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ELIGIBILITY TO HOLD OFFICE
OF COUNCILMEMBER
Charter Section 2.02 - ELIGIBILITY
AUG 16 20?4
City op
C/ty Cle k S Office
"No person shall be eligible to hold the office of council member
unless he or she is a qualified elector* in said city and actually
continually resided in said city for a period of one (1) year
immediately preceding the final date for qualification as a
candidate for said office."
4. • I,w l�'; t 1 , candidate for the office
of Council Member, meet the eligibility qualifications to hold office as
I required in Section 2.02 of the City of Sebastiap-Charter, bove.
Signature of
STATE OF FLORIDA
INDIAN RIVER COUNTY
Sworn to (or affirmed) and subscribed before me by means of (/physical
presence or ❑ online notarization, this 16'-" day of R Llq Lks i-
2024, by 1D vx, co H . ( i ( I ('a rns who is: [personally known to me
or ❑produced the following as identification:
9kY Pue�s' N ary Public -State of Florida
SEAL ' MY COMMISSION i
EXPIRES 2-28.2027
•166.032 Eleci %9t(PjA�tES;6:1�r�,L �F.�`oR resident ojn nna�icipnlint ilia has qunlr'red as nn elector ojthis
.ante, and u•ho r15111i, VtVI'1N7o�"' W, escribed !»' general /au• and ordinance of the municipality shall be a
qualified elector o(the llfwI gnN
OFFICE USE ONLY
STATEMENT OF RECEIVED
CANDIDATE
(Section 106.023, F.S.) AUG 16 1014
(Please print or type) City of Sebastian
City Clerk's Offices
candidate for the office of 5.5�kSr' ``"J C, H ('�""'C'`
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
KI
Sign
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)