN� D.I s"T�. 7' 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number LAddress (MM/DDM') I I , City County State ZIP Coder ss / Signature of Voter - Date Signed (MM/DDM') [to be completed by Voter] tule 15.2.046, F.A.C. - or DS -DE 104{Eff. 081111 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' r the undersigned, a registered voter (print name as it appears on your voter 'information card) / in said state and county, petition to have the name of [,G/ o D 2) %?D fit.) L . placed on the Primary/General Election Ballot as a: [check/oomplete box, as applicable] [Nonpartisan E] No party affiliation M — Party candidate for the office of C o m z s s.ZoNC=R j- a (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 FSinature of Voter [Date Signed (MM/DD/YY) o be completed by Voter] tule ,045 F.A.C. DS -DE 104 {Eff. 091111 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. X27 / b v u the undersigned, a registered voter (print name as it appears on your voter information card) [,4/ in said state and county, petition to have the name of o 0 2) J?O ' 4') L . ��� Y placed on the Primary/General Election Ballot as a; [Check/complete box, as applicable] Nonpartisan []No party affiliation F _ Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth , or Voter Registration Number Address C COSY S Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] if DS -DE 104 (Eff. 08H CANDIDATE PETITION r 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 fo:, f I' —J e-4 r'k (print name as it appears on your voter information card) in said state and county, petition to have the name of [e/ O o.D j 0 Gc.) placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] the undersigned, a registered voter Nonpartisan [D No party affiliation M Party candidate for the office of CDmmxSsro / D.I��"zR.-rC T 2 (insert title of office and Include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DDlYY) j 1T r1 02 G I fav City =n,�_ State Zip Code D f.�-�+�t^� ��• 1.. %v r: 144 3 3 41 -3 s" Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] is -z.04 .c. DS -DE 104IEff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' I C._ k'rs 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 Zclo o 2) 1:?© w L placed on the Primary/General Election Ballot as a; [check/complete box, as applicable]• ONonpartisan F] No party affiliation Party candidate for the office of .Dx z, TR.x C T 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number i Address (MM/DDlYY) 7 jq City W Zip Code :�/ Signature V er Rule 1S-2.045, F.A.C. Date Signed (MM/DDIYY) [to be completed by Voter] DS -DE 104 f Eff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate, [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form, I' rC�v the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of !�/ �j en -D)? 6 placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan E] No party affiliation Party candidate for the office of (insert title of office and Include district, circuit, group, seat number, if applicable) Date of BI h or Voter Registration Number Address leAd I of Voter Coo state j Zlp Code Date Signed (MM/DD/YY) [to be c mpl ed by Voter] DS -DE 104 (Eff. 09111 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the farm will not be valid as a Candidate Petitio 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 !.L! Q 02) j?d 1A2 � . 17114Y placed on the Primary/General Election Ballot as a; [Check/complete box, as applicable] Nonpartisan []No party affiliation F7 Party candidate for the office of o m m x s sro 1v cq D. -r z- 7-R,-TC T 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of BVth or Voter Registration Number Address i C ty Stat =C11C35__ Signature of Voter Date Sign d (MM/DD/YY) [to be c` plets �jby Voter] 1S-2.045, F.A.C. D8 -DE 104 (Eff. 08/1 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form isnot completed, the form will not be valid as a Candidate Petition form. I' 6_rt'7 Miezl�I&rclj the undersigned, a registered voter (print name as it appears on y r voter information card) in said state and county, petition to have the name of [�/ 0 0-D %gyp W L . � placed on the Primary/General Election Ballot as a; [check/oomplete box, as applicable] Nonpartisan []No party affiliation 7 Party candidate for the office of (insert title of offlce and include district, circuit, group, seat number, if applicable) F(MDate of Birth or Voter Registration Number Address/ J��t M/DD1YY) f � �p�� � c.�rC l City County state Zip Code Signature of Voter Rule 1 Date Signed (MM/DD/YY) [to be completed by Voter] D3 -DE 104 [Eff. 0911 CANDIDATE PETITION 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 this form is not completed, the form will not be valid as a Candidate Petitio 0- f. ? Mae O&u -1 the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of �C) o -D j?o &) L . ��� Y placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan F-1 No party affiliation Party candidate for the office of C o M rn z s s.Zo IVB D.z- -5,'7R._T c 7- � (insert title of office and include district, circuit, group, seat number, if applicable) Dates a of Birth or Voter Registration Number Address (MM/DDIYY) 17 Rile y CitQy, �✓o .4w � a Signature of Voter Rule County State Zip Code i1a 41 Thea GA ��. ``J3 r- ]3-7 .� Date Signed (MM/DDNY) i� .. [to be completed by Voter] M CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections, -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] �- - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I' 1 +0 AJ Sr- 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 Gd/ o o.D �:?o zo L �� Y placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] ONonpartisan F] 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 CityCounty State Zip Code w->=ae"L(l_A_1 vn �6�c�iL, 3; (135 - Signature of Voter Date Signed (MMIDD/YY) [to be completed by Voter] IS -2.045, F. C. D3 -DE 704 {Eff. 09/71 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]l - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. r Q ►'1 the undersigned, a registered voter (print name as it appears on your voter—information card) in said state and county, petition to have the name of ze o o -D /? 6 W placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] [Nonpartisan 0 No party affiliation 0 .. Party candidate for the office of Co nq m x-SS..rolv�- D.z-.5-Twx C T 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number =77-3/7 (MM/DD/YY) D� T 2- / E o? /av _-- J County. State Zip Code �3 3 5�� re of Vow r - Date Signed (MMIDD/YY) [to be completed by Voter DS -DE 104 iEff. 0911, CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections, - It is a crime to knowingly sign more than one petition for a candidate, [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. 0 It the undersigned, a registered voter Ljprint name as it appears on your voter information card) in said state and county, petition to have the name of ZVQ op j?© Gt,1 L � placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] ONonpartisan 0 No party affiliation Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) City County State Zip Code Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] DS -DE 104 (Eff. 0911 CANDIDATE PETITION Notes -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petitionfore. I' GIJo oDRo"�4J '/ - "'� 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 ZklQ op /:?o zo L placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan E] No party affiliation r7 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 1 City County State Zip Code 125a 11-Iroly A/ �E� � "Ocz/ Signature of V ter Date Signed (MM/DD/YY) [to be completed by Voter] Of Rule 1S•2.045, F.A.C. DS•DE 104 f 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] - Ifall requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, ►iii 1 (print name as it appears on your voter iin��formation card) l in said state and county, petition to have the name of !g/ o ®.7J /:?0 Gc,l placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] the undersigned, a registered voter [Nonpartisan M 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/DDNY) ?FX�]� J CityCounty State Zip Code rf=tw -Pa Im beaeX L Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] IS -2.045, F.A.C. `- DS -DE 104 iEff. 0914 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate, [Section 104.185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. the undersigned, a registered voter (print name as it appears on your voter information card) in said state and county, petition to have the name of GG/ Q D Z) fid W placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan [] No 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 Address (MMIDD/YY) /I � / y J fp � city�j County State Zip Code L Signature of Voter Date Signed (MM/DD/YY) 7 f [to be completed by Voter] 15.2.045, F.A.C. / DS -DE 104 [Eff. 0811' �r oria, -C) i CANDIDATE PETITION Notes. -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate, [Section 104,185, Florida Statutes] - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. K 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 [,G/ o O D /:?D W L . 1-14y placed on the Primary/General Election Ballot as a: [check/oomplete box, as appllcab/e] %(Nonpartisan E] No party affiliation M Party candidate for the office of C o m m i s sso tc-R D,r zy;?,.r C 7- 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address / 12- Aty t ntY State ZIP Code Signature of Voter MrD3-DE10CEff.0911 is.z.oas, A.C.. 1 CANDIDATE PETITION Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections, -It is a crime to knowingly sign more than one petition for a candidate, [Section 104,185, Florida Statutes] - Ifalll requested information on this form is not completed, the form will not be valid as a Candidate Petition form. // I' ./' V) r:) EX3ti the undersigned, a registered voter (print name as it appears on your voter iin"forrmation card) in said state and county, petition to have the name of !�/ 0 O.D f?0 L.c,1 L . ///I)/ placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] [Nonpartisan E] No 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 Address (MMlDDlYY) County State r;Z3:L�1_ Vo � Date Slgned (MM/DD/YY) Rrr . l l M-1. �11� + [to be�compl ed by Voter] 7 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' (� L, the undersigned, a registered voter (print nam as it appears on your voter information card) in said state and county, petition to have the name of Z"O O.D JV D W placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan No 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/DD/YY} City County State Zip Code �i 21� 7z Signature of vt C, Date Signed (MM/DD/YY) [to bec�rripleted`bX Voter] } f u llll `I 11II 161 Boa 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, r the undersigned, a registered voter (print name as it appears o your voter ln�fo/rmation card) in said state a d county, petition to have the name of Z' / 0 02) /?4 W 17%0 placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan []No party affiliation 7 Party candidate for the office of Cawrm ss olV� Dxs TR_rC T 2 (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY))p V/Z city 1 Siyapture of Voter F.A.C. Co ty StZip Code l G` 33 % Date Signed (MM/DDIYY) pro be completed by Voter] DS -DE 104 (Eff 09f7- 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' 1 1 F� the undersigned, a registered voter ri t name as it appears on your voter information card) in said state and county, petition to have the name of !�/ D 02) j?Q W placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] WNonpartisan E] No party affiliation [] Party candidate for the office of (insert of office and include circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) u �>- b5 LA Cit County ( �, j� State Zip Code —' l 1 fl of VoDate Signed (MMIDD/yy) [to be completed by Vater] :,,ter DS-DE 104 MIN. 0911, ro 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 farm. L4–>S (moi f -,( j rr,,� (print name as it appears on your voter information card) in said state and county, petition to have the name of ice/ 0 O.D R0 W placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] Nonpartisan E]No party affiliation 7 the undersigned, a registered voter Party candidate for the office of D.z-,6-7R.x C T (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Acdddress (MM/DD/YY) iQ ' 2 5 , q8 lD V Z1VLJh4-tte eOGIt G teC( Cfty' CountyState Zip Code rn =&,aC) L 343 t4 Date Signed (MM/DD/YY) [to be completed by Voter] II.21•I� 0 n rS� 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, C O Ce E' 41✓1 the undersigned, a registered voter ,r� �� �� --- a- ik aNlioara V11 yVUr voter InTOrmatlon carp) in said state and county, petition to have the name of z&/0 0 O Zi R6 placed on the Primary/General Election Ballot as a: [check/complete box, as appllcab/e] VNonpartlsan E] No party affiliation Party candidate for the office of (insert title of office and include district, circuit, group, seat number, if applicable) Date of Blrth or Voter gistration Number Address - r r ea GI,C CC�� City C nt State Zip Code Dq�A"" Lc Signature o oter F.A.C. Date SI ned (MM/DD/YY) [to be mplet by Voter] I� Z1, 1 DS -DE Toa teff_ 0911• CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. - It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statutes] - If all requested informaform is not completed, the form will not be valid as a Candidate Petition form. I' EI ' 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 Z'ulrj O.D /.?© eo placed on the Primary/General Election Ballot as a; [oheck/oomplete box, as applicable] Nonpartisan [D No party affiliation 7 Party candidate for the office of C o m m x s s ro lv4� D.r �� r ..� c r 2 (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 t Co ntY State Zip Code y 3lgnat of Voter D Signe ( DQ/YY)- to be completed by Voter] 8.2.045, F.A.C. — Y6eDE 1041Eff. 0911 re n a 1D 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, 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 Z'G 0 T j © W 17114Y placed on the Primary/General Election Ballot as a; [check/complete box, as applicable] Nonpartisan [D No party affiliation 0 Party candidate for the office of ZoNG (insert title of office and include district, circuit, group, seat number, if applica i Dateof BiY) Birth or Voter Registration Numb Address(MMID�1 Cft CountyState la��S(4 Cod CC 3 Slgnatur ter Date Signed (MM/DD/YY) [to be completed by Voter] 15.2.045, F.A.C. DS -DE 1041Eff. 0911 V 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, informa ion on this form is not completed, the form will not be valid as a Candidate Petition form. M the undersigned, a registered voter (print nalile as it appears oh your voter information card) in said state and county, petition to have the name of d ozD R W 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 O n� n'1 S C 7 - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Vo (MM/DD/YY) ,Voterpe Istration Number Addres / q �L re of rCut Sty tip ode Date Signed (MM/DD/YY) [to be completed by Voter] ❑5 -DE 104 Ciff.09/7 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -K 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 the undersigned, a registered voter (print name as it appe s on your voter information card) in said state and county, petition to have the name of Zk Q O -D j?o z,-) L � Y placed on the Primary/General Election Ballot as a: [check/comp/ete box, as applicable] Nonpartisan []No party affiliation 0 _ Party candidate for the office of Co D.r.5--TR_r e 7 - (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address qv -e_ It1 r �c ! r � (MM/DD/YY) �r � A _'tr S City t County State Zip Code Si ure of Voter LDateSigned (MM/DD/YY) completed by Voter] &t2 - �/1 iy Rule 1S-2.045, F.A.C. DS -DE 104 tEff. 0911 CANDIDATE PETITION Notes: -All information on this form becomes a public record upon receipt by the Supervisor of Elections. -It is a crime to knowingly sign more than one petition for a candidate, (Section 104.185, Florida Statutes) .— - If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form. I, --rl " - the undersigned, a registered voter (print name as it aqqU on your voter information card) in said state and county, petition to have the name of 410 O 7J 1.?© Gt,l L l/, 7 Y placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] ONonpartisan Ej No party affiliation Party candidate for the office of S:ro f Y .1 +STM T R `^ / h (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (MM/DD/YY) f City Coun State Zip Code -, jVII Bee Signature of Voter Date Signed (MM/DD/YY) [to be completed by Voter] tule 1S•2.O45, F.A.C. is - DS -DE 1041Eff. 091111 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. (print name as it appears on your voter information card) in said state and county, petition to have the name of [,�0 02) Ro W L . placed on the Primary/General Election Ballot as a; [Check/complete box, as appllcab/e] Nonpartisan M No party affiliation M the undersigned, a registered voter Party candidate for the office of ------------ o rvl m s soNL D.r �~T•. 7' (insert title of office and include district, circuit, group, seat number, if applicable) Date of Birth or Voter Registration Number Address (i MM/DD1YY} � L10`17 cityCo�u:nn: ty - Signatuke of Voter State Zip Code F'L' -3 IM:_ f Eff. 0911 uororq 01st. 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. (print name as it appears on your voter information card) in said state and county, petition to have the name of Z / o o 2) R0 eA') placed on the Primary/General Election Ballot as a: [check/complete box, as applicable] %(Nonpartisan []No party affiliation r7 the undersigned, a registered voter Party candidate for the office of 7 - (insert title of office and include district, circuit, group, seat number, if app(icable) Date of Birth • or Voter Registration Number (MM/DD/YY) Address I i City Co ty �������� Signature of Voter Rule 1S-2.045, F.A.C. State Zip Date Signed (MM/DD/YY) [to be completed y Voter] DS -DE 104 iEff. 0811'