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HomeMy WebLinkAboutDS-DE25 OathCANDIDATE OATH - NONPARTISAN OFFICE (Not for use by Judicial or School Board Candidates) R,EC��V�D Mo 202015 (City of 3e ity Clerk -3 0� � ce OFFICE USE ONLY OATH OF CANDIDATE (Sect' n 99.021, Florida Statutes) o , (PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT * » NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING) It ",am a candidate for the nonpartisan office of U i �© V NG I L-- (offic�) (district #) I am a qualified elector of17�AfJ R) 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. (? M 71 e 93 Sl f-NT,9,11 /N&N& lu (,L- , ignature of Candidate Telephone Number Email Address city ZIP Code Candidate's Florida Voter Registration Number (located on your voter information card): d 17 G * Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons with disabilities (see instructiions� on page 2 of this form): STATE OF FLO A COUNTY OF Sworn to (or affirmed) and subscribed before me this�'� day of 20zf Z� �. Personally Known: or 4�� nt * • ���`'•• SALLY A. MAIO Signature of tary Public Produced Identification:„ ., Commission # FF 153543 Print, Typ44r Stamp Commissioned Name of Notary Public Expires October 5, 2018 Type of Identification Produced: WWW `°e°° "Jil DS -DE 25 (Rev. 5111) Rule 1S-2.0001, F.A.C. 4W 20