DS-DE 125 Parker DESIGNATION OF POLL WATCHERS FOR: M B COMM RUNOFF GRP 4
(Specify Applicable Election)
Pursuant to Section 101.131,Florida Statutes,I request that the following persons(none of whom is a candidate
or a sheriff,deputy sheriff,police office or other law enforcement officer), who are qualified and registered
voters of the county in which they will serve, be approved as poll watchers for(check only one):
E' EARLY VOTING ELECTION DAY
1. Printed Name: MELISSA PARKER Date of Birth (mm/dd/yy): 09/21/1971
Address: 560 w 51ST ST,MIAMI BEACH,FL33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
2. Printed Name: NIEVES R FENICHEL Date of Birth (mm/dd/yy): 08/05/1954
Address: 1568 WASHINGTON AVE.MIAMI BEACH,FL 33139
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
3. Printed Name: ENRIQUE MECHULAN Date of Birth(mm/dd/yy): 06/14/56
Address: 550 W 51ST STREET,MIAMI BEACH,FL 33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRABRY
4. Printed Name: SANDRA GOTMAN MECHULAN Date of Birth(mm/dd/yy): 06/04/1959
Address: 550 W 51ST STREET,MIAMI BEACH,FL 33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
NOTE: If more lines are needed to poll designate oll watchers, use DS-DE 125 continuation page(s) and attach to
g
this page. Only sign this top form, but the page count entry must be completed on the bottom of this page.
*****************************************************************************************
Check applicable box and fill in the blank lines:
I am a candidate for MIAMI BEACH CITY COMMISSION GROUP 4 in this election.
IT I am the chair of the County Executive Committee of the Party.
FT I am the chair of Political Committee.
/
JONATHAN H.PARKER 10/30/15
s
Printed Name Signature Dates
3921 ALTON RD#471,MIAMI BEACH,FL 33140 305-865— 888 r
Address V Phone
Attention: This form is due to the Supervisor of Elections:
• For Early Voting, no later than noon of the 14th day before early voting begins.
• For Election Day, before noon of the second Tuesday preceding the election. -
(This form becomes a public record when submitted to the Supervisor of Elections.)
Page 1 of 2 pages.
DS-DE 125 (rev.05/2011)
DESIGNATION OF POLL WATCHERS — Continuation Page
(Enter Page Number on Bottom of Page)
This form becomes a public record when submitted to the Supervisor of Elections.
1. Printed Name: GINA DANZIGER Date of Birth(mm/dd/yy): 12/09/1956
Address: 8311 SW 157TH AVE#707 MIAMI BEACH,FL 33186
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
2. Printed Name: MICHAEL W.KESTI Date of Birth(mm/dd/yy): 08/26/1961
Address: 8161 SW 170TH STREET,PALMETTO BAY,FL 33157
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
3. Printed Name: MARIA C.KESTI Date of Birth (mm/dd/yy): 08/26/1957
Address: 8161 SW 170TH STREET,PALMETTO BAY,FL 33157
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
4. Printed Name: IVY BAUTISTA Date of Birth (mm/dd/yy): 05/17/1995
Address: 560 W 51ST STREET,MIAMI BEACH,FL 33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
5. Printed Name: JULIAN BAUTISTA Date of Birth(mm/dd/yy): 06/22/1991
Address: 1553 JEFFERSON AVE,MIAMI BEACH,FL 33139
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
6. Printed Name: DAVID ANDERSON Date of Birth (mm/dd/yy): 07/24/1956
Address: 10101 E.BAY HARBOR DR#706,BAY HARBOR,FL 33154
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY ,-_,
7. Printed Name: CORI MOSS Date of Birth(mm/dd/yy): 04/14/198x".
Address: 1553 JEFFERSON AVE,MIAMI BEACH,FL 33139
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
8. Printed Name: Date of Birth (mm/dd/yy): -::�
Address:
Location of Polling Room or Early Voting Site:
9. Printed Name: Date of Birth (mm/dd/yy):
Address:
Location of Polling Room or Early Voting Site:
DS-DE 125—continuation page(rev.05/2011) Page 2(Yid
DESIGNATION OF POLL WATCHERS FOR: M B COMM RUNOFF EARLY VOTING GRP 4
(Specify Applicable Election)
Pursuant to Section 101.131, Florida Statutes, I request that the following persons(none of whom is a candidate
or a sheriff,deputy sheriff,police office or other law enforcement officer), who are qualified and registered
voters of the county in which they will serve, be approved as poll watchers for(check only one):
EARLY VOTING E ELECTION DAY
1. Printed Name: MELISSA PARKER Date of Birth (mm/dd/yy): 09/21/1971
Address: 560 w 51ST ST,MIAMI BEACH,FL33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
2. Printed Name: NIEVES R FENICHEL Date of Birth(mm/dd/yy): 08/05/1954
Address: 1568 WASHINGTON AVE.MIAMI BEACH,FL 33139
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
3. Printed Name: ENRIQUE MECHULAN Date of Birth(mm/dd/yy): 06/14/56
Address: 550 W 51ST STREET,MIAMI BEACH,FL 33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRABRY
4. Printed Name: SANDRA GOTMAN MECHULAN Date of Birth (mm/dd/yy): 06/04/1959
Address: 550 W 51ST STREET,MIAMI BEACH,FL 33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
NOTE: If more lines are needed to designate poll watchers, use DS-DE 125 continuation page(s)and attach to
this page. Only sign this top form, but the page count entry must be completed on the bottom of this page.
*****************************************************************************************
Check applicable box and fill in the blank lines:
E I am a candidate for MIAMI BEACH CITY COMMISSION GROUP 4 in this election.
fl I am the chair of the County Executive Committee of the Party.
D I am the chair of Political Committee.
JALJONATHAN H.PARKER 10/30/15
Printed Name n ignature Date.
3921 ALTON RD#471,MIAMI BEACH,FL 33140 305-865-6888
Address Phone
Attention: This form is due to the Supervisor of Elections:
• For Early Voting, no later than noon of the 14th day before early voting begins.
• For Election Day, before noon of the second Tuesday preceding the election.
(This form becomes a public record when submitted to the Supervisor of Elections.)
Page 1 of 2 pages.
DS-DE 125 (rev.05/2011)
DESIGNATION OF POLL WATCHERS — Continuation Page
(Enter Page Number on Bottom of Page)
This form becomes a public record when submitted to the Supervisor of Elections.
1. Printed Name: GINA DANZIGER Date of Birth(mm/dd/yy): 12/09/1956
Address: 8311 SW 157TH AVE#707 MIAMI BEACH,FL 33186
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
2. Printed Name: MICHAEL W.KESTI Date of Birth(mm/dd/yy): 08/26/1961
Address: 8161 SW 170TH STREET,PALMETTO BAY,FL 33157
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
3. Printed Name: MARIA C.KESTI Date of Birth(mm/dd/yy): 08/26/1957
Address: 8161 SW 170TH STREET,PALMETTO BAY,FL 33157
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
4. Printed Name: IVY BAUTISTA Date of Birth(mm/dd/yy): 05/17/1995
Address: 560 W 51ST STREET,MIAMI BEACH,FL 33140
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
5. Printed Name: JULIAN BAUTISTA Date of Birth (mm/dd/yy): 06/22/1991
Address: 1553 JEFFERSON AVE,MIAMI BEACH,FL 33139
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
6. Printed Name: DAVID ANDERSON Date of Birth (mm/dd/yy): 07/24/1956
Address: 10101 E.BAY HARBOR DR#706,BAY HARBOR,FL 33154
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
7. Printed Name: CORI MOSS Date of Birth (mm/dd/yy): 04/14/198k,
Address: 1553 JEFFERSON AVE,MIAMI BEACH,FL 33139
r-�
Location of Polling Room or Early Voting Site: MIAMI BEACH CITY HALL,NORTH SHORE LIBRARY
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8. Printed Name: Date of Birth(mm/dd/yy):
Address:
e�a�
Location of Polling Room or Early Voting Site:
9. Printed Name: Date of Birth(mm/dd/yy):
Address:
Location of Polling Room or Early Voting Site:
Page 2 O
DS-DE 125—continuation page(rev.05/2011) F