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Note: CANDIDATE PETITION ‘© dil information on this form, including your signature, becomes a public record upon recep by the Supervisor of Elections. (©) Under Florida law, ii a frst degree misdemeanor. punishable as provided in s. 775.082 or s. 775.083, Florida Statutes, to knowingly sign more ‘than one petition for a candidate, a minor political party. or an izsue [Section 104.185; Florida Staries). = Tall requested formation on this form & not completed the form will not be effective as a Candidate Petiion Form. oo CCCC'C“‘(N’NSCUUC”*C™C the undersigned, a registered voter ‘Pras trae ws pers on war iron car in said state and county, petition to have the name of __Kurt Kelly. laced on the Primary / General Elecion Ballot asa: fl Party Republican C] Nonpartisan TI No Party Aftiaton (emt ndopondon Candidate forthe offce of: __Florida Congressional District 8 ‘ed dot ai rou, soe rer. ap Baie of By Ve Ragavaion Number Residence Address Gay ] ‘County Saale Th Coie ‘Signatare of Var ‘Bate Sed to be completed by Worm) CANDIDATE PETITION ‘© All nformation on hs for, including your signature, becomes a public ecard upon receip by the Supervisor of Elections. (© Under Fora lav, 1 a fst degree misdemesznor, punishable os provided in x. 775.082 ors. 775 O81, Florida State, to knowingly ign more ‘han one peition for a candidate, a minor political party, or an ie. (Section 104185, Florida Staats) Tall requested information n this form is not completed the form wil not be effective ass Candldate Peitton Form 1 regi a samaaiemnonet = the undersigned, a registered voter In said state and county, petition to have the name of __Kurt Kelly placod on the Primary / General Election Ballot asa: IX] Party _Republican ‘ame ot Saal pay [Nonpartisan [1] No Party Affiliation (marty independent) Candidate for the office of: __Florida Congressional District 8 Tine dab. ora group set rb apa) e Bate tith ‘Valor Rogivaion Nomber | Residence Adsress cy ] [oon Sale To cole ‘Signature of Veter ‘Bate Signed (tobe completed by Voz) CANDIDATE PETITION All nformerion on this form, including your signature, becomes public record upon receipt bythe Supervisor of Elections. ‘Under Florida ln, it soft degree misdemeanor, punishable os provided ins. 775082 ors. 775.08, Florida Statutes, to knowingly sign more ‘than one petition for a candidate, a minor political party, or an issue. [Section 104.185, Florida Sines). Hall reguesied information on this form is noi completed. the form wil ot be effective aso Candidate Petition Form. the undersigned, a registered Ta RR AT oe baal tn sad sate and county. petton tohave the name of __Kurt Kelly placed on the Primary / General Election Ballot as a: [XJ Party _ Republican Sara Game oe me eee C1 Nonpartisan [No Party Affliation (omer independon) Candidate for the office of: __Florida Congressional District 8 nce atic rat rou. Sat rem ppb) Dae of Br ‘Vale Regia Number Residence Adress ay Couns Sie Wo coie ‘Date Signed (to be completed by Volo)