HomeMy WebLinkAboutDSDE25cF1s RuExpires 10/21/20�R
DS -DE 25 (Rev. 5/11) le 1S-2.0001, F.A.C.
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CANDIDATE OATH —
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NONPARTISAN OFFICE
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(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, Ed Dodd
(PLEASE PRINT NAME AS YOU WISH R TO APPEAR ON THE BALLOT' - NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a Candidate for the nonpartisan office of Sebastian City Council
(office) (district #)
am a qualified elector of Indian River 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.
X � (772-973-5440 eddodd62@gmail.com
Signature of Candidate Telephone Number Email Address
906 Fleming St Sebastian Florida 32958
Address city State ZIP Code
Candidate's Florida Voter Registration Number (located on your voter information card): 104688499
' 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):
Ed Dodd
STATE OF FLORIDA
,
COUNTY OF [ tRIJ �u-Unr 1 l VIVO t-
Sworn to (or affirmed) and subscribed before me this 'S� day of 111 e( 20—i�f.
Personally Knovm: or
Signature of Notary Public
Produced Identification: Print, Type, or Stamp Commi ned Name of Notary Public
.t'y� p Y''� f p tAllrANATAL LACY
Type of Identification Produced: 1 /t W rS U C `a U e— PUBLIC
o:NOTARY
o STATE OF FLORIDA
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cF1s RuExpires 10/21/20�R
DS -DE 25 (Rev. 5/11) le 1S-2.0001, F.A.C.