Oath 9/2/03
RECEIVED
LOYALTY OATH 03 SEP "'2 AM 10: 34
CANDIDATES WITH NO PARTY AFFILlATI,9~, ., "-'V'~ OFF ICE
' (Sec:ioos 876.05-876.10, Florlda Statutes) 01 ! 'r C L t t'i, n ::,
STATE OF FLORJDA
Miami-Dade
COUNTY
I, [
DAVID
1
(PlEASE PRINT)
DERMER
Flf$t Name Mlcldle NameilnitlaJ Last Name
a citizen of the State of Florida and of the United States of America, . " and a candidate for public office. ., do
hereby SOlemnly 5'Near or affinn that I will support the Constitution of the United States and of the State of Florida.
OATH OF CANDIDATE
(SedX:n 99.021, F1criCa Stalutes)
I,
DAVID DERMER
(PUASf PRINT NAME AS YOU YilSH rT TO N>Pu.It ON Tl1E 1lAU.0T - NAME MAY NOT BE Q4ANGED AI"nR TME END 01 ClUAUFYlNGJ
am a candidate for the office of MAYOR OF MIAMI BEACH
(offtce )
. I am a qualified elector of Miami-Dade
(group).. '.
I am a quaCified elector of the City of Miami Beach, Florida. I am qualified under the ordinances and Charter
of said City and 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.
NJA N/A
(dlstr1ct) (clrcult)
County, Florida.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF
CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE.
S~,RN TO AND SUBSCRIBED before me this )o"1lt1ay
of 4- 2003, Notary Name: tU4u-r Pt\.Ivd"..(",,-, ,
Notary P~bliC, State of Florida v'
C ission Expires: 3f3( 0 <I Personally Known:_,
rod e D: tJ( It Type: ;J /A ,
~~ ROBeRTe. PARCHSI
f'll f*' MV COMMISSION. CC 907458
~i'... ..j.~i EXPIRES: Maroh 31, 2004
.,p'r.,~';o' Bonded Thill Nola/)' PuIllio U.........
SI~~
~:.E~:E
4195 North Bay Rd., Miami Beach, FL 33140
Maili g 2525 FLAMINGO PLACE, MIAMI BEACH, FL 33140 (305) 532-0034
Addre S Mailing Address Day Phone
(305 ) 674-R'lQ-?
Fax Number
MIAMI BEACH
FLORIDA
33140
09/02/03
Oat. Signed
City
St3te
ZIp Code
os-oe :lAB {Rev _ !lIgg\