Gongora Batch 1 Set 1M IA M I BEACH RECEIVED
773 AUG 2I PM 2:25
CANDIDATE QUALIFYING BY PETITION PRELIMINARY TOTALS
D u e n o late r th a n N O O N , A u g u s t 22 , 2023
Candidate - Michael G~ngora
A pre lim in a ry co u n t w a s pe rf o rm e d of ea ch pe tition pa p e r su b m itte d by M icha e l G o ng o ra , C a n d id a te
fo r M ia m i B e a c h M a y o r, o n A u g u st 2 1, 2 0 2 3.
T he co u n t w a s as fo llo w s:
N /A sig na tures 0 P e titio n s w ith 10 sig n a tu re s
0 P e titio n s w ith 9 sig n a tu re s
0 P e titio n s w ith 8 sig n a ture s
0 P e titio n s w ith 7 sig n a tu re s
0 P e titio n s w ith 6 sig n a tu re s
0 P e titio n s w ith 5 sig n a tu re s
0 P e titio n s w ith 4 sig n a tu re s
0 P e titio n s w ith 3 sig n a tu re s
19 6 P e titio n s w ith 2 sig n a ture s
83 2 P e titio n s wi th 1 sign at ure
N /A sig n a ture s
N /A sig na tures
N /A sig n a ture s
N /A signa ture s
N /A sig na tures
N /A sig n a ture s
N /A signa tu res
39 2 sig n a ture s
8 3 2 sig n a tu res
Total petition papers submitted: 1,02 8
Total signatur s submitted: - / , D a te:
St af f Sign at ur e:
1,22 4
D a te :
F:\CLER\CLER\000_ELECTION\00000 2023 GENERAL ELECTION\Qualifying by petion\GONGORA QUALIFYING BY PETITION PRELIMINARY FORM.docx
Or^S>,2 e-e {hnmt4 Deha.f,\a the undersigned, a registered voter
CANDIDATE PETITION
- lt i.s tt <'rinrc ttt krrr;rr'urg1r' .sigtt tnrtrc tltutt otte pctitiott./br u t.uttdidutc. [Scc'tion 101 185, Florida Sttttule,rl
rnat'onEd)L>r\ > eLt*
in said state and county, petition to have the name of Michael Gongora
placcd orr thc Prinrary,'Gunr;ral Election Ballot as a.. fchecl</complete box, as applicablel
Nonpartisan n No party affiliation tr
City of Miami Beach Mayor
irrsert tiile of office and include dlstrici, circuit, group ieaf nrnr6er if applicablej
or Voter Registration Number Address
Party candidate for the office of
)
Date of Birth
(MM/DD/YY)
City
lVianri Beach
re of Voter
RulelS.2.045.FAC.
9.J) )c t b (o{ E Rd >)J-
I
I
County
Mianri-Dade 3i-r3- /State
Florida
Zip Code
Date Signed (MM/DDIYY)
'iTp'o/^Voterl
23
DS-DE 1Ozt Eff 09/11
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,t..ti) r: t)); .i,t,,,,,,t, r''/,i,rr,,i '.',,1 il,, lt,ti,ttj,',',.,,1 1,,'r,1,/i,,',r'
the undersigned, a registered voter
(print nanre as
:;' .:,,,;i state ott..J i:ir,rt-tlr, ietlt,crl ir,lr
[, -i ,:-l oli llre Frlrircrl v -:utlu .i, Eiu. i
r
mi Beach
Signature of Voter
q,, :e rl .,1 e ci ;,[i t.r-
Date of Birth or Voter Registration
(MM/DD/YY) r ./. n
bia';
Beach Mayor
L rde ict, c jrcert, group seat nunr
r,tr
,a
cit
.,.1.1 ii u
Numbe
I zin coo"
IL-
Signed (MM/DD/YY)
ted by Voterl'tbAd^
appears on your voter irrfornration card)
IV
lr4ichael Gon orate t.,t|,e of
Rule 1S.2.045 F.A C
",,
ade rida
.DE 1
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A= v r/ E SO , b o '-,--, )'A) :(-o t the undersigned, a registered voter
CANDIDATE PETITION
in said state and county. petition to have the name of Michael Gongora
placed on the Primary'General Election Ballot as a.lchecUcctmplele box, as applicable)
Nonpartisan E ruo party affiliation E
Date of Birth
(MM/DD/YY)
City
I'vliami Beach
Signature of
,/,
Rule 1S F.A,C
T--lt__J
Date of Birth
(MM/DD/YY)
or
( i n s e rt t i t, e or off i ce,
"
r?lil,oo"trY,',,if: ::, ff: #:lr1 1,,,
o ",. i r a p p i i c a b, e )
Voter Registration Number Address
r-Dade
I I
it"t"
I 1
rlolioa
Party candidate for the office of
Zip Code
t o.1i SI
3]/:r
Date Signed (MM/DDl/Y)
""f/rp'{'"n
DS.OE 104 Eff 09/11
1ii .,,i,,, ttt,iii,,'t,r; rl,,',/
, \1,(/./,(. 1,.', i,,.;,'
CANDIDATE PETITION
rl ,,; tLL,tlti !'.' ,1,,.\t17r,,1,t,', ,i',i1 I;,,,i;r
,t,,iit,li,l,ttt 1t\',,t,:,,,i i t/.; /r; 1 1 .,,,i',i \,,, ':,, ',/
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4V DN> CLL
(print nanre as it ap.pears on your voter infornration card)
rr' .:,1 .j -.late.,irC ...)rjr):) i.rji i,\.,:l .,: i't;,r9 1,-g ,11'',, ili lf4iChael GOngOfa
the undersigned, a registered voter
p..:r.Ujrirtlruirrrtr.rry C,-i rircr E;,:-1.; B.,ri-tl:.r.[..];r.-i,'r,t|l,i,:ia box its arPi-tltLi)ble)
J-.r
or
City of Miami Beach Mayor
.. .. t .1 -- oi -'i..-- rr ,i , i 1..:.;e l '-l i.i . rCur:, gioUp Sedt irUf lDu l .t-i;i
Voter Registration Number Address
):,c-trs t bbb QUl 0v.- )orl
City
Mianrr Beach
Sis of Voter
-t
County
lvliamr-Dade
State riiirl
ti
Zip Code
3 I /) f
Date Signed (MM/DD/YY)
y Vrttel
Rule 1S-2.045. F.A.C
ida
'"9/6'rT
os.DE 104 Eff
t.
CANDIDATE PETITION
- It i.s a trinta kt ktrouittgl)'.sisrr tttrttt, thun otte pelititttr./il'tt <ttttdidutc. fSactitttt 101 lli5, Flot'idu Stutttta.;f
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county. petition to have the name of Michael Gongora
placed on the Primary,'General Election Ballot as a. lchecUconrplete box, as appltcable)
Nonpartisan E ruo party affiliation E Party candidate for the office of
or
( i n se rr titr e or orrice, "d?:ffit#,'.?r:i ::ff: #:Ir1'r,, o",., r a pp r ica br e )
Voter Registration Number AddressDate of Birth
(MM/DDiYY)
City
Mrami Beach
Signature of Voter
County
N4iamr-Dade
I
State
onda I
odeCzip
t
\tary Tn"n---"--A%
Date Signed (MM/DD/YY)
Ito be completed by Voterl
-t-b- L,6 o-5
Rule 1S-2.045. F.A C DS-OE 104 09/1 I
r, r -i,1.
tl \t.. .r/,.rr \,1,,
o Z
(print nanre as it ai-rpea'-; crn your voter infornration card)
City of Miami Beach Mayor
',.r, ' ,, : .' :,ie -l .l; i.l cirr:uii. 3rotrp se.ti It.rrri)e' i,ri'i-lrcal-,lcr
the undersigned, a registered voler
r,r:..;:j ilitle.iitd.'(.iir)iy 1;r:tlitrr- li. i,.,'.r.:1lt€r I irr'.:.f lt4iChael GOngOfa
l,li,i,rtl ,-rtl tll() P'rl,t.r!-i Ge t;ri.t Eic..', ot D.',.,i o: ,. [c,']t,". ,- ),]);)lala bux il.r it1t1.t!tr'alslal
I il
City
lr/iami Beacl-i
Signat
or Voter Registratron Number
)
rt
Date of Birth
'"jiTll ) i"i'o G I I q 4 urL rrrtll b
I
I
.l
County
lr,lianrr-Dade
Date Signed (MM/DD/YY)
f,to be utn:pleted by V,ttelll
s. F.A.C.Rule 'l
oter
rk/:,.r,.-3r,
09/1
I
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.; I 'i :: i.r
I I st"i" I I zip coa. -l
]l'r:1.,_ ]l z?l+C l
CANDIDATE PETITION
2tr7 e>a
1
//e
(print name as it ars on your v rmation card)
in sard state and county petition to have the name of MiChael GOngofa
pl:rccd on the PrirnaryrGe rrcral Electron Ballot as a.fchecl<tcomplele box, as applicable)
17 Nonpartisan f] No party affiliation tr
the undersigned, a registered voter
Party candidate for the office of
City of Miami Beach Mayor
(inserl title of office and inilude dlstrict. circuit, group seat number, if applicable)
Date of Birth
(MM/DD/YY)
City
Mianri Beach
Si ure of Voter
.045. F A C.
or Voter Registration Number Addresse/o6/65 ar77-e Co //.a A'€,//7a/
lI
County
Miamr-Dade s3i/aState
Florida
Zip CodeIiI
Date Signed (MM/DD|YY)
[to be completed by Voterl
s/a/ds
DS.DE ,I 04 09/1 I
r, :.ji ii .-..,i.: .,'"i r,t)r:,r'! ,,1:i ll()l- "' ' ,:.{] 1l:rr Il,ri r: ()f
IurN U et Fc ft rn frrni\P >the undersigned, a registered voter
(prirlt rran'e;s il appe.lrs o[ !orrl',.6ter rnfornration card)
pi.i.u.l ur)llrcPttttir;y,.-lui r.'.i Lir;;i .., B.:i1.,i,i.,-i l.l .'.A.ecrttpicic btlr irsi.tl:pit:ai.le)
[,4ichael
County
fu1ramr-Dade
-1 !l
City of Miami Beach Mayor
, ,'t . ll,- ' i ' .... ': .',. : i.le r.j's', -', crrc'ii, gruup. se.it lrrritber .f ar;pl c;tl,::;
or Voter Registratron Number Address
3, b 3r L-lo b C tlst ill ,3O b
Date of Birth
(MM/DDTYY)
City
[\4ianri Beach
L
i
t'
I
I
I
I
l
Zip Code
33/?7
Date Signed (MM/DD/YY)
'\',Fln
os-oE 104Rule 1S-2 045. F A.C.
da
Ito be Sntnple6'd
09/1 1
I si/frr," ot vS"(
| (g@^/U
CANDIDATE PETITION
-ltito.t'itnL't()kttrttr'irtgl.r'.\it!tttn()t'L'thttttttrt'ltclititttt.lit'tt(Lut(liJLtta. [St'ttiotr 101.18),1)loridaStntttte.sf
c
(print name as it appears on your v oter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on thu Prinrary,'Gcneral Electiorr Ballot as a. lchacl<tcontplete box, as applicable)
[TNonpartisan E No parry affiliation tr
the undersigned, a registered voter
or
City of Miami Beach Vqyot
(insert title of office and include district, circuit, group, seal number, if applicable)
Voter Registration Number Address
Parly candidate for the office of
Zip Code
33/) 7
Date of Birth
(MM/DD/YY)
City
Miarri Beaclr
Signature of
Rule 1S-2.045. F.A.C
i } Ll I tb6r8 q-4 f7d .-g_) t/
J
County
Mianrr Dade
State
Florida tI
j
Date Signed (MM/DDlrY)
llo beg y Voter)
<-P
DS.OE 104 09/1 1
\ rrlr'r.' :,' ., i, , ,
,t.,,r,,j S:.-lte.,ll,j.,.,r ., iralti.ri :,i .i:r'i r) il,:,: iri
-t4^JADNSJ os"L t: tL a/ 'l \/Fq
(print nanre as it appears on you!' voter rnfornration card)
the undersigned, a registered voter
pi,-t.'-'J e ,litu Fi,,,.,,, ,-:r'ilur.ii EIt;.1,.-;r,B.,ilul .,-.r. [..] "..i .:'tt;11.:tt: Lro.:i..io.t1:pliCttble)
It'lichael Gongora
City of tViami Beach l\4ayor
.l .1., -re ;.;'.r i.i uirLutl, grcup. seat n.-::rircr .i .-l; ;,i .tl,ie7
Addressor Voter Registration Number
L- 1- / qr)
LJ,V t
Date of Brrth
(MM/DDn/Y)
City
lvlianri Beach
Signature of
ILL( th*1 kn'r7,D(
County
Mrarnr-Dade
I zip coo"
is:/3?
State
l
I
Florrda
Date Signed (MM/DD/YY)
lk, he , on,pluted,by V,ilr,',
€ I ) I -,
Rule 1S-2 045, F A.C DS.DE 104 09/1't
t.
l ,t'
I
i
I
i
CANDIDATE PETITION
-lti.sttL'tintct()kttrtrritrgll .sigtrtttorc'llturtttttalttlitiott.futLtLLutdiiLttc. IScttiottl()1 135,Flttt'iduStuttttc.:J
l.the undersigned, a registered voter
nt name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan f]No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth ot Voter Registration Number Address
{MMIDDTYY)
\o / os/ \11(),j1 Sh<s,
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
Date Signed (MM/DDIYY)
Ito be completed by Votel
Z lq I zoz=
Rulc 1S-2.0t15, F.A.C.D9-llq! Gff.!941)
of
CANDIDATE PETITION
,\'ares.' - .4ll infitrmatiott on thi.s form he<'omes a puhlic rccord upon receiltt b1' thc Supervi.sor of Election.s.
- It is u crinrc to htox'ingly sign not'c tlun onc patilion./br a c'sndidutc. [Scction 104.185, Florids Statutcs]
- Il'ull rcquestctl informution on this fot'm is not c'ontpleted, the form v'ill not Ltc vulid us u Cqndidale Petition fornr
I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a.lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
c of Miami Beach I
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MMTDD/YY)
or Voter Registration Number Address
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Signature of Voter Date Signed (MM/DDIYY)
Ito be completed by Voted
Rule 15-2.045, F.A.C.
I
OS.I)E t0.a (Eff. 09,11)
CANDIDATE PETITION
- It i.; u critttc to lrrorrirrgir' .rigtr utritc lltutt ttttc ltctition.fitr u cutttliduc. ISactiott 101 185, l:loridct Stututcsf
Date Signed
{to be byo
ofsig
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballol as a: lchecAcomplete box, as applicablel
Nonpartisan f]uo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit. group, seat number, if applicable)
Date of Registration Number Address lr -t i^A.fi,o t fuh)
"",rr-t
/ r/2 (
i
City County
Miami-Dade
State
FloridaMiami Beach
osoE to4 09,1
CANDIDATE PETITION
,\'afes.' - ,4ll infiirmation on thi.s form heutmes a puhlic record upon receipt hy the Supervi,sor of Election.s.
- It is a crinrc lo knortingly sign more than onc petilion./br a candidatc. [Sectiort 104.185, Floridq StatutesJ
- If all requestcd information on thisform is not contpleted, theform v,ill not be wlid as a Cqndidate Pctitionform.
I,the undersigned, a registered voter
name it appears on your voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[TlNonpartisan E No party affiliation tr Party candidate for the office of
of Miami Beach M
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Num ber Address
soog ezlbD5 lzr
County
Miami-Dade
State
Florida
Zip Code
Date Signed (MM/DD/YY)
Ito be completed by Vote4
City
Miami Beach
Ruh t5-2.045. F.A.C.DS{)E 104 (Eff.09/fi)
I z,p c"a"
IlP,xtru)
;
I
I
I
CANDIDATE PETITION
- l.l ull rc't1ua.t tt lr tulil u.t u ('utttlilutc Pttitiott fitt'ttrittfitt'nt,ttiott t I r i.t ./ it t' t t t i.t t t ( ) I L ( ) t t t I ) I L' t c' l, t I tc .li tt'ttt will ttt.
Signature of
/
M/D
by
Date Signed
Ito be
2ne unOersigned, a registered voter
(print name as it appears on voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a: [checUcomplete box, as applicablel
Nonpartisan E ruo party affiliation f]Parly candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
' Date of Birth or Voter Regietration Number
i
Address
/ra=,+/z- /gos'537 cO
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode
==/37
F 1oa 09,1 I
CANDIDATE PETITION
iYares.' -.111 informotion on thi.s.fiirnt be<'omes altuhlic record upon receipt ht'the Superti,sorof Elections.
- lt is u crine lo kno*'ingly sign nrorc than onc petition.lbr a candidutc. [Scctiort 104.185, Florida StatutesJ
ion on this form is nttl completed, the form uill not be valicl as a Cdnclidute Pctition form.- IJ'ull rcque.stcd
I,WU//L the undersigned, a registered voter
rd)
in said state and county, petition to have the nar
placed on the Primary/General Election Ballot a
me of Michael Gon
box, as
Nonpartisan E ruo party affiliation E Party candidate for the office of
and i group,number, if applicable)
Date of Birth
(MM/DDIYY)
n Num
County
Miami-Dade
State
Florida
Zip Code
Signature of Voter Date Signed (MM/DD/YY)
Ito be completed by Votefl
(insert title of
Voter
\I
City
Miami Beach
Rule 15-2.045, F.A.C.
1r
osoE 104 (Eff. 09/11)
CANDIDATE PETITION
Notes: - All information on this.form becontes a public record upon receipt hy' the Supervisor of Elections.
- It is a crimc to knov,ingl.t' .sign more than one petition.for a candidate. [Section 104. /,85, Florida StatutesJ
- I/'all reque.stcd information on thi.s.form is not completed, the.litrm v'ill not be valid as q Candidate Petition ./brnr
I.LE (the undersigned, a registered voter
(print name as it appears'on your voter information card)
in said state and coung, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrem
1
I g L0,6 u ,1 eAL-1,. BCl
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
73a37
Rule D30E roa (Efi.09nr)
Date Signed (MM/DDIYI
0 23lto be by
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petilion for a candidate. [Section 104.185, Florida StarutesJ
,/
the form will not be vqlid as a Candidate Petition form.this.form is notall requested
Sig
I,undersigned, a registered voter
as it appears on voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
t Nonpartisan E Uo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mm/DD/YY)
or ietration Number Addrees
P 1 Dn
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
=Brt{D
Date Slgned (Mil/DD|YY)
lto be by Voterl
zJe?3
Rulo F.AC.
CANDIDATE PETITION
,{u<c,<* Eaura<,y'€)the undersigned, a registered voter
(prinl name as it appears on your voler information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan f]r'ro party affiliation E
Beach Mayor
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
I tmmtoorYYtt' o9/rc/r?rS
Addreas
I Aog2 G//c.t- &rr*llrgS
State
Florida
#
Zui"n rfue,{,
City
Miami Beach
F.A.C.
County
Miami-Dade
Zip Code3"p
Rulo osoE 10. (Eff.09,11)
Date Signed (MM/DDTYY)
by Voterl
3
Ito be
X
\
CANDIDATE PETITION
iVares.' - All inJitrnation on thi.s rttrn beconres a puhlic retord upon ret'eipt bv thc Supen,i.sor of Elections
- It is u crinc to knovingly sign ntore thart onc petitionJbr a candidutc. [Scctiott 104.185, Florida StatutesJ
- IJ'all retlucsted informttion on thisfortn is trol contplelecl, theform v'ill not bc vulid us u Caildidolc Palilionfornt
of
I,P*R E @il"^G? €Or*azR the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
Nonpartisan f]ruo party affiliation E Parly candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number i Address
i, ,buf Orrfu- lY 3 3/f
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Signed (MM/DD/YY)
Ito be completed by Votei-223
o2
F.A.C.
€4-
O8-: z?
DS{)E tO4 (Eff. 09/tl)
-Y t.
CANDIDATE PETITION
\ o/s.r.'
/(
by
o
Ito be
'o
Date Signed
l.i the undersigned, a registered voter
(print name as appears on your voter information card)
in said state and county, petition to the name of Michael Go
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
INonpartisan ENo partyaffiliation tr Party candidate for the office of
City of M ,xmt s.ggc[![Cygt
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDIYY)
or istration Number Address
I t ?ff tt>4/U E:GE
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
?
Rule 1 F.A.C.osoE loa Eff.
Signature of Voter
CANDIDATE PETITION
Notes: - All inJirnrttirttt otr thi.sforn hetrtne.s a puhlic rct'ord upon receipt hy the Supervi.utrof Election.s.
- It is u crinrc to knox,ingls'sign nora than onc petition.fbr u c'andidate. [Sectiott 104.185, Floridu StututcsJ
Signature of Voter
I,the undersigned, a registered voter
(print name as it on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan flNo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
,loT'YY'&- Lq,{o {
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Code37/
Date Signed (MM/DDfYY)
Rula F
llo
tu 09,11
I
I
I
I
I
I
CANDIDATE PETITION
Notes: -.411 in/'ormation on this./brm becomes a public record upon rec'cipt b.t'the Supervi.sor ofElee'tion.s.
-lli.sttcrinrctokn<truingl.t'.signmorethanonepetition.fbracandidatc. fSectionl04.l85,l:loridaStatute.sJ
- IJ all reque sted inlormation on this./bt'm is not completed, thc.f'orm will not hc valid as u Candidatc Petition Jitrnt.
,, [Lr+rV OaCt 5. tf elef < theundersisned,aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. [checAcomplete box, as applicablel
ElNonpartisan ! ruo party affiliation E Party candidate for the office of
City of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mrf,/DDTYY)
or Voter Registration Number Address
ol,)8"5 ?co Ld ->!0"t 9tt
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code)3tv I
Date Signed (tf, ir/DD/YY)
Ito be completed by Voter)
Rule lS-2.0t15. F.A.C.DS{E ltr (Eff.09/11)
s
CANDIDATE PETITION
Notes: - All inJbrmation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.l,85, Florida StatutesJ
- IJ'all requested informqtion on thisform is not completed, theform will not be valid as a Candidate Petilionform.
I' DD(fi ftact,+the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleciion Ballot as a: lchecAcomplete box, as applicablel
INonpartisan E tto party affiliation E Pa(ry candidate for the offiee of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(Hrx/DDrYn llur., ]O5'
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3?r?
Signature of Voter .\
Y** rfllay.t-
Date Signed (Um/DDfYn
lto be completed by Vote,1
^7-'30-)cL3
Rule lS-2.045, F.A"C.
)g E Tloo t^j -.^4
DSOE toa (Etr 09nt)
CANDIDATE PETITION
rVates.' - A ll in/'ormatiotr ott this _/brm bec'onrc.s u public record upon rec'ci1tl by thc Sultcrt,i,sor ol' Election.s.
- It is a crime to hto'vingl.v sign more than one patition ./br u c'andidatc. fScc'tion 104. 185, Florida Statutesl
- Il all requested inf onnation on lhis.li)t'nt i.s not completed, the./brm v'ill not bc valid as a Candidalc Pctition.fbrnr
I,C,a47rv e > 3 C O.nr+/v O the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan flruo partyafliliation E Party candidate for the office of
c of Miami Beach
(insert tltle of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ITil/DD/YY)
or Voter Registration Number
I
I
Address
\a<5\g9$ - oq- \or \t
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
*t\
Date Signed (Mtl/DD/Yn
lto be completed by Voterl
a -j+.- ?c)z=>
Rule 15-2.045, F.A.C.DS{)E 10a (Eff.09/11)
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to btowingly sign more than one petitionfor a candidate. [Section 104.185, Florida Stauted
- If all requested inlormqtion on this form is not completed, the form will not be valid as a Candidate Petition .form
I,o the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOra
placed on the Primary/General Election Ballot as a'. lchecVcomplete box, as applicablel
@Nonpartisan ENopartyaffiliatlon tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rm/DD/Yn
or Voter Registration Number Address
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Signature of Voter Date Slgned (tlltl/DD/Yn
Ito be ampleted by Voterl
Ruh 1S-2.Otfll, F.A"C.osoE loa (Etr.09111)
GANDIDATE PETITION
llotes: - All inlbrmatiott ott this _lbnn becomes a public record ulton receilil hy the Supervisor ol' Elcctions.
-lti.sttcrirnetoknot+ingly.signntorclhanonepetition.fbracandidate. [Sec'tionl04.lSS,FloridaStatute.sf
- Il all reque.rted inlbrnrution on this.fbnn i.s not completed, the.fbrm v'ill not be valid as q Candidate Petitiott.[ornr
I,Or-the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan flNo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
I
Date of Birth or Voter Registration Number
3 @/=tlE
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
7>,1 I
Rule 1S-2,041i, F.A.C.DS-DE 10a (Eff.09111)
Signature of
3c
Date Signed (MM/DDIYn
Voterl
3[o be
CANDIDATE PETITION
Nates.' - All informalion on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidste. [Section I 04. I 85, Florida StatutesJ
- If all requested information on thisform is not completed, theform will not be valid as a Candidate Petitionform.
'' [-oi. Pc' i [-c u the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and counly, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecl</complete box, as applicablel
INonpartisan DNo party afliliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Hrf,/DD/YY)
or Voter Registration Number Address
D A$ ro:oslTolrqqo 6q00 B"y
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 lL t
Signature of Date Signed (MM/DD/Y[
Ito be mmpleted by Votelol/3c',/bL\
Ruh 1S-2.llitll, F,A"G.
fl
osoE 104 (Etr 09111)
CANDIDATE PETITION
A'are.s.' - All in/brnntion otr this.fbrm becontcs a puhlic record upon receipt hy the Sutrtervisor d Electiotts.
- It is tt crinte to knowinglt' sign nrcre than onc petition.fbr a cundidate. [Section 104.185, Florida StatutesJ
- [ all requested infbrmatio,t on this.fbrm i.t nol completed, the.form v,ill not be valid as a Candidate Petition Jitrm.
t' V),fi c il* [Y? o lc G rv C the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete Dox, as applicablel
@Nonpartisan ENopartyaffiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/rr)
or Voter Registration Number
)2.11 1o I t I
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
331'l /
Signature of Voter
I
)
Date Signed (If, lr/DD/Yn
Ito be completed by Voterl
,7 e -t7-3
Rule 15-2.0{-5, F.A"C.DS.I)E l(}ll (Eff. o9/11)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Superuisor of Elections.
- It is s crime to lcnowingly sign more than one petitionfor a candidate. [Section 104. 185, Florida StarutesJ
- If all requested information on this form is not completed, the form will not be vqlid qs a Candidate Petition -form
I,\auio C d3 rIToc /(the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
./Nonpartisan E ruo party afiiliation E Pao candidate for the office of
City of Miami Beach Mayor
(insert litle of offlce and include district, circuit, group, seat number, if applicable)
Date of Birth
UMrDD/Yn
or Voter Registration Number Address
b1 ee,M
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
331cll
Signature otVol6l':iHi,fc?rtu,1'Dde Signed (lf,M/DDrYn
Ito be completed by Voler1
7 -Vo - 2,7
Rule lS-2,045, F.AC.
,1{e
DS{)E rlr (Etr 09/il)
I
CANDIDATE PETITION
i\oles: - All in/brma!iott ott this./itrm beccnncs a puhlic reeord upon rcc'cipt b.t' the Supcrvisor o.f'Election,s.
-lti.sucrimercklr;ruilg/r'.sigttntorethanonepctition./oracandidalc. [Sec'tionl04.lS5,FloridaStatutesf
- If'all reque.sted infitrmation on this.fbrm is not completed, thc./irm :r''ill nol he valid as a Candidate Petilion.fitrn.
I,k frf t-t.l RB f cefT n theundersisned,aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ Nonpartisan flt'to party affiliation E Party candidate for the office of
c of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(xrM/DDTYY)b .rK.t b 9co t6z.tL S L-
)
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
3?1ql
Date Signed (MM/DD/YY)
Ito be completed by Votefl ^ .\7 - 5a /-,
Rule 13-2.045. F.A.C.DSOE ilX (Etr 09/ll)
CANDIDATE PETITION
Noles: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104./,85, Florida StotutesJ
- If all requested information on this form is not completed, the form will not be valid as o Candidate Petition form.
I,L. 6o)the undersigned, a registered votertrruLnrlfr
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOra
placed on the Primary/General Election Ballot as a'. lchecl</complete box, as applicablel
@ruonpartisan [ruopartyamliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(um/DD/Yn
or Voter Registration Number Address
Pa 00 t J,30
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode
3]111 /
Date Signed (tf,M/DDrYn
lto be completed by Voterl7fiO - ?tD9
Signature of
Rule 15-2.0{5, F.AC.
/> 5i
DS{)E t(r (Efi.09/1tl
CANDIDATE PETITION
Notes: - All inlbrruation on this Jbrm bec<tnrcs a public record upon receipl h.t' the Supervisor of Elections.
-ltisacrimetolilllltfingl.y:sigtrtrtctrethanoneJtetition.foracandidate. [Sectiott l04.lSS,FloridaStatutesJ
- lf all requested inlbrmation on this.fbt'm i.s trot cotntrtleftd, the.form w'ill not be valid as a Condidate Petition fornr
I,f*r--*.---.^, -,the undersigned, a registered voter
t
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecldcomplete box, as applicablel
Nonpartisan f]ruo party affiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(]Iilll/DD/YY)
or Voter Regietration Number I
/) ./S. 8 15c,3 \,2
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
3\/q/
Dats Signed (MM/DD/YY)
lto be completed by Voterl
7/ s:/ z=
Rulc tS-2.0(T. F.A.C.DS{)E illl (Eff.09111)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is q crime to knowingly sign more than one petitionfor s candidate. [Section 104.185, Florida StatutesJ
- If all requested informqtion on this form is not completed, theform will not be valid as a Candidate Petilionform.
I,1a_l1C vt ( €\ €,2y-tf--\.C ? theundersisned,aresisteredvoter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'.lchecUcomplete box, as applicablel
@Nonpartisan flNo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rr/DD/YY)
or Voter Registration l{umber Address
G q"v0 qb
County
Miami-Dade
State
Florida
Zip Code)) 1 Ll /
Date Signed (IIIM/DD/YY)
lto by Voterl
5
City
Miami Beach
Signature of
Rule tS-2.045, F.A.C.
a
DSOE 10.1 (Efi. 09rll)
CANDIDATE PETITION
i\otes: - All in/'ornatiort otr thi.s./brm bcc'ome.s a public record upon rec'cipt h.r'the Supert'isor o/ Eleclion.s.
- It i.s a crinte to knowingl.t'.sign nrorc than onc petition./ot'u candidqte. [Sec'tion 101.185, Florida Statutesf
- Il'all requestcd inlormation on this _fot'tn i.s trrtt completed, thc.fbrn v'ill not be valid as a Candidate Petition ./i"trnt
I,Ostu t+O,bo L^ C'h dv €>the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan flt',to party afflliation f]Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrM/DDIYY)
or Voter Registration Number Address
/()9:J"4
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3>zYu
Date Signed (IIMrDD/YY)
Ito be completed by Voterl
o
Ruh 1S-2.Olll, F.A"C.DS.I,E rOa (Eff. 09111)
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It i.s a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested informotion on this form is not completed, the form will not be valid as a Candidate Petition -form
6 tc rLl n ? ,I t e c(H the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(uilrDD/YY)
or Voter Registration Number Address
b"7
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3) /.1 I
Date Signed (ilU/DD/YY)
Ito be1 by Voterl0's
Rule I F.A"C.
-?9 D t3 ^rtl/',/tn
DSOE roa (Etr 09/il1
a
I
I
i
CANDIDATE PETITION
Nbres.' - .4ll in.l-ornatiott ott thi.s.fbrm beconcs a public record upon recciltl hy the Supert'isor ofElcctions.
- Il i.s tt t'rima to knov'ingl.t'.sign ntorc than one petitiott./bt'a c'andidatc. fSec'tion 104.185, Florida StatutesJ
- If'all requested inlbrmetion on this .fbrm i.s ttot cotnpleted, tlrc./brm v'ill not he valid as a Candidate Petition ./brnr
Ar t Lt'tg 6, rm tu'l>n >,4I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongofa
placed on the Primary/General Election Ballot as a: lchecl<lcomplete box, as applicablel
E Nonpartisan fltto party afliliation E Party candidate for the officn of
City of Miami Beach Mayor
!
Date of Birth
(mru/DDTYY)
(insert title of oflice and include district, circuit, group, seat number, if applicable)
or Voter Registration Number Addrees7rS)?OO LUI ---0 fi d
City
Miami Beach
County
Miami-Dade
State
Florida
)c (
Zip Code
3]t 11
Rule l5-2.0'15, F.A"C.DsoE 104 (Eff.0!41I
o do
Date (mm/DDrYn
Voterl[to be
CANDIDATE PETITION
Notes: - All inJbrmation on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be vqlid as a Candidate Petition form.
,, N"rC€t?To LfC--Oov P),vt,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Elec'tion Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan flNo partyaffiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
t--of Birth or Voter Registration Number
?., b(
AddressDate
(IrH/DDTYY)b;a
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
Signature o(Voter,\\\\_, o.l1e ,
p;,
.2 O./\c
Rule lS-2.045, F.AC.DS{)E illt (Efi.09111)
i
CANDIDATE PETITION
Abres.' - ,4ll informatiotr ott this.form become.s a public record upon receipt by the Supervi.sor oJ' Elections.
- It is tt crinte to knoringl.r' .sign more than one pelttion for a candidatc. [Section 1A4.],85, Florida Statute.sJ
- $'all requested inlormation on this.li)ttr is trot completed, the.fbrm v'ill not be r,alid as a Candidate Petition.form.
r, \J -AQ to--r K P^' eg q O € y- a 5r^ the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan flNo partyafiiliation f]Party candidate for the office of
City of Miami Beach Mayor
i
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(il[f,/DDIYY)
or Voter Registration Number
9.t1 b?
Address
l>o
County
Miami-Dade
City
Miami Beach
State
Florida
Zip Code<?til
Rule 15-2.045. F.A.C.DS{)E tojt (Etr.09ni)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Superuisor of Elections.
- It is s crime to lorowingly sign more than one petition for a candidste. [Section I 04, I 85, Floridq StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Cundidqte Petition form.
'' F 6,2 NA4lt? IL {: e nNnN>€t the undersigned, a registered voter
(print name as it appears on your voter information card)
Michael Gongorain said state and county, petition to have the name of
placed on the Primary/General Election Ballot as a: lchecVcomplete box, as applicablel
@Nonpartisan Dr,loparty affiliation n Party candidate for the office of
of Miami Beach M
(insert title of office and include district, circuit, group, seat number. if applicable)
Date of Birth
(Iru/DD/YY)
or Voter Registration Number Addrcss t1il- 05 4 TA
City
Miami Beach
Coungl
Miami-Dade
State
Florida
Zip Code
33rcl /
Date Sagnsd (MMTDO/YY)
L030
lto be Votefl
Rule lS-2.0411. F.A"C.
>.b 5
DSOE 10a (Eft.09/ll)
CANDIDATE PETITION
- lt i.s u crinc to kttovingl.t'.sigtt trttt'c tltatt one pclitiott.fitt'u L(tndidutc. [Set'tion 101.185, Floridu Sttttutc.sf
Signature of Voter
I.Le-s the undersigned, a registered voter
(print name as it appears irn your voter information card)
in said state and county, petition lo have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENoparty affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number i ^X&o 4rbr;,.e #rous(Irl /q17
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Codea3/39
Date Signed (MM/DDIYY)
Ito be completed by Voterlo7-sr4r
Rule F,A.C.
CANDIDATE PETITION
,\'ofe.r.' - All inftrmation on thi.s form becomes a puhlic record upon receiltt hv the Sryten,i,sor of Election.s.
- lt is a crinrc to knov'inglS'sign more than one pctitionfor a candidqte. [Scctiott 104.185, Florida StatutesJ
- If all requested information on this fot'm is not the form vrill not be valid as a Candidate Petition fornt
s Voter
I,,rJ 14 /4/za z the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a. lchecl</complete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
- v"G;["Gi"iun rlrru*i I,-o2-/73/ i
Date of Birth or
(MM/DD/YY)o
Address *l#,; D/ /z /9uliI
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
7zt 37
Date Signed (MM/DD/fi
Ito be by Voterl
I /50
o
completed736 ,p
CANDIDATE PETITION
Notes: - All informatiott otr this form hecontes a puhlic record upon recciltl h-t' lhe Supert'i,sor of Election,s.
- lt is a crintc to knor+'inglv.sign ntore than one pctilion.fbr a candidate. fScction 104.185, Floricla Statute.sJ
- lf'all rcquestcd inlbrmation on this.fitt'trt i.s ttttt t'omplcted, lhc./brn till not bc valid as a Candidute Petition.fbrm.
(-€a-o.nc the undersigned, a registered voter
(print name as it appears on your information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpa(isan E f.fo party affiliation E Party candidate for the office of
C of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DDTYY)
I l"l a'"r u0 rc 0rr/.{ f ao
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Code3)lqt
Rule 1S-2.045, F.A.C.104 (Efr. 09/1t)
Signature of Voter
a
Date Signed (MM/DD|YY)
3Ito be
CANDIDATE PETITION
- It i.s a (rimc to knox'ingl.r'.sign ntorc thon ortc ltctition.lbr a candidatc. [Section l04.lll5, I:lorida Stutulcsl
I.AcF/e-t\ aeN@ i N the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for lhe office of
City of Miami Beach Mayor
Date of Birth
(MM/DD/YY)
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
,J-r l?)9t 70b
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3stct /
l-
Signature of Voter
Rule 15-2.0'15. F.A.C
>ts ry}a
osoE lu (Eff.09/11)
t.
CANDIDATE PETITION
Notes: - All in_[ornrction on lhis .form hecontes a public record upon rece ipl b.t' thc Supcrt isor of Elections.
-ltisacrimctoknox'inglvsigttntorelhanonepetition./'oracandidate. [Scc'tiottl0l.lS5,FloridaStatutcsJ
- I/ ctll rcquestcd inf itrntation on thi.s./bt'm i.s not completed, the.fitrm v'ill not bc valid a,s u Candidutc Pctitiotr./itrnr
Or,/ a LS a O €. Z A e eTA Cn i * n{zdzV theundersisned' aresisteredvoter
in said state and county, petition to have the name of MiClqqLGqgqq
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
lTNonpartisan f] No party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include distnct, circuit, group, seat number, if applicable)
or Voter Registration Number AddressDate of Birth
(MM/DDTYY)
I I 0b sb %SO E 4,p^
City
Miami Beach
County
Miami-Dade
Zip Code
at tg I
State
Florida
Rule 1S-2.045, F.A.C.
Date Signed (MM/DD[YY)
[to be byo6I Z
DSOE 104 (Eff. 09/11I
CANDIDATE PETITION
Notes: -.4ll inlbrmation on this./brn bctrtnte.s a puhlic record upon rcccilt! b.r'thc Supcrr'isorof lilcclion.s.
- It i.s a <'rimc to knowingl.r'.sign nore than one petition.lbra c'andidqte. [Section 101.185,l:lorido Stuttttesf
I nt n1 E the undersigned, a registered voter
(print name as appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete Dox, as applicable)
Nonpartisan E ruo party affiliation E Party candidate for the office of
c of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or
(?
Voter Registration Number Addresslsso?Bytu>a He, So>
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33,q/
Date Signed (MM/DD/YY)
Ito be completed by VotelI2o
Rule 15-2.045, F
lo .s
osoE t04 (Eff.09/11)
t.
I
Voterof
CANDIDATE PETITION
Notes: - All infurmatiort otr thi.s.form heconres a public record upon rec'eipl hy the Supen,i.sor of Elections.
- It is a crinte to kno*'inglv sign more than one pctition./or a candidate. fSec'tion 104.185, Florida Statuta.sJ
- I/ all requc.sted inlbrnrutiott ttn this.fbrm i.s ttol t'ontltleted, the.fbrm vrill not be vulid as a Caildidate Petitiott.litrn.
Gr+ulgruo/D fr Lftn the undersigned, a registered voteri) I
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[-Z Nonpartisan f]No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MM/DD/YY)
or
?
(insert title of office and include distnct, circuit, group, seat number, if applicable)
Voter Registration Number Address
1s'vo i@Yo /t,so
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3]lvr
Date Signed (MM/DDIYY)
Ito be completed by Votefio8-t3-23
Rule 1S-2.0t5. F.A.C.DS{)E rO4 (Eff. 09/11)
Signature of Voter
H
CANDIDATE PETITION
,Noles: - All inlitrmation on thi.s.fitru bu'onres a publi<'rccord upon ret'ci1tl hv the Sttpcrt'i.sor of Electittn.s.
- It i.s tt crime to knou,ingl.r'.sisn norc than onc pctition.fitra rtndidate. IScction 104.185, Florida Sltlulesl
C a O(H ft OoLON the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MM/DD/YY)
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
City
Miami
Gounty
Miami-Dade
State
Florida
Zip Code
])1c1 /
t
Date Sig
Ito be
M/DDTYY)
Rule 1 F
lt oJ )Y >qs;o gV,^qr eyt., ?a/
I.
DSOE 104 (Eff. 09/11)
b
CANDIDATE PETITION
lYotes: - All in_/brmatiott ott thi.s _form becomes a public record upon receipt by the Supen,isor of Elections.
- It is a c'rinrc to knox'ingl.t'sign more than onc pctition.for a candidatc. [Section 104. 185, Florida StatutesJ
- I/ all requeslcd inlitrmalion on this.lbt'nt i.s ttot completed, thc.fornt v'ill nol hc vlid as u Candidate Petitittn.lbru.
l.Draa A WnWa ru Dge Df L+ V t g+ theundersisned'aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiC hael Gon ora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
lTlNonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(l,lM/DDIYY)
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
p /3 ))Thoo -!, fl.s
City
Miami Beach
County
Miami-Dade
State
Florida
Zip CodeJ:I VI
Rule 15-2.045, F.A.C.osoE 104 (Eff.09/11)
Date Signed (MM/DDIYY)
2
Voter)[to be
CANDIDATE PETITION
Noles: - All in/brmation on this/bnn hecontes a public rccord upon re<'eipt h.r'thc Supervi.sor of lilu'tion.s.
- It i.s ct c'rinrc to knowingl.t' .sign more thun onc petition.litr a c'andidale. [Scc'tit'ttt 104.185, [:lttrida Stdtutc.\l
ft CB{Rr \g rRf?{Pt9 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan E f.fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number I Address
s
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3:rgl
Date Signed,(MM/DD/YY)
Ito be complAted bl Voterl
t /'s /*3
Signature of Voter
Rule 15-2.045, F.A.C.
tl /) rt oO @^0
DS.I)E l(H (Eff.09/11)
l.
CANDIDATE PETITION
fVotes.' - All in/'ormation ott thi.s .form becontes a puhlic record upon rec'cipt b.t' the Su1tervisor of Election.s.
-ltisac'rimetokno*'inglvsignntorcthanoncpetition.fbracandidalc. [Section l04.lS5,FloridaStatutesJ
l.the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[]Nonpartisan E No party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include distnct, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
"fu Avc/ J tr^-AD oo \r
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33/Ll I
Signature olYoter /)
/ Onzear-/l-<>-<---.
Date Signed (MM/DDIYY),,"r,ylury4!L
Rule 1S-2.(X5, F.A.C.DS{)E 104 (Eff.09/11)
CANDIDATE PETITION
Noles: - All inlbrntation on thi.s /itrm bet'omes a puhlic rccord ulton raccipt h.t'the Supert'i.sor of Iilcction.s.
- It i.s cr crintc to knowingl.t'.;ign nore lhan onc pctition.fitr a c'andidatc. fSec'tion 101.185, I:loridu Slutute.sf
I.F I fr ov c-rScc>Lo f € Z the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicable)
l-Z Nonpartisan f]No party affiliation tr
City of Miami Beach Mayor
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number AddressDate of Birth
(MM/DD/YY)8ro C.^/)9€
Zip Code
33 tLl I
IO D Lt b I
City
Miami Beach
County
Miami-Dade
Rule 15-2.045. F.A.C.osoE 104 (Eff.09/'tl)
State
Florida
Signature of Voter
SJQ.^-^;t9
Date Signed (MM/DD/YY)
Votel
023Ito be z
CANDIDATE PETITION
Notes: - All in/brmation on this.form becomes a public record upon receipl h.t' the Supert'isor ofElections.
- lt i,s a c'rinrc to knot+'inglv .sign more than one pctition ./itr a candidatc. [Scctiott I 04. I [t5, Florida Slulutc.sJ
- I/ all requested infornrution on lhis.f b,'nt is ttot c'ompleted, the _litrm v'ill not bc valid as u Condidale Pctitiott.fitrnt
City
Miami Beach
Signature of Date Signed (MM/DDIYY)
by
Z
beto Vote4
l.Jr^,eO, ornr S, Be'cco the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
17 Nonpartisan f] No party affiliation tr Parly candidate for the office of
City of Miami Beach f
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD,?'. !s, so 76oo G "kfr )Fuc,
County
Miami-Dade
State
Florida
Zip Code
33tc/ I
Rule 1S.2.F DSOE 104
CANDIDATE PETITION
Notes: - All inlbrmation on thi.s./itrm hccomes a puhlic record upon rcc'eipt b-t'thc Supcrt'i.sor of Election.s.
- It i.s tt crime to knowingl.t'.sign ntore than one ltetition.fbr a candidatc. [Set'tion 101.185, I'-lorido Statutcsf
O
a the undersigned, a registered voter
I rT)a K
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOlgqIq
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
lTNonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Addressagoo fr ""-,3 E
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
l?/ Y/
Date Signed (MM/DD/YY)
Ito be completed by Voterl
og lttl D
Signature of Voter
Rule 15-2.045. F.A.C.
10 0?.5 )
osoE to{ (Eff.09/11}
I.
CANDIDATE PETITION
Notes: - .4ll in/brmation on this .form becontes a public record utrton recciltt bt, the Supert'isor of Electiotts.
- It is a crinte to kno*'inglv' .sign more than one petitiort .fbr a candidatc. [Scctiott I 04. I 85, Florida StatutesJ
- I/ all requested inlbrmation on this.litrm i.s not completed, the.litrm v'ill not l>c valid as a Candidute Petilion.fitrnr
I.{arnel M. FrA: a the undersigned, a registered voter
in said state and county, peti tion to have the name of MiChael GOngOfa
placed on lhe Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
Nonpartisan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number Address
Z 6B 7illrT)Ickr\s'Alt + t
County
Miami-Dade
State
Florida
Date Signed (MM/DDIYY)
llo by Voterl
Z
Rule 1S-2.F.A.C.osoE 104 (Eff.09/11)
City
Miami Beach
Zip Code
3
CANDIDATE PETITION
r\htes.' -.,lll in/itrmation on thi:;.fitrn bccomes a puhlic record upon rec'eipt h.r'the Sttpcrt'i.sorof Elections.
- It i.s tt <'rinte to knowingl.t'.sign nore than one pctition./br a candidale. fSectitttt l01.liJ5, l:-lorida SIdlutcsl
otr thi.s.fitrnt i.s ttot contplcted, tlrc'.fbrm x'ill not be valil a,s u Condidute Pctitictn litrm.- ll all reque.stcd
a the undersigned, a registered voter
(print name as it appears on voter caid)
in said state and county, petition to have the name of MiChael GOlgqIq
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
lTlNonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MM/DD/YY)
\\
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
t 18tt D +rl
I
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33)
Date Signed (MM/DD/YY)
Ito be completed by Votel
o tr' /3 ^)3
Signature of Voter
(
Rule 15-2.045. F.A.C.
\O)-t+
DSOE 1O.l (Eff.09/11)
(l.
CANDIDATE PETITION
Notes: - A ll in/brmatiott on thi.s .litnn hec'ome.s u public recttrd upon rec'eipt h.t' the Supcn,i.sor of Eleclitttts.
- lt i,s a c'rimc to knov'inglv:;igtr tttorc than one pctition./br a candidate. [Scc'tion 104.185, Florida Statute.sl
- Il'all requested inlormation on this.fbt'm i.s not contplcted, thc./brm v'ill not he vulid as a Candidalc Petition.fitrnr
I,h,+ n i,+ O - F Zre N,+ tv \ E t (\"'-- > 4z€>'h" undersisned' a resistered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ Nonpartisan fltto party afliliation fl Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(HU/DD/YY)
or Voter Registration Number , Address
o ()-b3 O?C b,.-,'c(G.--,-: H u 4t
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code3rtqt
Ruh 15-2.045. F.A.C.DS{)E l04 (Efi.09/fi)
Date Signed (MM/DD/Yn
lto be ampleted by Voterl
EJ
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one pelitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this.form is nol completed, the fornr will nol be valid as a Candidate Petition form.
K a a ('il .r r'hrlz D 6\' K4,ttt>tt'r/the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicable'l
[]Nonpartisan Etto partyaffiliatio, E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ril/DDTYY)
or Voter Registration Number Address
?,0 d"d."),.3tt
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
3:rc1 1
Signature of Voter v,A-korrr*
Date Slgned (Mtl/DDfYn
lfo be
o
by
Rulc 13-2.045, F.A"C.
L)
DS.I)E
'04
(Etr 09/fl)
Slgnature of
CANDIDATE PETITION
N'ores.' - All inJbrnrution on this.lbnn becomes a puhlic record upon receipt b.t' the Su1tet,"i.sor o.f Election.s.
- It i.s a c'rimc to kno*'inglv .sign nrcre than one petition./br a candidate. [Section 104. 185, Florida StatutesJ
- Il all requested inlbrmatiott on this _fitt'm i.s trot cotnpleted, the Jitrm n'ill not be 'v'alid as a Candidate Petition.fitrm.
I,4*4'{a{1 the undersigned, a registered voter
(print name as it on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan flNopartyaffiliation n Party candidate for the office of
c of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DD/YY)
or Voter Registration Number Addrsss cl q t-lc'.e.4 7.ryi/e7 q,(L'lao@
City
Miami Beach
Gounty
Miami-Dade
Zip Codej3/7D
Rule l3-2.045. F.A"C.DS{)E {0{ (Eff. o9/11)
State
Florida
Date Signed (MM/DD/Yn
6 7a-
[o be Voterl
CANDIDATE PETITION
Noks: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidste. [Section 104,,i85, Florida StatutesJ
- IJ'all requested information on this form is not completed, the form will not be valid as q Csndidqte Petilion form.
of Voter Date Signed (UMTDD/YY)
o
lfo by Votefl
I,Joqci 5 dr] s ti-i o (r\)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecVcomplete box, as applicablel
pruonpartisan nNo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DD/YY)
or Voter Registration Number Address
?'br P {a tJ."[, ,;$"
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode
33rYt
Rule I F.A"C.
2 >b.
CANDIDATE PETITION
,,\'otes.' - All in/ormation on this.form becomes apuhlic record upon reccilt! b.r'lhc Supcn,i.soro/'Elcctions,
- It i.s a c'rintc to knovingl)'.sign nrore than onc pctition /br a c'andidate. [Scc'tion 104.185, Florida StatutesJ
- Il all requested infbrmation on lhi.s.fbrnt i,s nol completad, thc.fbrm vfll not hc vulid as o Caildidate Petition.fitrm.
City
Miami Beach
County
Miami-Dade
I,b i * i \Q:/ V,B e:ct 1ce;the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a: lchecAcomplete box, as applicablel
@ruonpartisan flruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(uu/DD/YY)
or Voter Registration Number Addressat9>> 9c l^)L I
State
Florida
Zip Code
3 ]zV I
Rule I osoE 104 tEff.09/1il
Date Slgned (IHtl/DDIYn
M by Voterl
)_l20
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor o.f Elections.
- It is s crime to knowingly sign more than one petitionfor a candidate. [Seclion 104.l,85, Florida StatutesJ
- If all requested information on this -form is not completed, the fornt will not be valid as a Candidate Petition form
I,Fcaaio A Snrrsrn Sa the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@trtonpartisan ENopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number Addrese
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code13I LI
Slgnature of Voter
0
Date Slgned (Mm/OD/Yn
Ito be completed by Voterl
G)9-t3 -?>
Ruh l3-2.04!1. F.A"C
)J r t)
DS.I)E toa (Etr 09/flt
CANDIDATE PETITION
h'otes: - A ll in-/'ormation ott this .fbnn becones a public record upon rec'eipt b.t' the Supervi.sor <tl' Elcction.s.
-ltisctcrimctoknottingl.l.sigttnrorethanonepctition_forac'andidatc. [Saction l0l.lS5,FloridaStatute.sJ
- I/ all requesled inlormatiott on thi.s _fbt'm i,s ttot contpleled, tlre.fbrm v'ill not be valid as u Candidate Petition .fbrn.
Date Signed (mm/ODfYn
Z
Ito be Voterl
Signature of
I,the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
,/Nonpartisan E tlo party afiiliation fI Party candidate for lhe office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xru/DD/rr)
or Voter Registration Number Addrees
I?SJ' B $.
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
)<zel /
DS.I)E 104 09/1
CANDIDATE PETITION
Notcs: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to lorcwingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requested information on this form is not completed, the form will not be valid as a Candidate Petition.form.
I)
Zip Code
Date
{e ft /',j 4avvrv Orc qo? ft osc ilr) theundersisned'aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
t Nonpartisan f] No party affiliation E Party candidate for the office of
of Miami Beach r
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Addrsss t(rm/DD/Yn t Q t-1ro I
County
Miami-Dade
State
Florida
City
Miami Beach
Signature
F.A"C.
>t
104 09fi
I,
CANDIDATE PETITION
iYotes: - ,4ll inlbrnrutiott tttt this./brm bec'onrcs a public record upon receipt h.t' the Super',;isor ofElec'tions.
- It is tt c'rimc to knov'ingl.v sign nnre than onc pctition./br a candidatc. [Scclion 101.185, Florida StatutcsJ
- Il'all requested inlbrnrution on this .fbt'm i.s ttol completed, the .fbrm v'ill not he valid as a Candidate Pctitiot, .lbrnt
i 'l -.J C ,rt t-t I o rYe S the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Go
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
ENonpartisan fluopartyafiiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Iilf,/DDIYY)
or Voter Registration Number Address l)r arf I3I)o (/? 3 5 A/0.t7,1a.-n
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zp Code
37, j/1
Rule F.AC.DSOE l(r (Eff. o9rlr)
Date Signed (IUM/DD/YY)
't"l-sIto be
Z
CANDIDATE PETITION
Notes: - All inJbrmation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florids StatutesJ
- If all requested informqtion on this form is not completed, the form will not be valid as a Candidate Petition .form.
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan !ruo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number i Addruss(r q,7
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33\q r
Date Signed (IIM/DDIYI
lto be anpleted by Voterlf f rt Ie5h 'ky*r/
Signature of
Rulc 15-2.045. F
55
DSOE rlr (Etr 09/il)
I,
CANDIDATE PETITION
i\otes: - All in/brnrutioil on this.fbrm hec'omes a puhlic rec'ord upon reccipt b.y' the Supervi,sor of Elcctions.
-ltisuc'rimetokn<ntingll'signnutrethanoncpctitionjbracandidute. [Section l04.lSS,FloridaStatute.sJ
- ff'all reque.sted infbrntation on thi.s .fbrnt i.s ttot completed, the ./brm vill not be valid as a Candidatc Pctirion ./brnr.
I,t),--fz_-the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan flruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mm/DD/YY)
or Voter Regietration Number
I r)t
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 tLt I
Date Signed (If, H/DDIYY)
lto be ampleted by Voterl
07 * ?r'- zcDf
Rule tS-2.1145. F.A"C.DS{E t(x (Eff. o9/1r)
Slgnature of
CANDIDATE PETITION
Notes: - All information on thb form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.l,85, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petilion.form
Date Signed (l[m/DD/Yn
-7 ?,1 .'tL
lto be Voterl,TSignature of Voter
(,
t' /a^nNutL Aru t?H\te the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, pettion to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
ENonpartisan flNo partyafiiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DD/YY)
or Voter Regietration Number Addrcse
J"
(tc ))rq 7
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3 tL)
/l?r
CANDIDATE PETITION
,\'otes: - A ll in/brnwtion <tn thi,s ./brm bec'onrcs a public record tqton re c'ei1il b.r' the Sulten'i.ror o/' Elec't ions.
- It i.s tt crimc to kno*'ingl.t' sign nore than one pctition.lbr a candidatc. fScction 101. 185, Florida Statute.sJ
- I/ all reque.sted infbrmation on thi.sjbrm is not completed, thc./itrm v'ill not he valid a.s a Candidatc Pctition.fitrm.
I,jt-c-ve^ [4^ "-D (/the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan flruo party affiliation E Party candidate for the office of
C of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(xrM/DDIYY)- --cq-25- 7"Z 9s f,, ,",'-oyv
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3jt-/t
Date Signed (MM/DD/Y[
Ito be cognpleted py Votefl7,/zq/Z S
Ruh 15-2.045. F.A.C.DS{)E loa (Eff. 09/fl1
s
CANDIDATE PETITION
Notes: - All inJbrmation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one pe.titionfor a candidate. [Section 104.185, Florida StatutesJ
is not completed, theform will not be valid as a Candidate Petilionform.- If all reque.sted information on this
QtnenCLI,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: fchecl</complete box, as applicablel
@Nonpartisan !tto partyaffiliation E Party candidate for the office of
0sl
of Miami Beach Mayor
t?Ll (insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rH,DDIYn
or Voter Registration Number Addrpss
a.t L-r
County
Miami-Dade
State
Florida
Zip Code
,2tq/
Date Signed (UM/DDIYI
Ito be alnpleterl py Voterl2l2g lz3
c:ty
Miami Beach
Slgnature of Voter
Rule 15-2.045. F.A.C.
.%'/6,i fAi tf UJL)
DSOE 10a (Efi.09n1)
CANDIDATE PETITION
A'ores.' - A ll inlbrnrutiort ott this .fbrm bet'otrrcs a public record upon rec'eip! lty t lrc Supervisor of Electiotr.s.
-lti.sacrintatokn<t*'ingl.r'.;ignnutrcthanoncpctition_fbrac'andidate. [Scction l04.lS5,FloridaStatute.sJ
- If all reque.sted inf ormation on thi.s./brnr i.s not c'ompleted, the.form x'ill not bc valid a.s a Candidute Petition Jbrm.
I,Cns-::Dr) F CoftLtA,tt the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete tr.x, as applicablel
t Nonpartisan flr,lo party affiliation D PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Numbero/.7 / s"s/',_1.ID
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33)'/ t
Signature of Voter
,/,
:rL^,,4.
Date Slgned (IHM/DD/YY)
lto @ cnmpleted by Voterl-/ llq (> 3
Ruh l5-2.04!1. F.A.C.osoE loa (Eff.09nll
CANDIDATE PETITION
Notcs: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104. 185, Florida StatutesJ
- If all requested inlormation on this form is not completed, the form will not be valid as a Candidate Petition.form,
I,fia-ftccb ,t( l<ibb€,2 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
ENonpartisan ENopartyaffiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert tltle of office and include district, circuit, group, seat numb€r, if applicable)
Date of Birth
um/DD/YY)
or Voter Registration Number Addrses
b1 ts- R N.
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3)/11 I
Signature
I
Voter (mil/DD/Yn
s',
t
Date
Ito be
Rule lS-2.04!1, F.A"C.
() t . 0s-. a1
DS{E 104 (Etr. ognr)
I I
CANDIDATE PETITION
A'ote.s.' - AII in/'ormatiott ott this.fbrm bec'onres a public record upon reccipt b.t'the Supen,i.sor o/'Elections.
-lti,sacrimetokno*'ingl-t'signnrorcthan<>nepetition.fbracandidate. [Scction l0l.lSS,FloridaStatutesJ
- I/ all requested inlbrmation on this.fitt'm i.s ttot conryleted, the.f'orm will not he valid a.s a Candidate Petition.fbrnr
rn A deL s flttvcee the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
t Nonpartisan E No party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DD/YY)
or Voter Regietration Number
I
Address
L '1 rt) \,_-,'
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33uc/ /
Date Signed (MM/DD/YY)
Ito M coppletedpy Votefi7/ec ree
Ruh 13-2.045. F.A"C.DS{)E ilta (Eff.09/fi)
Slgnature of Voter
CANDIDATE PETITION
Noles: - All inJbrmation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidqte. [Section 104.185, Florida StatutesJ
- If all requested informotion on this form is not completed, the form will not be valid as a Candidate Petilionform.
City
Miami Beach
Voter
I,f'nfi B D t1 ,ZFN S7q the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleciion Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan Itto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rM/DD/YY)
or Voter Registration Number Addrees
9 ?rr'7
County
Miami-Dade
State
Florida
Zip Code
3stc/ 1
Date Signed (MM/DD/Y[
Ito be Voterl
o 4-2
Rub I F.AC
)a3o'o u\),--A ,A rS '
I,
DS{)E roa rEtr 09/1il
CANDIDATE PETITION
A'ares.' - A ll information on thi.s .fbrm becontc.s a puhlic record ulton rcc'eipt b.t' the Supervisor o./' Elcct ions.
-lti.sacrimctoknox,ingl.t'sigttmorethanonepatition./oracandidate. [Scction l04.lS5,FloridaStatutesJ
- IJ all reque sted inf brmation on thi.s _fitrnt i.s not ctttnltleted. the.lbrm will not be valid as a Candidate Petition./brnt
I,t4^-r.'* t, na C T i;L<;a\11 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
pfaced on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan fltto partyaffiliation E Pao candidate for the office of
City of Miami Beach Mayor
(insert title of officr and include district, circuit, group, seat number, if applicable)
Date of Birth
(rH/DDIYY)
or Voter Registration Number Addrees
to LIO Co ,f,u o )c
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
I
Rule I DS{)E t04 (Eff.09nt)
Date Signed (I[M/DD/Y[
Ito b by Votefl
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor o candidate. [Section 104.l,85, Florida StatutesJ
- If all requested information on this .form is not completed, the form will not be valid as a Condidate Petition form.
I,/r1 ,q /?RR io1 n the undersigned, a registered voter
(print name as it appears on your voler information ca
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ ttonpartisan flrfo party afliliation fI PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Ir[[/DD/YY)
or Voter Registration Number Addrsss
-8!r-,-z I ttocl o G I t0)
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
37 Dl
Signature of Voter Date Signed (Iltl/DD/Yn
lto
Ruh 13-2.1145. F.A"C.
.o8
DSOE roa (Etr 09nr)
I
(
CANDIDATE PETITION
,\'ores.' - A ll infornrutiott ott thi,s .fbrm beconre.s a public record ulton rcc'eipt h.t' the Supervisor ol' Elect ions.
-lti.sacrimeto*loxirrg/r'.signntorethanonepctition.f'orac'andidate. [Sectionl04.lS5,FloridaStatutesf
- lJ all reque.stcd infbrmation on thi.s.fbrnt i.s ttot completed, the.form will not hc valid as tt Candidalc Pctition./brnr
Slgnature of Voter Date Slgned (MmrDD/Yn
O
Ito be by
t' rv?gMael Jl. DEc*the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan fltto partyamliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Hil/DD/YY)
or Voter Registration Number Address
)^)t ,cca
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
J
r0a 09/t
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is u crime to know,ingly sign more than one petitionfor a candidate. [Section 104.185, Florido StatutesJ
- If all requested information on this form is nol completed, the forn will not be valid as a Candidate Petition.form.
I,tz. ce:cu A ft1 oc iN4 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Qoqgoryt
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[]Nonpartisan It-to partyafiiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rrf,rDD/YY)
or Voter Registration Number Addreas
C.a c,t ?oe
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 t3?
Signature of Voter hQof4*,* c,fb
Rub lS-2.045, F.A,C.
L icLlC a-2
DSOE roa (Efi.09rr)
o
CANDIDATE PETITION
Notes: - A ll in/brnatiot, ot, this ./orm beconte.s a public record upon re c'ei1tt h.l, lhe Supervisor of Elec't ion.s.
- It i,; a crimc to knowinglv ,sign more than onc petition./br a candidate. [Sccrion 104. 185, Florida StatutesJ
- IJ all rcqucsted inlbrmation on thi.s.fot'trt i,s ,tot contpleted. the.f'orm v'ill not he valid as et Candidale Pctition.f'orm.
I,5" ftd l*cDerr-the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
E]Nonpartisan Etto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
i'-------------
Date of Birth
(mm/DD/YY)
or Voter Registration Number Address
),Y tc C.,-La"'J ?> t/
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
] 3r
Slgnature of
?/44e-
Date Slgned (MM/DD/YY)
Ito be mmpleted by Voterl7 -27-zb
Rule l5-2.045, F.A"C.DSOE roa (Eff. 09/11)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knou'ingly sign more than one petition for a candidste. [Section I 04. I 8 5, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition.form.
I,?,+ u , o 3n,rt j s wtq the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleciion Ballot as a: lchecUcomplete box, as applicablel
ENonpartisan fltto partyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mn/DD/Yn
or Voter Registration Number Addrces I
| (', L[@ C>r-QLi_r'v? 4u e .
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Gode
)B/3?
Signature of Voter Dde Signed (mlt/DDfYn
completed by Votelb
Ruh l5-2.045, F.A.C.
J
osoE roa (Etr.09/fi)
CANDIDATE PETITION
A'ares.' - ,4ll information on this _form becontes a public rccord upon rec'eipl h.t' the Supe rvi.sor of Electiotrs.
- It is a crimc to knovingl.t, .sign more than one petition./br a candidate. [Scctiott 104.1 85, Flarida StatutesJ
- IJ'all requcsted inlbrmation on this.lbtrt i,s trot completed, thc lbnn will not he valid as a Candidate Petition J-orm.
I,C 4ozs E the undersigned, a registered voter
(print name as it appears on your voter information card)
in sald state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a: lchecUcomplete box, as applicablel
ElNonpartisan Eruopartyafrliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mm/DD/YT)
or Voter Registration Number
rnLl 0 c/,Qj.i-""a rQ.rp 9c2
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
Date Signed (MM/DDIYY)
Ito b arppleted by Voterl/7/zl,/es
Rule lS{"04!1, F.A.C.IIS{)E l0ia (Eff. 09/ll)
Signaturc of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Superuisor of Elections.
- It is a crime to know'ingly sign more than one petitionfor a candidste. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the fornt will not be valtd as a Cundidate Petition form.
I Ot JL the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan flruoparty affiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Irr{rDD/YY)
or Voter Registration Number Addrees
lO q o G, -Lt,.*= f,^Y )z;
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3i 135)
Date Signed (ttM/DD/Yn
by Voterl
Rulc 15-2.1)45. F.AC.
J o
DSOE toa (Eff.09ril)
Slgnature of Voter
CANDIDATE PETITION
.,\bres.' - ,4ll infornntion on this.[orm hecontes a public record upon rec'eipt b.r' the Supervisor of Elections.
-ltisctcrintctoknowingl.t'signmorelhanonepetition/brac'ondidate. [Scctionl04.lSS,FloridaStatutesJ
- Il all reque.stcd information on this.fornt i.s not completed, the.lorn x'ill not be valid as a Candidate Petilion./itrm.
j'cAst?o\ f:4eDflLe-r the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, pettion to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !ruoparyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number
q tcLto Gw 0v.
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code}]r] f
Date Signed (MItl DD/Y[
Ito be ampleted by Votefl7;7-)o")B
Rule tS-2.045,osoE 10a (Eff.0911l)
?r-rAZ-
Slgnature of Voter
CANDIDATE PETITION
Notes: - All idormation on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidste. [Section 104.185, Florida StarutesJ
- If all requested information on this form is not completed, the forn will not be valid as a Candidate Petition form.
t' P)9fzr?>4AP fn.S 8Nc)fgZ the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecVcomplete box, as applicablel
INonpartisan !tto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rr[/DDrYn
or Voter Regietration Number Addrese
( o qo 6o lL;-t /l ", -btl
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code]] 1)y
S of Voter
Rule lS-2.045, F.A"C.
l2 "oq )
usoE l(x (Etr 09111)
CANDIDATE PETITION
IVotes.' - A ll in/brmatiott otr lhi.s .l'orm hecontes a puhlic record upon recciltt by the Supervisor of Elections.
- It is tt crime to knox,ingly .sign more than one ltetition Jbr a candidate. [Sec'tion 104.l,85, Florida StatutesJ
- ff'all requested infurmatiott on this.f'orttt i.s ttot contpleted, the.fbrm v'ill not be valid as q Candidate Petitiott.form.
I,',;>p [.:+ lr--n the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Electlon Ballot as a'. [checUcomplete box, as applicablel
pNonpartisan ENopartyaffiliation f]PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(It (c \o G 9J;n Atq.€,(t ta
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3sz-r9
Rule 1S-2.1!15.'.A.C.DS{)E I04 (Etr.091111
Date Signed (ttM/DDIYn
lfo
-7
be by Voterl
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to know'ingly sign more than one petition for a candidqte. [Section 104. I 85, Florida StarutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition.form.
I,rV the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablej
pNonpartisan nNo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rrf,/DD/YY)
or Voter Regietration Number Addrees
o
City
Miaml Beach
Gounty
Miami-Dade
State
Florida
Zp Code
3 3 B1
Date Slgned (MM/DD/Y[
Ito be completed by VotglJ ^7-9t-dl 3
Signature of Voter
Rule lS-2.lXlt. F,A.C.
a to\c G-QLi-. Q,x
GS{)E 104 (Eff.09/11)
CANDIDATE PETITION
Notes: - All inJormation on thi.s .fbrm beconrcs a public rccord upon reccipt b.t' thc Supe rvi.sor o/ Electicttts.
-lti,sac'rintctokno*'ingl.t'signntorethanonepetition.fitracandidatc. [Scction l04.l85,FloriduSldtute.\J
- I/ all reErc.sted infbrmation on thi.r.fornt i.t not completed. the .fitrm llill nol hc valid as a Candidate Petition.lbrnr
'' .-I., .ro fr-. (o>1'aJ U (=Z - F O re e >the undersigned, a registered voter
(prinl name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan fltto partyaffiliation D Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilrf,/DD/YY)
or Voter Registration Number Address
1a-)t0 Ll o H t-,-Ct(
County
Miami-Dade
State
Florida
Zip Code
3) r :?
Date Signed (ilM/DDrYY)
lto be ampleted by Voterl7-27- 2a>7
Ruh 1S-2.(X5. F.A.C.DS{)E 104 (Etr 09/fit
City
Miami Beach
Signature of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. fSection 104.185, Florida StotutesJ
- If all requested idormation on thisform is not completed, theform will not be valid as a Candidate Petitionform.
I * ; > n ?, . F apt-r h) b.o .- A R lz Do theundersigned'aregisteredvoter
(print name as i i voter information caid)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan Etto party afflliation n PaO candidate for the office of
of Miami Beach M
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Iilr/DD/YY)
or Voter Registration Number Address
t o qo P-6.Q!-r*- e *6e,
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3B {}t
Date Signed (tTM/DDfYn
lto be completed by Votefl
t
Rulc l5-2.045. F.A.C.Irs.I)E tu (Etf.09/1r)
CANDIDATE PETITION
Noles: - All inlornwtiott ott thi.s .fbnn beconres a publit' rccord upon receipt bv the Sultct-t isor ol Elcctions.
- It is a crimc t<t knovinglv sign nrorc than one pctition.fitr a candidate. [Section 104.185, Flctrida StatutesJ
- I./ ull reque.sted inforntation on this./ornr is nol contplcted, the.fornt v'ill not he valid as a Candidate Petition.fbrm.
t' /\ ic:<:€L N icv l/lor.ncc--s Sr the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan flr'ro party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
i o \-io cb )LLL-,_ A *
City
Miami Beach
State
Florida
Zip Code] 3r]
Rule 1S-2.(X5. F.A.C DSOE toa (Eff.09/11)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ all requested informotion on this.[orm is not completed, the.fbrm will not be valid as o Candidate Petilion.form,
I,M + Ec.e c) D r) Q e' o r? lG u e: a the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ruonpartlsan Iuoparyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number Address
tOqa CD.-Q/^ll*-1c
County
Miami-Dade
State
Florida
Zip Code
33 r3 9
Date Slgned (tf, M/DDTYY)
De Votel
Rub 1S-2.O45, F.A"C.
o t.>a-Y
DSOE 10. (Efi.09,1r)
CANDIDATE PETITION
l\iotes: - A ll in_/brnrution on thi.s .fbnn bcc'onte.s u public' rec'ord upon reccipt b.t' lhe Supcrtisor ol' Elcction.s.
-ltisac'rintct<tknort'ingl.t'signnorethanonetrtctition.foracandidate. [Sccrionl04.lS5,FloridaStatutesJ
- l/ all reque.sted i4formation on thi.sjitrnt is not completed, the.form v'ill not be wlid as a Candidate Petition./itrnr
'' Cet-i+ V€e*the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
INonpartisan It,to partyaffiliation f]Party candidate for the office of
City of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mM/DD/YY)
or Voter Registration Number Address
b.r '1 oQo d C
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
}]/)9
Date signed (MilrDD/Yn
lto be mmpleted by VoterlroY,e{J3
Rule lS-2.(X5. F.A"C.DS.I)E tlr (Eff.09/tl)
Signature of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervbor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.l,85, Florida StatutesJ
- If all requested information on this.form is not completed, the fornt will not be valid as a Candidate Petition form.
t' J 1'c T c tz r/] C . t> rllzc ig the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ruonpartisan Eruo partyaffiliation E
City of Miami Beach Mayor
Party candidate for the office of
(insert title of office and include districl, circuit, group, seat number, if applicable)
Date of Birth
(rII/DDIYY)
or Voter Registration Number
O( )a.)o
Addrcss
County
Miami-Dade
IALI O C.-.W.,4Y- t ?<r.>
City
Miami Beach
Zip Code
)313f
Date Sagned (MMTDD/YY)
Ito be mmpleted by Voterl01 )1 )3
State
Florida
Rule lS-2.M5, F.AC.qsoE toa (Etr 09[t)
Slgnature of Voter
q
CANDIDATE PETITION
Nares.' - All i4formation on this form becontes a public record upon receipt b1, the Supervi.sor of Elections.
- It is a crime to knovinglv sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- lJ'all requested infurmation on this fot'm is not completed, the Jbrm will nol he valid as a Candidate Petitton form
t,{U *z *p t rZ Lo P€the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
INonpartisan ENo partyaffiliation tr Parly candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth
(mu/DD/YY)
or Voter Registration Number maress - -
I
la "10 C-!JJ=*- fr*r.3l(a
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
)3 t39
Rule DSOE 1O.l (Eff.09/11)
Date S
be by Voterl
CANDIDATE PETITION
Notes: - All irformation on thisform becomes a public record upon receipt by the Supen'isor of Elections.
- It is a crime to knowinglv sign more than one petitionfor a candidate. [Section 104.185, Florida Statute,sJ
- Il'all requested infurmation on this .form is not completed, the fornt will not be valid as a Candidate Petition.fornr
rxlo g c i a frl )q €le(the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecl</complete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DDIYY)
or Voter Registration Number Address
I
:
Ifix.,)oL
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
)l/3?
Date Signed (MM/DD/YY)
Ito be completed by Voterl
T_
Signature of Voter
Rule 15-2.045, F.AE-'
Lt9 .2t toLl o
DSOE 10a (Eff. 09/ll!
CANDIDATE PETITION
lUates.' - All infornrct[otr ott this.t'brm becomes a trtublic record upon reccipt b1, lhe Supervi.sor ol'Elections.
- It is tt crime to knowingll' sign ntore than one petition.for a candidate. [Section 104. 185, Florida Statute.sJ
- Il'all requested inlitrnwtion on this.fitt'tn i.s not completed, the Jbrm v'ill not he valid as a Candidqte Petition _/brnr
GtdLYs V d-lio D LCC the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
ENonpartisan flt'topartyafiiliation f]Party candidate for the office of
City of Miami Beach Mayor
(insert title of oftice and include district, circuit, group, seat number, if applicable)
Date of Bidh
(ilM/DDIYY)
or Voter Registration Number Address
sSee> 6ll;v {t,t
1
r5/
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3\rqo
Date Signed
[to De by?
Rule 15-2.1145. F.AC.os{)E 104 (Eff.09,tl)
CANDIDATE PETITION
Notes: - All inJbrmation on this forrn becomes a public record upon receipt by the Supen'isor of Elections.
- It is a crime to lorcwingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ' all requested information on this form is not completed, the form will not be vqlid as a Candidate Petition form.
I,Gt,n;TerA B O L))C the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecldcomplete box, as applicablel
E]Nonpartisan ENopartyaffiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
um/DD/YY)
or Voter Regietration Number
oa u lli^.,r: A,t e .I 9z)
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 r Ll o
Date Signed UTM/DD/Yn
lto be completed by
Rule lS-2.04!1, F.A"C
..1
DS{)E rO4 (Etr o9r1r)
CANDIDATE PETITION
rVores.' - .4ll inlbrnntictn on this./brm bct'omes a public rec'ord upon rec'ci1tt hy thc Supervisor ol'Elections.
- It i.s tt c'rinrc t<t knov'ingl1'sigtt ntorc than one pctitiott.for a cundidatc. fScction 104.185, Fl<trida Statutc.sJ
- If'ull reque.stcd infitrnrution on this.fitnn i.s ttot c'ontpleted. thc.fbrm v'ill not he valid os q Candidate Pelition.fitrnt
J.rcin fn V € Q-6 0<the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: [checAcomplete box, as applicablel
t Nonpartisan flruo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number I
CI tc fr ,{'t)o0
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3? tVro
Date Signed (MM/DD/Y[
Ito be completed by Voterl
7 - .7 K- )-V
Rule lS-2.045, F.A.C.DSOE 104 (Eff. o9,l1)
Signature of Voter
,4
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- lt is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I,0<,e frL ,fL SinoN the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
[]Nonpartisan Ittopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Regietration Number Address
(rm/DD/Yn ) /J.b"Ja/
City
Miami Beach
County
Miami-Dade
State
Florida
Date Slgned (mMrDDIYn
lto be completecl by Voterl07-t j
Zip Code\\/ 1 /
Signature of Voter
/,4 lL o\-?
Rule tS-2.041t, F.A"C
) coo 8.,.
DSOE 10. (Efi.09/il)
l'
, Address
l
l
CANDIDATE PETITION
N-oles: - .4ll in/brmatiott otr thi.s./brm bccome,s a public rec<trd upon rcrcip! by the Sutrtcrvisor ol Elcctions.
- It is tt crinte to kn<tx'ingl.t'sign ntore than one petition./itr a cundidate. [Section 104.185, I:lorida StatutesJ
- ll all requestcd in/ormation o,, thi.\.lbt'm i.s ttot complctcd, the./brn x'ill not ba vlid a.s a Candidatc Petition.fitrm.
t' U au,- f e-rc e Ol . Zn\the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomptete box, as applicablel
t Nonpartisan E f,lo party affiliation fI Party candidate for the office of
c of Miami Beach M
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DDIYY)
or Voter Registration Number
tl S-c i l.SY
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
]!tLi )
Date Signed (MM/DD/Y[
'vi''#l"i"p
Ruh lS-2.045. F.A.C.DS{)E toa (Eff.09rfil
CANDIDATE PETITION
Noles: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidste. [Section 104.i,85, Floridq StatutesJ
- IJ'all requested idormotion on this form is not completed, the form will not be valid as a Candidate Petition.form
I,fut x;{,J,0 L"r,.E {on&rc*the undersigned, a registered voter
(prinYname as it appears on your voter information card)
in said state and county, petition to have the name of N4ieIeeLqelselq
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address 1t* $ rFzZ
County
Miami-Dade
State
Florida
Signature of Voter
City
Miami Beach
Zip Code
3 I
Date Signed (HM/DD/Y[
lfo be by
Rule lS-2.O{tl, F.A.C.
<8 qbc
DS{E tOa (Etr 09/tr)
t' -., -- -
CANDIDATE PETITION
Abte.s.' - All in/brmation on this.fbrm beconrcs a puhlic rccord upon rcc'eip! b.t' the Supcn i.sor of Elcc'!ion.s.
- It i,s rt c'rimc to knot+'ingl.t'.sign nrore than onc pctition./bra c'andidatc. [Sct'tion 101.185, Florida StatutesJ
- Il all requestcd in_fbrmation on thi.\.lbt'nt i,s not cotnpleted, the.fitrm will not he r:alid as a Candidate Petition./itrnr
I,KneiN e Drax the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
@Nonpartisan Ettopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrrH/DDTYY)
or Voter Registration Number Address
{3aot \-, , (r c /J.\,n</? ?/ I
)7
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3l /'t /
Date Signed (MM/DD/YY)
Ito be corppleted by Voterl
7l LZ/?":L\
Ruh 15-2.045, F,osoE 10a (Etr.09/fl1
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florido StatutesJ
- If all requested informqtion on this form is not completed, the form will not be valid as a Candidate Petition.form.
t' rarlft'r17 /+. H ?-fL ( { {Lt-?the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan Itto partyafliliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(rrrrDDIYn r ?r( G \.-to q
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3)rcl /
Date Signed (UM/DO/Y[
0 1
lto Voterl
Ruh lS-2.0d5, F.A"C
J? >t
DS.I)E ll).1 (Etr 0911t)
CANDIDATE PETITION
- lt i.s tt tritna ttt knowingly.sigtt nttl'c lltutt one pctititttt fitt'u Ldtklidutc. IScction 101.185, Florilu Stututt'.sf
City
Miami Beach
of Voter
F.A.C.
5 lril /"1 6 ilet rs the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
ENonpartisan E No parly affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or
i (uMrDDryy)
' lo-&-'G1
Voter Registration Number Addrese
'5€60 Co,\[tux
Gounty
Miami-Dade
State
Florida
Zip Code
33't+O
Date Signed (MMTDDIYY)
Ito be completed by Votel
oL\" O!.-Li
Rule DSOE roa
CANDIDATE PETITION
rVofes.' - .411 inJ'ormalion on thi,s form hecontes a puhlic record upon receipl bS' the Supen,isor of Election,s.
- It is a crinrc to kno*'ingly sign morc tlrun onc petition.for a c'undidate. [Scctiott 104.185, Florida StatutcsJ
-lft requestcd idormation on this form is not completed,form n'ill not be wlid as a Candidote Pctitionfornr
I,the undersigned, a registered voter
name as it appears on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
Nonpartisan flruo party affiliation fl Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of or Voter Registration Address
0
State
Florida
Date Signed (MM/DD/Y[
Ito be completed by Voterlbr-ol -a9
City
Miami Beach
County
Miami-Dade
Zip Code
Signature of Voter
Rule DS.I)E 104
l.
/k-
IDio
CANDIDATE PETITION
i\otes: - ,,lll in/brnnliotr tut this ./itrm hec'omcs a puhlic record upon receipt hy the Supert,i.sor ol' Electiorts.
- It i.s tt c'rinte to knox'ingl.t'sigtr rnore than one petition./br a candidate. fScc'tion 101.185, Florida StotutesJ
- ll all requcsted in/brnution on this.lbt'm is not conttrtleted, the Jbrm v'ill not be valid as u Candidqte Pctition.fitrnt
I,A^^ P*do the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Mlclael Gon[ola
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
INonpartisan ! ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number Address
-o(/ -Cr/Alt o)
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
7>t)q
Signature of Voter Date Signed (MM/DDfYI
Ito be completed by Voterloy-o/ -zj
Rule l3-2.045, F.A.C DS{)E flta (Eff. o9r11)
CANDIDATE PETITION
Nolcs: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section I 04. I 85, Florida StatutesJ
all on ,sth IJ not the notwill validbe PetitionaCandidateasrfinformationformcompleted,for .[ormrequested
al/7/77-ez7I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ruonpartisan ElNo party affiliation tr PaO candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MU/DD/YA)
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number Address
/ 7 -,--.tbL,'c//
:2
Vl Ory.-r''/\j L
City
Miami Beach
Rule lS-2.O05, F.A"C.
Zipcode 3S i3 y
4_z<
Date Slgned (IIM/DD/YY)
lto be completed by,V$efia? ),/ -/*
State
Florida
DS{)E toa (Efr.09/fi)
County
Miami-Dade
Signature of Voter
22 n-'1
CANDIDATE PETITION
- ll i.s tt L'rinc to kttrtwittgl.r'.sigtt ttttttc Ihatt onc ltctititttt.fitt'u ctttttlidutc'. [Sc'c'titlt 101 llJ5, Florilu Stututc.sf
tc'tl itlitt'ttruti()n ott thi.\.fbt'n i,t ttttt Lot,tplctcl, tltc.fitt.ttt will ttrtt bc tulid u.s u Cutuliduta Pc'tititttt.fitttrt- llull t
City
Miami Beach
Voter
the undersigned, a registered voter
(print name as it appears on your information
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
E Nonpartisan flNo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
\rau" Nfl-sr-,(xrM/DorYY'cyl
r= )lz S6ou &t\,.v_<
County
Miami-Dade
State
Florida
Zip Code
j=-./tl c,
Date ned (MM/DD/YY)
Ito,bv Voterll.3'I 20
Rule 1 DS{)E 10a 09,11
CANDIDATE PETITION
rYores.' - All infitrmation on thi.sforn he<-ontes a puhlic record upon receipl hS,the Supen'i.sor of Elections.
- It is u crinrc lo kno*'ingly sign more than one petitionJbr a candidate. [Sectiott 104.185, Florida StatutcsJ
- IJ'all raquestcd information on this form is not contpleted, the form v'ill not bc valid as a Candidatc Pctition fornt
I,.Su-g cne R -nai the undersigned, a registered voter
(print name as it appeals on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
I Nonpartisan f]No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM'DD/YY)c-l
or Voter Registration Number Address
I
',=33o C-l,r.n< 4"", MF 1||
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3:tqo'
Signature of
I
Date Signed (MM/DD/Y[
Ito be completed Voter)
ZOZ
Ruh 1S-2.1X5, F.A.C.DS.I)E loa (Etr.091111
I.
CANDIDATE PETITION
.\btes.' - .,lll in/brmation on thi.s.fbrn hecontc.s u public' record upon recciltt h.t' the Supcrvi,sor of'Elections.
- It is a c'ritrtc to knov'ingl.t' sign nrore than onc petition ./br a candidate . [Scction I 01. I 85, Florida StatutesJ
- Il'ull rcquested in/brmation on thi.s.fitttrt i,s not c'ompleted, the.fornr fill not be v,alid as a Candidate Petition.fitrnr
I,e 9o-tt'Ca& {LaIaicoa >the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
[]Nonpartisan ENopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(xril/DD/YY)3 ;) t m_4 4 .)a (t)e 9?.
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3l r3?
Rule 1S-2.045,osoE 1t)a (Efi.09/rl)
Date Signed (MMTDDrYY)
,a
Ito be
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor s candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I,L,tEcrun >;*the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(r][/DD/YY)
or Voter Registration Number Addrsse
o"- frup-)c3
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3) rl !'
Signature of
Rulc lS-2.04!t. F.A"C.
2 . t("^ q>).f ( ffi,,C
osoE toa (Efr.09n1)
CANDIDATE PETITION
,\bres.' - .4ll in_/brmation on thi.s.forn bcconrc.s a public rec'ord upon receipl b.t' the Supervisor ol Elet'tions.
-ltisac'rimetoknov'inglvsignntorcthanonepctilion.fitracandidatc. [Section l04.lS5,FloridaStatutesJ
- I/ all reque.stcd information on lhis./bt'nt is not completed. the.forn vfll not be valid as tt Candidalc Petition.fitrnr
R rl i+ lh, TDftQCS the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
./Nonpartisan E ruo party affiliation fl Party candidate for the office of
of Miami Beach r
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number Address
.>/3J I frut,c A*
City
Miami Beach
Coungr
Miami-Dade
State
Florida
Ap Code
1l
Slgnature of Voter
/.
lra+-tt -pz/4
Date Slgned (MM/DD/Y[
lto be completed by Voterl3 -7)-7/
Rule lS-2.045, F.A.C.osoE lot (Eff.09111)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section I 04. I 85, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form
I,:I-,r L r o Sc-r,c the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
E]Nonpartisan Etto partyafiiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include districl, circuit, group, seat number, if applicable)
Date of Birth
(il1{/DDIYY)
or Voter Registration Number Address
a)',t-'i .\o I
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3l /_3?
Slgnature of Voter
.7/bt
Date Signed (MM/DDIYI
lto be by Voterl
Rulc 1S-2.(X!1, F.AC.
lr.),o.+3) / /0-CU
osoE toa (Etr. 09nl)
I,
CANDIDATE PETITION
Notes: -.411 inlbrmation on this.fbt'm heconres a puhlic'rccord upon reccipt b.t'the Supcn'isorol Elec'tions.
-ltisac'rintetoknox'ingl.t'.sigttmorcthanonepctition.fbracandidate. [Scction 104 lS5,FloridaStutulesl
- Il'all reque.stcd in/itrmation on this.[ottrt i,s not conrpleted, the.fbrm v'ill not be valid as a Candidale Petitiott.fitrnr
I,[LpmaN O, Ca rdoro the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
t Nonpartisan n llo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ur[/DD/YY)
or Voter Registration Number Addrees
S-s-/o 3J I )'Yl-'cU a-, fr ttr -, 9roj
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code33/] 7
Date Slgned (UM/DD/Y[
Ito be completed by Vgterl
o'l-31 - 43
Rulc 13-2.045, F.AC.DS{)E il)a (Eff.09'fi)
Slgnature of Voter
{
t
CANDIDATE PETITION
Notes: - All informalion on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.l,85, Florida StatutesJ
- If all requested idormation on this form is not completed, the forn w,ill not be valid as a Candidate Petition form.
A il rj /hn,i? r,n the undersigned, a registered voter
(print name as it appears on your voter information card)BOrzcrs
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan ENopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrrf,/DDIYY)
or Voter Registration Number Address
o-,.-1 fr no ?c
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code)] tlI
Signature of Voter Date Slgned (MM/DDfYY)
Ito be completed by Votefi
7_ s/_27
Rulo 15-2.04!1, F.A.C.
'i c.i3 cts-3Jt Vhu,
DSOE roa (Etr.09/rr)
CANDIDATE PETITION
Notes: - All in/'ornwtion on thi.s./bnn beconte.s u puhlic record upon receipt b.t' the Supen'isor o/ Elec!ion.s.
- It is a c'rinte to kno*'inglv.sign nrorc than one pclition./br a c'andidute. ISection 104.185, Florida Statute.sJ
- lJ all reque.sted in_fitrmation on this./itrnt i.s ttttt completed, the./brm v'ill not he talid as a Cundidatc Petition.form.
I,L-3 1H e rL fl,o,t {t t 6 t) c?- 6a !(Lran the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ruonpartisan fltto party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrH/DD/YY)
or Voter Registration Number
J ?a!-a J Aot
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3]':?
Date Slgned (MM/DD/YY)
Ito be ampleted.by Voterl
7 -)' ,/'J s
Ruh l5-2.1145, F.A.C.DSOE toa (Etr.09/rr)
Signature of
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly stgn more than one petitionfor a candidste. [Section 104.185, Florida StatutesJ
- If all requested information on this.form is not completed, theforn will not be valid as a Candidate Petitionform.
C ^, 0 'e f i yo C a ie erJO theundersisned'aresisteredvoter
intorrnation caiol
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Elec'tion Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !Nopartyaffiliation E Party candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rI[/DD/YY)
or Voter Registration Number Addrese
A,. A..x9? -Q.uJ
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
ss139
Date Signed (ltM/DD/Yn
lto De
7
compl.etecl by Voterl*l^D
Ruh 15-2.1!45..4"C.
-)3 ) t {Y),,,"
DSOE toa (Efr.09fi1)
I,
CANDIDATE PETITION
Notes: - .4ll informatiott ort thi.s.form becontes a puhlic record rqton receipt hy the Supervisor of Elections.
- It is a crintc to kno*'inglv sign nrorc than one petition.[or a candidate. fSection 101.185, Florida Statutc.sJ
- I/ all requested inlbrmatiott on thi.s.fitt'nt is trttt contpleted, thc.fbrn v'ill not bc valicl a:s a Candidutc Pctition.litrm.
t.tryt e a)I
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gqngqq
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
91 a't 33)(?os
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Code
3 ) z) I
Signature of Voter
I I
Date Signed (MM/DDIYY)
fto be completed by Votel
n/r/z_g
Rule 15-2.045, F.A.C osoE 10{1Eff49411
CANDIDATE PETITION
,\bre.s.' - All in_/brmtttitttr ott thi.s./brm beconres u public rc<-ord upon receipt hy the itpcrvi.sor ol Eleclion.s.
- It is tt critne to knox,ingl.t'.sigtt tnorc thun onc pctitictn.fitru t'undidutc. fScctiotr l01.ll]5, Floritlo Stutulcsf
c f,tlv the undersigned, a registered voter
(print name as it appears on your
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address u Gea
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
I
Date Signed (MM/DO/YY)
Ito be corppletqd by Votel( (z /L;
Rule 1 F.A.C.
uts vr7 (4\,\
osoE 104 (Eff.09/lr)
@ Nonpartisan f]No party affiliation tr
t.
CANDIDATE PETITION
Notes; - All infornrutiotr ott this.fbrm becomes a public record upon receipt by the Supervisor of Electiotts.
- It is a crinte lo knov;ingly .sign more than one petition,for a candidatc. [Section 104.185, Florida StatutesJ
- Il all reque.sted information on this.fbrm i,t ttot contltleted, thc./brm x'ill not bc valid as a Candidalc Petition.fitrnr
t.the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and munty, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecl</complete box, as applicablel
Nonpartisan D f.to party affiliation E Party candidate for the office of
c of Miami Beach r
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Number Address
I 3t +L
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3Jt3?
Rule 1S-2.045, F.A.C.DS{)E 104 (Eff.09/11)
Signature of
7
Date Signed (MM/DDIYY)
Ito be by Voterl
CANDIDATE PETITION
,\'are.s.' - A ll in/'ormation on thi.s .fbrm hccomes a ltublic record upon receipt hr the Sultervi.sor of Eleclion,s.
- It i.s tt c'ritne to knox'ingl.r' .sign more lhan one petitirtn .fbr a condidotc. [Scction I 04 I 85 , Floridp Statutcsf
I.n4jcH,9eL {l- T,LtS the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongofa
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
I Nonpartisan E No party affiliation tr Party candidate for the offrce of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY}
or Voter Registration Number Address
)44.'1^ @-D.- d
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
I
Signature of Voter.Date Signed (MM/DD/YY)
[fo be by Votel
Rule 1S-2.045. F.A.C.
lt rr. bY
DS{)E 104 (Eff.09/r1)
,
CANDIDATE PETITION
Noles; - A ll inlbrmatiort ott this .fornt hecomes a public record upon reccipt b.t' the Supervi.sor of Elections.
- It i.s a c'rime to kno*'ingl.t'.sign ntore than one petition./bra candidatc. [Scc'tiott 104.185, Florida Stotute.rl
- Il all requc.tlcd infbrmtttion on this.fitrm is not complelcd. the _fitrm v'ill not be valid as a Candidatc Pctition.fitrnt
of Voter
44",42 7E.
Date (MM/DDTYY)
Ito be
t.t'lt,qai"nft 0. Le nt'\the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
Nonpartisan E f.lo party affiliation E Pany candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address\a to.>,/l 00 ralc.'( -a
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Code
I )/) r
Rule 1 F.A.C DSOE l0rl 09/1 1
CANDIDATE PETITION
,\'otes.' - All inlitnnatiott ott thi.s./brm heconrcs a ltuhlic rccord upon ret'eipt b.t' the Supcrt'isor of Elcc!ion.s.
- Il i.s tt t'rime to knov'ingl.r'.sign more lhan onc petition./itr u candidutc. fScction 104.185. Florido Statute.sf
t.L S the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of M]Chae! GOngOfa
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
p Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number Address
.e,,--. ,u8*-, il I -, I 70 /
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 r3
Date Signed (MM/DD|YY)
Ito be completed by Voterl
-d7- z
Signature of Voter
Rule 1S-2.045, F.A.C.
o I . 0?,8: /t33 /
DS{)E 104 (Eff.09/1lt
CANDIDATE PETITION
Notes: - .4ll informatiott ott this .form beconres a public record upon receipt by the Supen'isor of Elections.
-lti.sacrimetoknov'inglv,signnorcthanonepctition./bracandidate. [Section l04.lSS,FloridaStatutesJ
- I/'all rcquesled inforntation on thi.s.fitrtrt is not cttntpleled. lhc./brm v'ill not bc wlid as a Candidate Petition.fitrnr
l.lnna)nrvn O. Lsrups the undersigned, a registered voter
in said state and county. petition to have the name of MichaelGqngOra
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
lTlNonpartisan E No party afllliation tr Party candidate for lhe office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Addressr] r? )a-0/O
f ftl ?o /
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
/
Rule 15-2.045. F.A.C DSOE r04 (Eff. 09/11)
of Voter Date Signed (MM/DD/YY)
I -)lto by Votei
CANDIDATE PETITION
i\hre.s.' - All in/itrmation on this_fitrn becomes a public record upon rcc'ci1tl h.r'tlte Sttpenisor of Elcclitn.s.
- ll is tt (rime to kmnringl.t,.sign nnrc than one petilion.litt'u candidalc. fScction 101.185, Florida Statute.sf
t.Tosr- A *io^,s i c tobQ t'c u F*the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number ' Addr"""
0_l ?o;
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
I
Signature of Voter fij'
t
!
II
Rule l5-2.045, F.A.C.
l0-Jt,cl I t 30O C
04 (Eff. 09/1 1 )
@ Nonpartisan n No party affiliation tr
CANDIDATE PETITION
Notes; - All information on this.form hecomes a public record upon receipt by the Supervisor of Election.s.
- It is a crime to htovingl.v- sign more lhan one petition.for a candidate. fSection 104. 185, Florida StatutesJ
- Il'all requested information on this form is not completed, the.fbrm will not be valid as a Candidate Petition.form.
\{ i ,la-.-- brr^A^".-the undersigned, a registered voter
nformation card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: fchecl</complete Dr,x, as applicablel
./Nonpartisan flruopartyaffiliation E Party candidate for the office of
Date of Birth or Voter Registration Number Addresejr3 w z+?+r^ st ^4+ 3 U
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3? \qo
Signature of Votor Date Signed (MM/DD/YY)
Ito be completerl by Voterl
Ut/ tto[
Ruh 1S{.1t45. F.A.C.IlsoE ilta (Etr 09/11)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this fotm is not completed, the form will not be valid as a Candidate Petition form
3osao c" D r /Q n)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
INonpartisan EINo party affiliation E PaO candidate forthe office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrM/DD/Ya)
or Voter Registration Number
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Godel313?
Address
zota
Voter Dde Signed (HM/DD/YY)
Ito be Votei
Rule tS-2.Of5, F.A.C.ILg-DE tO4 (Efi.09n1)
I,
s-
CANDIDATE PETITION
Notes; - All i4formation on this.form becomes a public record upon receipt b-v the Supertisor of Elections.
- It is a crime to hrowingl.r, sign more than one petition lbr a candidate. [Section 104. 185, Florida StatutesJ
- IJ'all requested i4/brmation on thi.s.fbrm i,s ttot v,ill nol be valid os a Candidate Petition.fornteth
City
Miami Beach
Gounty
Miami-Dade
I,ADoVr Ats M*rh2ez the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan Ittopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number 5v L 2O
State
Florida
Zip Code3>/=2
Date Signed (MH/DD/Y[
lto be completed by Votel7-z-a
Rule DS{)E toa (Etr.09nt)
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor o candidqte. [Section 104.l,85, Florida StotutesJ
- If all requested informqtion on this .form is nol completed, the form will not be valid as a Candidate Petition form.
I,C 7 N fiu the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition ro have the name of MiChael GOngOra
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ttonpartisan Eruo party affiliation EI PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number
S tobJ
Addrpss
100
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Codeltrt9
o0
Date
Ito
oo
DSOE roa 09n
CANDIDATE PETITION
Notes: - All information on this.form hecontes a public record upon receipt by the Supervisor of Elections.
- It i,s a crime to knov'ingly sign more than one petition.for a candidate. fSection 104. i,85, Florido Statute.sJ
- I/.all requested information on thi.t.form is not completed, the.form v,ill not he valid as a Candidate Petition .form
I,{oh," R-h..p Fo,rr s the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete Dox, as applicablel
@Nonpartisan ! No party affiliation f]PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
[,a.{ /czt1IbZZ
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33t3
Ruh lS-2.1X5. F.A"C.DSOE 10. (Etr 09flr)
of Ilate Slgned (MM/DDIYY)
og Z
Ito be by Voterl
CANDIDATE PETITION
Notes: - All idormation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- If all requested idormation on this form is not completed, the form will not be valid as a Candidate Petition form.
Voter Date Signed (Mi|/DD/YY)
Ito be completed by Voterl
-0\_?a
I,I fZ ry) tq t/y] . (. Ln r,O the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Mlcheglqongqq
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
@ ttonpartisan f] no party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Hm/DD/Yn
or Voter Registration Number Addrcss
ail ot
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
-13 /39
Rulo
o oo ;*_,
10. (Etr 09,il1
CANDIDATE PETITION
\\JrIZrAEAD@
(print name as it appears on your voter information card)
in said state and county. petition to have the name of MiChagl GOngOra
placcd on the Prrrrrary,'General Electron Ballot as a: [cheolvbontpletc box, as appltcablc)
Nonpartisan E ruo party afflliation E
undersi gned, a registered voter4
Party candidate for the office of
Date of Birth
(MM/DD/YY)
P.5 *
Clty of Miami Bgach Mayor
(insert title of office and include district, circuit, group, seat nurnber, if applicable)
or Voter Registration Number Address
D?/ ?+L >5>/e-/go./'
i zip cooe
i9=/ =?,
I
crtv
iYramlBjlch
Signature of Voter
Rule 1S-2 045. F A.C
County
Miami-Dade
State
Florrda
Date Signed (MM/DD/YY)
Ito be completed by loter)9.3/r,
os-DE 104 (Ef, 09i11
CANDIDATE PETITION
rr\,1/)i/.ir,, ,t ) il!tt)t)'
. ,,,.i,, ,i.
,
, ),1)),. t:, ,,,/:r 1(-E-t
/r
(print nanre as it appears on your v r infornratior-r card)
rrr i,}.j st.]te arrrl:,:rLrnty irut 'i:.r. 1r) lrir'il thc rr.:r'lrc rrf tt'4iChael GOngOfa
the undersigned, a registered voter
plarcc.J or.t ttre Frilr.,r', Gcrre ra E,cct u: Bailol as ai. [r]tceA t,.-'t,pielx b,-.,x, .rs tt1t1-,,i.abte)
fll:, , ,,,.,,: r E i\r., i,,r;ry ,,I if:r ir : l,tl- ' ;r :i
City of Miami Beach Mayor
( rseit iille rif office arrtj lclude J str t.t. ctrcLrrl g,t.up su.rt rLr,-rll,lT, iI appi,cairieT
Date of Birth or Voter Registration Number ^*\fy'u***'l $ZLzIMM/DDiYY)"U'7-: |VO - |7//
L
--t
I
I
State
Florida
City
lVliami Beacir
Signature of Voter
County
Miami-Dacie
l
Date Signed (MMiDD/YY)
llo be contpleted by Vctler)
g -7 - 2pz3
Rule'lS-2 045, F.A.C DS.OE 104 tf 09i11
t t),l1rt tll'\'. ,tt. I
.. -rL )i. i,,,'
t.
I
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt bv the Supervisor of Elections.
- It is a crime to knox,inglv.sign more than one petitionfor a candidate. [Section 104.185, Florida Statute.sJ
- Il all ,reguested information on this.fofm is not completed, the.form v'ill not be valid as a Candidate Petition.form
3
Date I
Ito be by Voterl
I,A the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
E]Nonpartisan E ruo party affiliation f]PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Numbert'*"*'/z- //- /7 5
I laaress u*"+ ftr) u;7 4
City
Miami Beach
County
Miami-Dade
State
Florida
Zio CodesTtb?
Ruh tS-2.1X5, F.A.C.DS{)E roa (Efr.09fit)
Signature of Voter
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StarutesJ
- If all requested inlormation on this form is not completed, the form will not be valid as a Candidate Petilion form.
D(-I,the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecAcomplete box, as applicablel
flruonpartlsan E ruo party affiliation f]Party candidate for the office of
C of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrest
(il O ?
City
Miami Beach
County
Miami-Dade
State
Florida
zip3 Code
3t3?
Voter Date Slgned (Htl/DDfYn
"'TYryY'{'5'
Rulr lS-2.ll4ll. F.AC.
L
q90E roa Gfi.09ll)
I
CANDIDATE PETITION
Notes: - All infornation on thi.s.form becomes a public record upon receipt b)' the Supervisor of Election,s.
- It is a crime to kno*,inglv .sign more than one petition _for a candidate. [Section 104.185, Florida StatutesJ
- Il all reque.sted inlormation on thi.r.fornt is not completed, the.fbrm w'ill not he valid as a Candidale Petition.lbrm.
€EE=4 iZ,ZEE undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name ot MiChael GOngOra
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !No partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address klt 14Zr7r'o 757 702
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Codeb3t3?
Slgnature of Voterx-(O 9_-\P/T'L
Date Slgned ([UM/DDIYY)
Ito be completed by Voterl
Ruh lS-2.1145. F.AC.DS.I)E toa (Etr 0911il
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor o-f Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on thisform is not completed, theform will not be valid as a Candidate Petitionform,
F.AC.
a- Vr t the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecVcomplete box, as applicablel
pttonpartisan !tto party affiliation E PaO candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number Addrees
,c)
City
Miami Beach
County
Miami-Dade
State
Florida
Date Signed (IIM/DDIYI
""6Y'-"d*2u
Zip Code
/
I
DSOE roa 0s,l
CANDIDATE PETITION
N'oles; - ,4ll in/brmatiotr ott this ./brm bec'omcs a public record upon rcc'eipl by the Supervisor o/' Elec'tions.
-ltisac'rimclctkno*'ingl.t'.signnorcthanonepctition.l'ot'ac'undidute. [Sec'tion l0l.lS5,FloridaStatute.sJ
- Il'all requesled in/brmation on this.fitrm i.s n completed, the./orn v'ill not be r:alid as a Candidute Petition.fbrnt.r (/
Signaturs of Voter
I,tr the undersigned, a registered voter
(prinl name as it appears on your voter information ca
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a: lchecl</complete box, as applicablel
@Nonpartisan flNo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(irM/DDTYY)
or Voter Registration Number i Addressi_,75 /U*rr/ ^,ru/;z;L/z- /
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code73/37
Date Signed (lUItl/DD/Yn
Ito be completed by Voterl
@8- Az-zZ
Rule F.DS{)E toa 09rl
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this tbrm is not completed, the form will not be valid as a Candidqte Petition
I,//e z d*il>p2 -the undersigned, a
\
regi\tered voter
(print name as app€ars on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Elec'tion Ballot as a: lchecl</complete box, as applicablel
@Nonpartisan ENo partyaffiliation tr PaO candidate for the of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Birth Number Addreas es
County
Miami-Dade
State
Florida i
City
Miami
&ipI Code
/
Signature of Voter
z
Dats
lto
(Mlr/DD/Yn
by Voterl
Rule tS-2.1)45, F.A"C.
/tue
DSOE roa (Etr 09/fi)
/
r
or
CANDIDATE PETITION
rYotss.' - .1ll infil'nntion on thi.s fbrru bec'omes tt public rec'ord upon receilil h.r' tlrc Supe rt'isttt'of. lileclion.s.
- It is a trinc to knotringll'.tigrt tuore than onc palitittrt.litt'u candidula. [Secriott 101 185, Floridu Statrrtt'.sl
- lf ull rcqucsted infbrnatiott tLtt this.fitt'm i.s trrst completcd, thc.lbt 'tu will nttt ltc valitl a.s u Catttlidula Pctilitlt .litt'tn
EoI._TE the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed orr the PrimaryiGeneral Election Ballot as a.lchecUcontplala box, as applicabiel
ITlNonpartisan E No party affiliatiorr tr Party candidate for the offrce of
City of lViami Beach Mayor
(insert title of office and include Oistiict. circuit, group, seat nr-rntber, if appircablel
Date of Birth or Voter Registration Number
:YU'L z=^ / 73>A.ddress /l /? 57U@_q ftdL+7oz
Signature of Voter
Rule 1S.2.0t15. F.A C
t'1 o t JLO
Zip Code ib)t3? j
Date Signed (MM/DD/YY)
Ito be completed by Voterlg-o3-\3
City
Miami Beach
County
Miami-Dade
-li State
Florida
rf
tli1
DS-DE 1 04 09/1 1
CANDIDATE PETITION
ii ,i.'l , r tit:, ',,,i ii;ft i t)iii,t))i , "t .,'ii' i,ri ,t, ,, tiitt i.,i ,lt, i,,,,,,',' l. .'.,'.,...i.t.,,it. ' i'... .'
t.9,nlZ /tr Z lhe unoersrgneci, a regrstered voter\J-
(print nanre as it appears on your voter informat on cirrrl)
rr:.:,:rcl state and coLrnty peiilrort to ha'.'e the rrarre uf lt4iChael GOn ra
City of Miami Beach Mayor
(ir:ser'1 irtle of uff ce and inclrcie tlistr ict i.i,c.rit, grcuir seat nunrber, if applicable)
Date of Birth or Voter Registration Number Address
pld.u.l ur'l [lrc [-i-inrary'iGcrri-rr.i] Eii.l,-i,r;r Baliut ars a: [clrucl.LartiplcLc b'..i,,.:rs api:itcaitit)
[7ij,,',,).]r'rrs,r'' [-l i.,t:, i,.rrl) .rfi,i 3ti j!' n t,'- lrl,1- :'. '; ,.
.MMD/DYL\ tz^/1 q7 75 t"-"i/ ftJ e 4ru8"
I
ariy-
i tvliami Beach
County
Miami-Dade
ip Code
I37/72tlzi
I
i
-t
I
,l
State
sig re
ry^+
Date Signed (MM/DD,^/Y)
'y Voler)
ZJL
Rule 1S-2 045, F.A.C.
Florida
Ito be I led
os-DE 104 Efl. 09i 1 1)
CANDIDATE PETITION
- It i.; tt L'rintt'to Arrorlirrglr' .sigtt tttot't'tltutt tltc patititttt.litt rt r'undidutt'. ISt'<titttt 101.1,\5, Flcsridu Stuttrl<'.tf
- ll all rctlut ittlitntrutitttt ()n thi.\ li)ril i.s ttttl t ctal. thc./itntt ll ill ttot hc vulil t: u (-'uttliLlutt'['ctitirttt /otttt
the undersigned, a registered voler
(print name as rt appears on your voter ation card)
in said state and county petition to have the narne of MiChael GOngOra
placed on lhc PrirnaryiGcneral Electron Ballot as a.fchecl<tcontplala box, ;ts appltcablal
Nonpartisan ff ruo party affiliation E
Clty 9f Migmi Beach Mqyor
(irrsert title of office and include district, circuit, group, seat nunrber, if applicable)
Date of Birth or Voter Registration Number Address
Party candidate for the office of
'YH:\Zz- 17,/,-/ ?5>
City
Miami BeachI
l
I
countv
Ltgn.'-zq:
teSta
I
i
Zip Code
Florida 93/37
Date Signed (MM/DO/YY)
Ito be completed by Voterl
S:3->3
Signature of Voter
Rule lS.2 5.F
:d
DS-OE 104 09/1 1
tDn c
(print name as it appears en you
iit 5,1 i.j il.rte ,lrl!.: Cuutllj i,.;l , |'l io ll.i,'e ll-c tl.itlre; r'f
o
r voter inforn'ration card)
Itlichael Gonqora
the undersigned, a registered voter
;;':reeij ort tlic PirrnaryiGe 'lcr.r [:,:.1 rr, D.,lic,t .r> a. ["ituuL;.,itip,lalx b.r. '-is dppit.-.rb,t:j
Z'r, r,;..-r E \.. ;'l.,", '''' r: r.,i L-J _ 9a:iy '..,, . tle f,t ', : , ,"
City of Miami Beach N/ayor
(ir se;t i,tle of olfLce artd l ,.ir,Cc- J.str cl rircri :. ,i()rrli .,e(1t lrrlrttbtrr, if appl,cabiel
or Voter Registration NumberDate of Brrth
(MM/DD/YY)
City
Miami Beach
Signature of Vote
t7q>
*1S?
,t ltftWh*c>
jl County
N4ianri-Dade
I zio coo"t33t3>
r-1
State
Florida
I
I
L
ll Date Signed (MM/DD/YY)
llo be complelc'l lty Voh.tlV-3-eJ
DS.DERule 1S.2 F A,C
,GQ*.-,
tg-Eqigrl
/ jrz
CANDIDATE PETITION
,,/,,,\,1i,ir!'i,, t,.',.i,,i,,. t, ; . .',' '',," ,...i ,'..,,'i
i(,.,/iL ''i,,,,,, _
..r1., ((, t'ttt..,'. ,i.',.,'.,. ,; ( .,,r,,',.,.,:, i', . ., .. I' r'
llt 't t:,it!
I
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipl hv the Supervisor of Elections.
- It is a crime lo knovinglt'sign more than one petition.[or a candidale. fSection 104.185, Florida StatutesJ
- Il'all requested inlormation on this.[ot'n, is tlot completed, the.form v'ill not he vulid as a Candidale Petition form
t,the undersigned, a registered voter
(print name as it your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecldcomplete box, as applicablel
@Nonpartisan Itto partyaffliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address?7Qob-t vL
City
Miami Beach
County
Miami-Dade
State
Florida YryD?
Date Slgned (MM/DDfYY)
lto be ampleted by Voterlo g-o>-e,
DS{)E toa (Etr.09/lrl
CANDIDATE PETITION
Notes: - All informalion on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidqte. [Section 104. 185, Florida StarutesJ
- If all requested information on this.form is not theform will not be valid as a Candidate Petition.form.
I,,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan flruo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Regietration Number Address
''u'q'- /7 /7q'>A t)e-
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33/37
Date Signed (UM/DD/Y[
lto be completed by Voterlq-3 Di
Signature of Voter
Ruh lS-2.01{1, F.A.C.osoE roa (Efr.00rrr)
l
F.AC.
CANDIDATE PETITION
Notes: - All information on this_form becomes a public record upon receipt h),the Supervisor of Elections.
- It is a crimc to knowinglv sign more than one petition.for a candidate. [Section 104.185, Florida StatutesJ
- ( all requesled information on this.form is not the he valid as a Candidate Petition /brm
I,C A)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group. seat number, if applicable)
Date of Birth or Voter Registration Number Address
t 3 Vrf )
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
bat v7
Slgnature of Voter
&^"t-l^ncfi't
Date Signed (MMTDD/YI
Ito be completed by Voterl08-3ai
Rub tS-2.O{5, F.A"C.DS{)E ilX (Etr 09nt)
CANDIDATE PETITION
Notes: - All informalion on this.form becomes a public record upon receipt by the Super-visor of Elections.
- It is o crime to knowingly sign more than one petitionfor o candidote. [Section 104.185, Florida StatutesJ
- If all reqyested inlormation on this form is not coTyleted. the ff will not be vqlid as a Candidate Petition .[orm.
I,?- the undersigned, a registered voter
(print name as it appears on your voler card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
flNonpartisan !ruopartyaffiliation E PaO candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(it pDz
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
37/3?^
Date Signed (Mtl/DDfYn
be completed by Voterl)
Signature of Voter
Rub 1S.2.0t15. F.AC.
/_/q v
DSOE roa Gfi.09nr)
CANDIDATE PETITION
Notes: - All in_formation on thi.s.form becomes a public record upon receipt b1, the Supervisor of Elections.
- It is a crime to kno*,inglt, ,sign more than one petition.for a candidate. [Section 104.185, Florida StatutesJ
- lf all requested i\formation on this.form is not completed, the.lbrm x'ill not he valid as q Candidate Petilion.[orm.
of Voter
I
I the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballol as a: lchecUcomplete box, as applicablel
t Nonpartisan E ruo party affiliation E PaO candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
fu*n'u W7S7 UQ*(Irrf,/DD/YY) 1 _ /s-_77)
City
Miami Beach
County
Miami-Dade
State
Florida
Rulr I
Zip Code
3313
Date Slgned (MM/DDTYY)
Voterl
Z3
beItoI
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipl by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
is not completed, the form will not be valid as a Candidate Petition.form.- If all requested information on this
?I,the undersigned, a registered voter
(print name as it on your voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecAcomplete box, as applicablel
INonpartisan !tto partyaffiliation f]Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
(MM/DD/YY) 1 - lT _ r/1 Addrees
Aenuo +AtLL{r
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
vq771
Signature of Voter Date Signed (IIM/DDIYI
lto be completed by Vote,1
09- J) - "-VRuh lS{.1145. F.AC.
{7
I\9{)E toa (Efr.ogrilt
CANDIDATE PETITION
Notes: - All information on this.form beconte.s a puhlic record upon receipl bt' the Supervi,ror of Elections.
- It is a crime to knor+,inglv sign more than one petition.for a candidate. [Section 104.185, Florida StatutesJ
- I/'all requested information on thi.s.form is not completed, the.fomt u,ill not be valid as a Candidote Petition.form.
t,the undersigned, a registered voter
(print name as it appears on r information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENopartyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
c:ty
Miami Beach
County
Miami-Dade
State
Florida
Ruh t3-2.045, F.A.C.DS{)E 10a (Efi.09/tr)
Date of Birth or Voter Registration Number(Nlt7oI (8oO funEat
Address
&)
Zip Code
3>1
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipl by the Supervisor of Eleclions.
- It i.s a crime to knowingly sign more thon one petitionfor a candidate. [Section 104.l,85, Florida SnrutesJ
- If all requested information on this .form is not completed, the form will not be valid as a Candidate Petition form.
a,I,0 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete Dr.x, as applicablel
@ttonpartisan ElNo party affiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
-t
0 a(/
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Code
3.1(31
3
Date Signed (UM/DD/Y[
LJ
Ito be Voterl
Rub lS-2.M5. F.A.C.DSOE ma (Efr.oSfi)
Date Slgned (If,MTDDIYI
[{D be
of
\
CANDIDATE PETITION
Notes: - All informalion on this.form hecomes a public record upon receipt b1, the Supervisor o.f Elections.
- It is a crime lo knowinglv .sign more than one petition.for a candidate. [Section 104. 185, Florida StatutesJ
- Il'all requested in/ormation on thi.s.form is not completed, the.fbrm will not he wlid as a Candidate Petition ./brnt
Slgnature
t,G L +D/3 r{nDso the undersigned, a registered voter
@ on yonrvo-ter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
[]Nonpartisan ENoparyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrese
> urtdl tu/tIII Or
City
Miami Beach
County
Miami-Dade
State
Florida
Date Slgned (MM/DD/Yn
[to be completed by Voter)6--J
Rule 13-2.045, F,osoE toa (Etr.09n1)
/3
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. fSection 104. 185, Florida StatutesJ
information on thisform is not completed, theform will not be valid as a Candidale Petition.form.- If all requested
I,-DIAi A C / lb the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DDTYY)
or Voter Registration Number Addrees
*/(
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Signature of Voter Date Slgned Um/DD/Yn
Ito be completed by Voterl-)
Zip Code
?>/>V
Ruh 13-2.114!1. F.AC.
@t 6 a
DSOE roa (Efi.09/ril
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Eleclions.
- It is a crime to knoruingll, .rign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
is not completed, the.fbrm will trol be valid as a Candidate Petitionform.- IJ all reque.sted in-formation on this
I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[]Nonpartisan nNopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
(M
I 3)
Addrcss?s Adu
Caty
Miami Beach
County
Miami-Dade
State
Florida
Rule tS-2.11i15, F.A.C.DSOE roa Gff.09/il)
Zip Code
33 3
r
t
Signature Date Signed (MM/DD/YY)
Ito be completed by Voter)t--T-L
CANDIDATE PETITION
Notes: - All idormation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StautesJ
all on this nori the notwill validbe a4S PetitionCandidaterfrequestedformcompleted,fo,.form.
V
Signature of w
the undersigned, a registered voter
(print name as it appears your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete Dox, as applicablel
[ruonpartisan fltto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Address
5 ftl e-
County
Miami-Dade
State
Florida
Date Signed (Mii/DDIYY)
Ito be completecl by Voterl
9.-: - z\
Date of Birth or Voter Registration Number
City
Miami Beach
Zip Code
I5
DS.I)E toa
I,
CANDIDATE PETITION
Notes: - All information on thi.s.form hecontes a public record upon receipt bv the Supervisor of Elections.
- It is a crime to knox'ingl),sign more than one petition for a candidate. fSection 104.185, Florida StatutesJ
- If all requested information on thi.s.fttt'm is not completed, tlte v'ill valid as a Candidate Petition./brm.
S
z
Date M/DDTYY)(r{
lto be by Votefl
3
I,the undersigned, a registered voter
(print name as it appears on your information
in said state and county. petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !tto partyamliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrcse wirer)t23- I 75V )e(-/
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
o3137
Ruh F.A"C.
Slgnatue of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested idormation on this form is not completed, the form will not be valid as o Candidate Petition.[orm.
I,the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleciion Ballot as a: lchecAcomplete box, as applicablel
ENonpartisan Etto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Registration Number Addresss7 Vtt
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3387
Signature of Voter p /204/ /'h/LrL Date Slgned (IilM/DDIYY)
ttofr by
Rub lS-2.1145. F3.C.DS{)E toa tEtr 09fit)
/
CANDIDATE PETITION
- lt i.s tt t'rinta to knov'ittgl.r'.sigtt tttrn'c thutt ttttc ltclition.fttt'tt <'ttndidutt'. [Sat'tirttt 101.1,\5, I:loridu Stultrlt'.sf
- ll ull
OD 2_fldn-Nlwzy:'(print name as it appears on information card)
in said state and county. petitron to have the name of MiChael GOngOfa
placed orr the PrimarylGenerai Elcctiorr Ballot as a. lchack/corrtplele box irs applroablal
lZ Nonpartisan E No party affiliation tr
City of Miami Beach Mayor
linsert tillb of ofilce and include district circuit. group seat nunrber, if applicablel
Date of Birth or Voter Registration Number Address
(M
Parly candidate for the office of
/DDZ
Zip Code
"Y':' z-y'- /rt/z 75) LtlPs
City
Miarni Beaoh
County
[t/ianri-Dade da
teSta
loF 33)ry
Date Signed (MM/DD/YY)
llo be compleled by Voterl
g- 3 - 2oA)
Sig nature of Voter
Rule 1S 045. F.A.C
\ 1//('.\
lr.
t,i,,tit ,.: I
,:.., .t,,, tt
[]
-_ DS-DE 104lg{LryIr-
.t, tt t ltt ^t _t\ l_
11r:r ,r', r,
"
tll.i:. )
rr,,,.r,l.,lo.rn(l. .,unli peliiur irtha.etlre rar; e ;f MiChael GOng
'Buc," o 'J(print hahre as it appears on your voter ,irfr.rrrration carCl
ora
the undersigned, a registered voter
,.l.tLu:;.rrtirup; ,tr;try,Guneia Eii.-i or B.iliirtas..[clru.;,t-n)piria,]r'..::;rpirtt,.:biL)
l;tl .:,1 tr, r l;;rl, ' .r
City of Miami Beach Mayor
lifsertltleuf r:if ;=andirrciuJe r:liicl c,i,:uii 9,(,,i,>catrJn'fier ilapplrr--rir;r
Date of Birth or Voter Registration Number Address
'W!'bb_ (?zs 75/was /tt /,r1=(_
I
sirt"
Florida
City
Miami Beach
Signa of Voter
County
Miarnr-Dade
Zip Codee7/37--r
Date Signed (MM/DD/YY)
llo be :ort1:lult .l Ly V,,l-rl7t)/3
rl__l
I
Rule 1S-2.045. F.A.C.DS.DE 104 09t1
t.
CANDIDATE PETITION
VGEd rA ,HA the undersigned, a registered voter
CANDIDATE PETITION
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on tho Primaryi General Election Ballot as a. lcheck/contplate box, as applrcablel
Nonpartisan f] r.ro party affiliation E
City
lViami Beach
Rule 1S-2.045. F.A.C.
Party candidate for the office of
City of Miami Beach Mayor
(insert tille of offrce anO inctide district circuit group seat nunrber. if applrcablel
Date of Birth or Voter Registration Number Address
(MM/D a oz- l7q7 V 5) C/.a->/ Auq-// oD)
I
I
County
[t4iamr-Dade
Sta
F orida
-llll Zip Codete
_l t_
3>/7?
DS-OE 104 ff. 09/1 1
;:, .'.,'t..t,.i t'/li 1
./i .. .l , ,,t, . lr, l, '
. t,/i/( '.,
__--t
--_ -HrGdbZ-the undersigned, a registered voter
(print nanre as it appears on your voter informalion ,..arrj1
ir' :,; (j :;tOte lrrrl i:...;Lrrrly 1'et liUr to lr;,r,"'e tlre rrarre of lt4iChael G llgq1
[-d,-u-ur,tl'iLPi;iciry,'Gcrtuiat tiuiii;,3a] r,i asa.[rirr-;^.e- ,pi,i'-, /i;r..]-sap1".,t! ,'l
J-l i",1r., p,,' i., ' 1i{ i . rt r l--r'
City of Miami Beach Mayor
(insc.rt itle oi 'ifrc:. dr]d ,ri(;i.lJe '; str Li c,rcuii, :jr()L;r iu.rt n.rnlbe.jr if appl,caLicy
Date of Birth or Voter Registration Number Address
'"'ooB- lZ^ /?37 k)a-tuz
City
Mianrr Beach
Signature of Voter
I
I
l
I
t
I
I
County
Miami-Dade 33t37
Date Signed (MM/DO/YY)
Ito be completr:d by Voterl
G?-27
State
Florida
Zip CodeI
I
Rule1S.2.045.FAC.DS.DE 1 04 09/
l.
fsig*tur"-of vot",,
I ]uUn"
l-o-"t" s i g n
"
a f rvr rvu o o r v v 1
| 1to Oe corypleted by Voterl
I _s lt )zt
' ' |. ': ,1,,
. t i ,' ,l ,/ r. r'., \,,,
,,:, ( i,,. i,,r. ,
.r l
(--
CANDIDATE PETITION
I E D€Z-
(prinl name as it appears on information card)
in said state and county, petition to have the name of MiChael GOngOra
placed orr the PrrmaryiGenerai Election Ballot as a.lchecldcontplete box, as applrcabla)
Nonpartisan E f.fo party affiliation n
the undersigned, a registered voter
Party candidate for the office of
City of Miami Beach Mayor
(insert title of otiile anO irictuOe disirict. circuit. group. seat nunrber, if appircable)
Date of Birth or Voter Registration Number Address
(MM 97 - 175 ,>v*tttue //tz
County
Miami-Dade 3e/37
State
Florida
Zip Code
I
Signature of Voter ll Date Signed (MM/DD/YY)
Ito be completed by Voterl
i-:3- -?r7
Rule 1S-2 045 F
CANDIDATE PETITION
li ,',i ,t.,t. ,;11;1tt,,;llE.l, ",.,, t,,.t. l';,, /,. r', l,,l ,;'.,' ..')1 r,,., lri.'..',tj, li,,t'.,t..\..,: r,.r
DS-DE 104 (Eff 09/11
the undersigned, a registered voterIOCLtr_
in :;.rri: ;iate .-trrrj i:o!r:t). ;-.-lrtic:r't io h;ve |re rrren-e of
(pri nt name as it appears on your voter infornration carr.J)
I\4ichael Gcngora
p,erle C r-rrt tirt Friir iary' .iur)ui.i; E,o;i i,r , Cailr'i as ir. [ci tt-il, :-i,tt,,,lala b;.r, :i-s ;t1:plivtib,;:)
T-
Lg -.,]
D
City of lViami Beach lr/ayor
(inserti,lieof officearrdircluderl,sttii.,l uircuil.grcu;.seatrrunruEr if applicabie;
or Voter Registration Number AddressDate of Birth
'""un12,/z- /?37 75>,(///o €, -
County
[t4iami-Dade v3/3State
Florida
Zip Code
i Beach
Signature of Voter Date Signed (MM/DD/YY)
Ito be compleletl by Vc,:tr:N7-a'?7
I
I
Rule 1S-2 0.15. F.A.C
@-/o*
ra
DS.DE 104 09/1 1
I
tcn, - --
Ii tViami Beach
I
t.
ri
CANDIDATE PETITION
-lti,sacrimctokrrrrrllrrgilsisnntorctlrunonepatilirlt.fitra<:andidotc. fSct:tionl0l 185. l:loridaStututt'.tl
i.t ttot t'onltlctcd, tlte.fbrm will nttt l>c vtlid u.s u Candidutt'Patititttt./itt'ttt- l/ ull raqut,,slt'd ittlitrntutitttt ttn lhi.s
of
045 AC
fr uzA A
(print name as it appears on your voter information card)
in said slate and county, petrtion to have the name of Michael Gongora
placed on the PrimaryiGeneral Election Ballot as a.lchecUcontplcta box, as applicable)
Nonpartisan I No party affiliation tr
the undersigned, a registered voter
Paty candidate for the office of
City of Miami Beach Mayor
linsert title of office and incluJe distiict circuit. group seat nunrber, if applicable)
Date of Birth or Voter gistration Number Address
/7 b.l 757 lt rAS /,;rrL/ru/(MM/DD/YY) /' lz/ o- t--
City
Miami Beach
County
Mianrr-Dade
I zip coo" i
t?3-)3?
"
State
Florrda
a
Date ed DIYY)
Ito be by Voterl
a
CANDIDATE PETITION
DS.DE 1 04 Eff 00/1 1
li ,tl! ,,',lt:,.\,r., i/,;(r it ti,tj.r 1 ,\ ittt,tj ,. /:',' ..,.' , i.t.',,.'.'.' -, ( .,,,,1,,,',, ( ;':.. il
l.ft ,,J ?the undersigned, a regislered voter
pl:reciJ,..rr [itc Prrrrary,'Gcitcra] Eiect,rrr Baliot as a: [r'l;cir.cnittpiola b;r, .,. ;tpltltcalic)
@'"r'.,r,;.,',1 ;,,,' l-l f.Ji.., p;l .y
(print name as it appears on your voter irrformation card)
it' .,.:,.j .-1at€ crrcl r.;urrnt), petition to irave tl'e narne of [\4iChael GOngOra
City of Miami Beach Mayor
(ir-,sert1it,cirf6f[,auandrnciuc.ie,l:i1.r'-'circUit,g,o,rp,s-'.':tnusber.if applicai:i;,
.-,r-L
Date of Birth
(MM/DDiyY)ol'
or Voter Registration Number Address
e z- / 7v9 75V /tgz-
Signature of Voter Date Signed (MM/DDiYY)
by Voterl
I ' zio coon I
lig"ljag l
08-b3'e
I
IoBl
City
Miami Beach
I
I
County
Miami-Dade
iJate --- -
Fl6'rida
.€
Rule 1S-2 F,A C
be
DS.DE 1 04 Eff 09i 11
/
CANDIDATE PETITION
- It i.s tt t't'imt, ttt ktrovingl.t'.risrt tttttre thatt one pctilitut.fot'a t'unelidtlc. [Section 101.185, Florida StututL'.\l
I.O /.42
(print name as it appears on your voter information card)
in said state and county. petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a.lcheck'completc box, as applicablc]
Nonpartisan E ftfo party affiliation E
the undersigned, a registered voter
Party candidate for the office of
City of lt/iami Beach fVlayor
iinsert title olofflce and include drstiict circuit, group seat nunrber if apphcable)
Date of Birth or Voter Registration Number Address
'"W'W- /3 / 753 V5?k 09/ 4/e-7//
City
It/iami Beach
County
Miami-Dade
State
Florida
I
!ll
Zio Code
33t=y
Sig nature of
Rule 1S.2 F A,C
CANDIDATE PETITION
iii',i, ti,lt l,ti''1,,.,,':,! t,,,-/,//l{''.,i).t,t tl, ltLi'. t,'rt r ,.iii,1./',,i, ,'.',,,.', ,, ///, .I\'i. l.) ,,;'i. 1'.,',,r, i
104 Eff. 09i 1 1
the undersigned, a registered voterC'1'O DA UtrDE9
(print narre as it appears on your voter irrformation card)
iri:j.rrc state arrC county petrtir-'ll to lr;,.,e tire narre ol' tViChael GOngOra
pia'cc ort [i,rr irT rr.ir y Ge nc:a. E,uul,rrl Bailol as it: [cl,uui cartplale IiJr. .is :)l-:p,'ri,.)blc)
[7 lr-.,-i,.,,.,,, ,', I ll.: ;.,,r ty rii i atror i--]).1:t :l: . 1., : .. , ,
City of Miami Beach Mayor
1ir:sc;t:,'.ie of cifrce and in-iuCe listrcl uircuit, gi,..rp. se.tt nlnrber, if applrcable)
Date of Birth or Voter istration Number Address
(M
/
City
Miami Beach
z7 / ?/r 5o>-,
County
Miami-Dade I
_1
Signature of Voter Date Signed (MM/D
fto be contpleted by
D/YY)
V::lerl
)^)
Rule 1 F.A,C
#-J
DS.DE 10d 09/1 1
t
t.
CANDIDATE PETITION
lYotes: - A ll inlbrmatiott on this _/'orm becomcs a public record up<tn receip! b.y' thc Supervisor of Elections.
-ltisttcrintetoknov'ingl.t'signmorcthanonepctition./brac'andidalc. [Sec'tion l0l.lSS,FloridaStatutesJ
- IJ all requested infbrmation on this.lbt'nr i.s not completed, the.fbrm v'ill not bc valid as u Candidate Petition _/brnt
I,TryrLfisco Lt+,hivr the undersigned, a registered voter
(print name as it appears on your voter information card)
in said s[ate and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan flNo party affiliation n Party candidate for the officr of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(1rL/DD/YY)
or Voter Registration Number Address
otso C>tL"r,a Utls ob P\ ba',A, iOZID
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
z* rvl
Ruh lS-2.045. F.A.C DS{)E 104 (Eff.09/fl)
CANDIDATE PETITION
Notcs: - All information on this form becomes a public record upon receipt by the Supentisor of Elections.
- It is q crime to knowingly sign more than one pelition for a candidate. [Section I 04. I 85, Florida StoutesJ
on this is nol- If all requested the form will not be valid as a Candidate Petition.form.
Signature of Voter Date Signed (MItl/DD/Yn
/
Ito be Voterl
I,t:-Z the undersigned, a registered voter
name as it appears on voter information card)
Michael Gongorain said state and county, petition to have the name of
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan E Ho party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Addrpes53j cO /)(5,
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
33 /3?
F.A.C.osoE tlr
T
Signature of Voter Date Slgned (Mtl/DD/Yn
lto be by?
CANDIDATE PETITION
- ll ull rcqut'.ttcd itlitnnatiotr tttr tlti.:]itnn i.s ttttt tt ttt'd, Ilrt'.fitrttr n ill nttt ht' vul us u CuttdiLlutc' Pc'lit iotr .fitt'ttt.
I the undersigned, a registered voler
(print name as it on your voter information card)
in said slate and county. petition to have the name of Michael Gongora
placed orr the Primary/Gcneral Electi<-ln Ballot as a. fchecl<,'corrtplele Lrox, as applrcablcl
Nonpartisan E uo party affilration f]
City of Miami Beach Mayor
(insert t tle of office and include distrrct, circuit group, seat nunrber if applrcable,r
or Voter Registration Number Address
Party candrdate for the cffice of
Zip Code
Date of Birth
(MM/DD/YY)/oY /? /7r// 757 oJ-a.>tA/e lsca
City
lViami Beach
Signature of Voter
Rule 1S-2 045 F A C
County
Miamr-Dade l
State
-i
I
I
I
Florrda >3/3V
Date Signed (MMiDD/YY)
Ito be completed by Voterl9/o/e>
os-DE 1otr,(Efi 09/1 I
CANDIDATE PETITION
1!.: ,,,j ,i tjt.il,,tt. ,t, ,'.,. ),;, , ,:'., :ii. ,'7,tt,' ii, ,, ,..,! t,i ,1t ,
i" , ., . ,t,, 1 , ,1,t,,, .-.', ',.,1,' 1,1,'t, ,l:1;,, ),it i't: ,. 'rtr , r L!
l: ..'.' ,,,,,:,, ','t,,' i ' rt , .,, ', ., .- .., !1,,
, l lr ,,'.. \,1\.,, ,i ,' -', l, rt.
, .,r). , \i,,/.,,.,1..,t,..\..,
i,,',,',,., ( .lt,l,,!,', i
Ccr.r 0 l..o-
(print nanre as it'appears on your voter inforr-nat,on ;ard)
,- ..;.1 :,l.ltE.i.ti ,-.un.r prrtrrrol l,-- ir;r,e the -,,rr.e Lrf tt4iChael GOngOra
the undersigned, a registered voter
pi:,-.uj uriiitu [- .rt.tr, Gct;u;.r Eicilt.r: [l.t ;i -,o a.i,-,t tv,-, -uittl-)iLia L,-,^ .is a1-1.:,'. .,t-:tt:)
r:t.tv',,,, [- i'i,:, y't,t ,1 ,'!,' -c ' Ill'
City of Miami Beach Mayor
(insert:rt e uf offir-e dn(J ,rrr:r ;iie il strrcl crrcuit. g,ou1, :ual rrrrrlrer il'applrcai-,ir1
Date of Birth
(MM/DO/YY)
City
Miami Beaclr
Signature of Voter
or 1 Voter Registration Number
lJvl+b
Address
1.91 No* Arp^rg looQ
Zip Code
Date Signed (MM/DD/YY)
be
t
I
County
N4iami-Dade 31D1
I
i
I
r
I
l__l
I
Ito VLtterl
?e?-7
erl ,l
Rule 1S-2.045. F.A.C
da
oa o>
os.DE 104 Eff 09i11)
_.1
I.
Zn/d'L
CANDIDATE PETITION
trnt i.s ttttt ('otnpl(tL'(l, tltc./itrn lrrill ttol ltt'r'ulil u.s u C'utttlidutt' l>tliliotr.fttt'ttt- ll ull rc'qrta.stcd itrlitrntuti()n ()tt thi.\
L the undersigned, a registered voter
(print name as it appears on your voter card )
in sard state and county, petition to have the name of Michael Gongora
placed on the Prinraryi General Electrorr Ballot as a.lchecl<,'contplela Dox, as aptpltc"tblr:l
Nonpartisan l-l No party affiliatiorr X
City of Miami Beach Mayor
(insert title of office and include d,stricl crrcuit group seat nunrber if applicableT
Date of Birth or Voter Registration Number Address
Party car.rdidate for the office of
Zip Code
'*B'Y-eo'l7L{7 7s>u--rfre,,t #]cs
City
lr4iami Beach
Signature of Voter
I
ll
County
Mianri-Dade >7/>7
State
dFlo a
a,/ba.t.
I o"t" Sign"d (MM/DD/YY) I
| 1to oe completed by Voterl I
I ar/aa/za I/ os-DE 104 {Ett 09i11Rule 1S.2.045. F.A C
CANDIDATE PETITION
u
D,:,
Cdl,,= I
rred, a registered voter
r l/il 1r ,rlr! \ , ,'
C CD tr
voter irrfornratiorr carcj)
Michael Gongora
City of tViami Beach Mayor
Address7s7
z-
rr r,,i .l 5t,.ite .rrtC a.--lritr.) ptt liurt t,J l'r.r;u lite ttarrt e of
f7-l:' , i,,,':::, ri' Jl l' , ,.,, r, ,"
(print nanre as it appears on your
r
[]ld-L.r uri iirc Iri'rrrarr,Currcr.r Elcct on Baiic. as .r. [. 171.,1 L.Jtl)[)iL!: i]')x -.\ ,;1,pi..,.,!..'c.)
, 1,
(ir sert i,tlu lf off ce artJ inciude'l str it circuii, Jr!iLir, ,,e.lt r,rtttlu.T ,'utpp
Date of Birth or
(M
City
IViami Beach
tL /s;;"Ury t#'":'i^)*7*,
County
[\4iami Dade
I zip cooe I*t 7?rState
Florrda
_l
Signature of Voter Date Signed (MM/DD/YY)
fto be contpleled l-ty Voler]
I
I
I
09/1Rule 1 F A.C,
u o?/az /zs, DS.DE 104
L
I
I
l.
t
CANDIDATE PETITION
Notes: - All in/brmalion on this.form becontes a public record upon receipt hy the Supert'isor of Elections.
-ltisacrintctokno*'ingl.t'.signntorethanonepclition./oracandidale. [Section l0l.lS5,FloridaStatutesJ
- Il'all rcquestcd information on this.fitt'tn i.s ttot unrpleted, the.form will not bc valid as u Candidatc Petition.fitrm.
t.L)at\fr P {Ytnn,t6v*l _the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
lTlNonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address./? f(o o
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode
33 t: I
Rule 1S-2.(X5, F.A.C.DS{)E rO4 (Eff.09/ri)
L
Date Signed (MM/DD/YY)
Ito be by Votel
CANDIDATE PETITION
,\'ares.' - All in/itrmation on thi.s./brm bct.-ontes a puhlic record upon rec'ci1tl hy the Su1tervi.sor of Elcction,s.
-llisttc'rintetoknou'ingl.r'.signmorelhanonepetition.lbracandidute. fSection l0l.lS5,FloridaStulutc.sl
Signa{u re of Voter
/\
t.t
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
M Nonpartisan E No party affiliation tr
City of Miami Beach Mayor
the undersigned, a registered voter
Party candidate for the office of
Date of Birth
(MM/DO/YY)3-:3-36
Gity
Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number Address
o
County
Miami-Dade
State
Florida
OJ
Zip Code
?) t] 9
I
Rule F.A.I
Date Signed (MM/DD/YY)
lto
Signaturef Voter\
t
CANDIDATE PETITION
- It i.s a crimc to knov'inel.r'.sisn ntrsra thutt onc pctition.fbr a c'attdidatc. fSaction l01.li:f5, Floridu Stututc,sf
3 ov8
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael GOngOfa
placed on the Primaryi General Election Ballot as a.lcheck/complele box, as applicable)
Nonpartisan E ruo party affiliation E
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
Voter Registration Number Address
13 ?o unp.- n/t 6LL
the undersigned, a registered voter
Party candidate for the office of
or
?t) B.s-<-r(-.-r
City
Mianri Beach
Signature of Voter
Rule 1S-2 045. F A C
i z,p c.o" - I
I s:]]f-l
Ito be completedrby Voterl(r/n/d!
Date Signed (MM/DD/YY)
I
I
I
lllL
County
Miami-Dade
fst"t"
!o1ioa
DS.DE 104 Eff 09/11
i.',', ;.i,., tti..t | )t)
-/.'.i,,it,,, t l.'.
i; ,tii ,,,/r , ..,,i, ,1
CANDIDATE PETITION
1,,,:"., .,,,',i itl),))i ,t,,,1t lr.', ii,, .\'itlrrt\i\t)t 'l.ir.i',ri,
');,)t \ 1t,';i ,,,',,, .t,,i,t.l.,i.it, ,'\,, ii,ttt ,10.i /.\i /,',,,,.,r,, \:,r'.,;,,/
?s r:.-ll tn nqw the undersigned, a registered voter
(print nanre as it appears on your voter information card)
ti,t,,)ii.,,,,",'';, .r rr,, .,.r,ti i t,rl il,t lrtttti riil,!tt,t[ /-, r,r,'r,i',t..,, (,t,t,i,,1.,, !', iii,ti, i
l.
rrt s,rrd state and corrnt; l-.rrt tior t,, rt.rvtl tlre n;iriu of t\4iChael GOngOra
7'1,,,i ,r::5.1' E'l , , i, .,{' -ri.. I
-
3.',,') I .l ciaie r I'r.:,;if ce of
or
City of tr/iami Beach Mayor
.,' :eri ilie e f cff ce.rnd ri.luJe.j sirrct circuit, gror.rp, seat nunrber if appiie,able)
Voter Registration Number AddressDate of Birth
(MM/DD^rY)
City
ll s l-r A1; boL
I i zip coo"
-lL-:)rj L-l
County
Miami-Dade
State
FloridaLMiami Beach __l
Signature of Voter
I
Rule 1S-2.045, F.A.C.
al,l<ryrc
Date Signed (MM/DD/YY)
104 Eff. 09/'t l
"f/T;Ftr:'/9,
CANDIDATE PETITION
- It i.s u trima ttt furorlurg/t .sign ntore tltutt one pctititttt.fi'tr u <ttndilute. [,\cttion 101 l.\5. Florila Stulute.sl
6 frnc
(print name as it appears on your voter information card)
in said state and county. petition to have the name of Michael Gongora
placcd orr [he Primaryi General Election Ballot as a.. [checl<t'conrplete box, as applicablel
Nonpartisan n f.lo party affrlration tr
the undersigned, a registered voter
Party candidate for the office of
lz v
Date of B
(MM
City
lViami Beach
Signature of
L]%.
( i n se rt ri rr e or orrice "".?l:ffit#,',il:, :r:,1;:#11:1n,,, b".,r a pp, i cr b, e )
Voter Registration Number Address
lL'(oBI?b 13q Prt /
County
Miamr-Dade
C
Date Signed (MM/DDlrY)
Ito be colnpleted by Voter)8\s \z=
State
Florida
Code)/:r
Rule 'l S-2 045. F A C DS-DE 10,!09/1 1
'1i.t i lt 't, 1,,,
- i, . ., , tt,t,r t ,
!1 tt ;t)it:.,t,i:,r rt,
CANDIDATE PETITION
r'1,', , '.1iilr' it< ,,,tii.; iii, \'.17,.t \1.) ',t.!,,;.,,t'
' ,,, / .,,; , t, ,t, i;t,li,i,;1,. ,'.\Lttlrtt) il)i ,''< I .', ,,'.,
;, ttt,' | ,r,,t' ' lL'Li 'itt itt: t)i ',iill tt,,i 1,, t,t,'ir,!. ' ., ( .,,,,,,.i.,
(, , I
'uJy1 N\>f) L'\oc,,.{4 the undersigned, a registered voler
(print name as rt appears on yorlr ;oter lnfornration card)
rr r.r.,.i s1ai..-'r'; -l r.r rrr,,.;)(-:iror, i, , r,r.E ti'f,r.tr',e of ttt'liChael GOngOfa
ir iiLLLi on thr [-"irr.r'; Crlo'., Eicr i,o: Eirllr.l .r- a.lci ,'-,.i',ici-trtiplcta box, as ttpplt"able)
!:,.',;;.',,.s,,' I lr.itiatr': . i ", r,fft.e of
City of Miami Beach Mayor
se,t iitle .l .:ff .r..rr ., r',i.,.ie J -tr it ciruuit, gror.rp. seat nunrber ri.ipplicableT
or Voter Regrstration Number AddressDate of Birth
(MM/DD/YY)S -l, qE ?-(,-rc--14 fus-
I
citv
I IViarnrBelch
Sigapture of Voter
t)*vU
County
Miami-Dade -]:z:f
State
Florida
Zip Code
t
Date Signed (MM/DD/YY)
Votel
Rule 1S-2 045 F.A.C
Ito be coqipbtqrl by
r/6/a"
os-oE 104 09/1 I
I.
I
CANDIDATE PETITION
Notes: - All in/brnrction on this./brm becomes a public rec'ord qton rec'eipt h1' the Supervisor o.f Elections.
- It is tt crime Io knox,inglv sign nrore lhan one petition Jbr a candidate. [Section 101.185, Florida StatutesJ
- IJ all requestcd inlornrution on thi.e.fbttt is trot corypleted. the Jbrm v'ill not be valid as a Candidute Petition.fitrn.
I,/(t /"? 7//4e Z the undersigned, a registered voter
(print name as appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
[]ruonpartisan flNoparyafiiliation D Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addreee
a a $ 3 1(c//'t,s 1214;a/,
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3r/f,
Date Signed (MM/DD/YY)
"'wofi)'Iry'n
Rule 15-2.045, F.A.C.DS{)E 10a (Eff.09/fiI
Signature of Voter /
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StautesJ
Ls not completed, thefornt will not be valid as a Csndidate Petitionform- IJ'all requested informqtion on this
e the undersigned, a registered voter
(print name as it on your information card)
in said state and counly, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecVcomplete box, as applicablel
INonpartisan flNo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrees
eO
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code73)
Signature
\(\N,r
Dde Signed (IUM/DO/YY)
lfo be by
DI av
Rule lS-2.1!45, F.A"C.
-o2- I 3cl 4)I
IlsoE to{ (Eff. 09/1r)
CANDIDATE PETITION
i\oles: - A ll in_fbrnrulion on this ./'orm beconcs a puhlic record upon receipt by the Supervi.sor of Elections.
-lti.sacrinrctoknov''inglvsignnutrclhanonepctition./bracandidatc. [Saction l04.lS5,FloridaStatute.sJ
- Il ull reque.tted in/brntation on this.litrnt i,t ttot completed, the.fbrm v'ill nol be valid as a Candidate Petitionjitrnr
I,A*1,ctc, LQl0a- f ,a :le.llz;Z-the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gon
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@ttonpartisan flNopartyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
+t(HM/DD/YY)
I {Z 6 1b Lertax frJ vt)ll-
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
^n73/ 37
Date Signed 0[m/DOIYY]
Ito be completed by Voterl
0{- D t' 23
Rule l3-2.045. F.A.C.DSOE 10a (Eff.09/1il
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- I'oll requested informotion on this form is not completed, the form will not be valid as a Candidate Petition.form
Date Signed (ilM/DD/YY)
-1 - zD <lto be by Vote,1
I,e-e-the undersigned, a registered voter
name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mmrDo/Yn
or Voter Registration Number , Addrpss
t C4 / caLL irtp li 7rr
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
?2t3"
Signature of Voter
Rulr lS-2.0411. F.A.C.
/z- 2?. /74)
DS{)E 104 ,)
I T
CANDIDATE PETITION
iYotes: - .4ll inlbrnation otr this ./brm bec'omes a public rcc'ord upon rec'eipt b1, the Supcrvi.sor ol' Elet'tions.
-ltisucrimetokn<t'rringlv.signmorethanoncpetition.lbracandidatc. [Scction l04.lS5,FloridaStatutasJ
- lJ all requcstcd informatiort ctn this.fitttn i.s not completcd, the.form v'ill not bc valid a.s tt Cundidate Pctition./ornt
I,/* ftZ the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan flt'to party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of offier and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number I Address
/-5Z //5 1,/osirLno nt
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Date Signed (MM/DDTYY)
Ito be^ampleted by Votei
Rule lS-2.0{t. F.A-C.DS{)E l(r (Efi.09/1lt
Zip Code?/3
CANDIDATE PETITION
Nolcs: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StarurcsJ
- If all requested information on this form is not completed, the form will not be valid as a Candidote Petition form.
City
Miami Beach
Gounty
/\
'V^{t
Signature o(
I,I the undersigned, a registered voter
name as it a your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
pNonpartisan ENopartyafiiliation tr PaO candidate for the office of
City of Miami Beach M
(insert title of officc and include district, circuit, group, seat number, if applicable)
Date of Birth
(rH/DD/YY)
or Voter Number Addrsss o t'2
State
Florida
\
Date Signed (tU/DD/Yn
0
Ito M umpleted
Ruh tS-2.lXlt. F.A"C.DSOE lo.l (Efr.09rll)
'l
),1 0
CANDIDATE PETITION
i\otes: - All inlbrmaliott tttt thi.s ./bnn becomes a public record upon rcceipt hy the Supervisor o.f Elec'tiotts.
- It is a crintc t<t kno*'ingly.sign nore than one pctition_fbr a c'undidate. [Sec'tion 101.185, Florida Statute.sJ
- I.l'all reque.sted inlbrnrution on this.fbrm i.s ttot contpleted, thc.forn will not hc valid as a Candidalc Petition .lbrn.
Ul)I,I undersigned, a registered voter
(print as it appears on your voter card)
in said state and county, petition to have the name of Michael Gon ra
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan [ruopartyamliation f]Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
I
Date of Birth or Voter Registration Number
ArAq-Slr*Or
County
Miami-Dade
State _-i,
rurioJ'
Zip Code
o
L
Date Signed (IUM/DD/YY)
'Dv':ryI:',bl
Rule lS-2.O1!1, F.A.C.DSOE r(x (Efr.09/fi)
City
Miami Beach
Signature of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. fSection 104.185, Florida StatutesJ
on this form is not completed, the form will not be valid as a Candidate Petition .for .- If all
1fi
Date Signed (tf, U/DD/YY)
completerl by Votefi
I,undersigned, a registered Yoter
(print name as it app€ars on voter information card)
Michael Gongorain said state and county, petition to have the name of
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !No partyafliliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
,/z6a,D // (
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3tt
Slgnature of
Rule lS-2.045,
o - )7/3D//C
(Etr.09rfl)
Fr5
D
CANDIDATE PETITION
Abres.' - All inlbrnrutiotr otr thi.s./brm hec'onrcs a public record upon receipt h.t' thc Supervisor oJ'Elec'tion,s.
- It is tt crinrc to knLtrt'ingl.r'.sign nore thatt onc petition_/br a c'andidate. [Sec'tion 101.185, Florida Statute.sJ
- IJ'all requested in/brnrution on thi.s jbt'm i.s ttot contpletcd, thc./brm v'ill not hc valid a.s u Candidatc Pctition .fbrm.
IA Dra
Signature of Voter
il bo the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
./Nonpartisan E tlo party afriliation E Party candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
i
l
Date of Birth or Voter Registration Number >3tr{/o/o /
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33/'.3!^
Date Signed (IUM/DDIYY)
Ito be completed by Voterl
F.A"C.
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for o candidqte. [Section 104. 185, Florida SnrutesJ
- If all requested idormation on this form is not completed, the form will not be valid as a Candidate Petition form.
\AP the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl<lcomplete box, as applicablel
t Nonpartisan E ruo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter ietration Number Address
GSD esl,\r,ua &A +" o 0-, V fr,o'.-lr-S
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3) rTl
Date Signed (MMTDO/YY)
[fo be Voterl
K 0t L
Signature of Voter
Rule 1S-2.0t15, F.AC
q b
DS{)E roa (Efi.09fir)
I,
I,
CANDIDATE PETITION
Signature of Voter Date Signed (MM/DDIYY)
Ito be completed Votei
t.the undersigned, a registered voter/t'zR r)
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChagl
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan n ruo party affiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
*cet r{oI(I
State
Florida
Zip Code
e3/
osoE l04 09/1 t
e
City
Miami Beach
Rule 1S-2 F.A.C
County
Miami-Dade
i\hres.' -.4ll information on thi.s.form hecomes a puhlic record upon receipt bv the Supervi.sorof Election.s.
- It is u crinrc to krcn'ingly sign not'e than onc pctitionJor a candidutc, [Scction 104.185, I:lorida Stututes]
CANDIDATE PETITION
&u ee-b/P rTqe/J^the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GO
placed on the Primary/General Election Ballot as a'. lchecldcomplete box, as applicablel
[ZNonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
I I 8 63fi /Jq"J;
City
Miami Beach
County
Miami-Dade
State
Florida
Zipcode - ./
bv /-//
Signature of Voter
*6fr
Date Signed (MM/DD/YY)
Voter)a
Ruh tS-2.045, F.A.C
,,Wru
DSOE loa (Eff.09'11)
a
CANDIDATE PETITION
Signature of Voter
'Dt.the undersigned, a registered voter
- T@"n1 narne as it appears on your voter inforrnation cardl
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
Nonpa(isan E f,lo party affiliation D
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
Party candidate for the office of
,'lww'-/e k-o
City
Miami Beach
F.A.C.
Gounty
Miami-Dade
State
Florida
Zip Code
39r //
Date Signed (MM/DD/YY)
Ito be completed by Voterl{-/t- 2s
osoE 104 09,11
CANDIDATE PETITION
i\hres.' - .,1ll injtrmotion on thi.s.fbrm bec'omes a puhlic record upon ret'ei1tt hv the Supervi.utr ttf Elet'tions.
- It is u crinrc lo knov'ingly sign ntorc tlrun one petition./or a c'andidate. [Section 104.185, f'loridq StatutesJ
I,E/ Eu €irn-the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongofa
placed on the Primary/General Election Ballot as a: fchecl</complete box, as applicablel
Nonpartisan flf.fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
I a o 3o
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code13/rz
Signature of Voter
{P/tL &5q
Date Signed (MM/DD/YY)
Ito be completed by Votefl
t-/c^ 7)
Rule lS-2.(X5. F.A.C.
./_7tr
tlsoE 1(r (Eft. 09/11)
CANDIDATE PETITION
A'ares.' - A ll in/brnation on thi,s ./brm beconrcs a public record upon receipt b.l' the Supert'isor of Elec'tions.
- It i.s u L'rinrc to knov'ingl.t'sigtt rnore than one pctition./br a candidate. [Sec'tion 104.185, Florida StatutesJ
- I/ all reque.sted informotion on thi.s.fonn i.s rtot completed, the./brm v'ill not hc valid a.s a Candidale Petition.fbrnt
Signature of Voter Date Signed (IUM/DD/Y[
Il/
lfo De by Votefl
I,(Y^la/'?.c-- b e:J' CcsT,/zo the undercigned, a registered voter
(print name as it appears on your voter information card)
in said sLate and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete 0c.x, as applicablel
./Nonpartisan E no party affiliation E
City of Miami Beach Mayor
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
o"i" oiatrth
(ilm/DDTYY)
or Voter Registration Number
, .3 . .l 2
Addreas
5 ) ] Co-t);
Gounty
Miami-Dade
4
State
Florida
bto
Zip Code
J)rs9
J
City
Miami Beach
DS{)E illl
CANDIDATE PETITION
Notes: - All idormation on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section 104.l,85, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I ( {t'rrc i un M wl g N <- /u bAP the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of [4ic!eel9elsqq
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
INonpartisan flruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert Utle of office and include district, circuit, group, seat number, if applicable)
Birth or Voter Regietration Number Address
(Irn/DDrYn .. nfi.(qr.J/X^-'---l A,l o
City
Miami Beach
County
Miami-Dade
Zip Code
] 3 13 9
State
Florida
Date Slgned (UM/DDrYn
lfo by Voterl
Ruh
07/-S
DSOE flX (Efr.09/fi)
CANDIDATE PETITION
Notes: - All i4formatiott ott this.form becomes a puhlic record upon receipt by the Supen'i.sor qf Elections.
- It is a crinre to knor+'inglv .sign more than onc pctition for a candidate. [Section 104. 185, Florida Statute.sJ
- IJ'all requested information on this.fbt'm is nol conrplcted, theform v,ill not bc valid as a Candidate Petition./brnr
I,/ sA kc r?o Dre t, GvkL the undersigned, a registered voter
(print name as it appearc on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
| ---IDate of Birth
(xrM/DD/YY)
or Voter Registration Number Address
Or t)/ GLI {o1o /*cB Dtu ( ,4ui Pc lltorn r
7 I
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode33/V/
Rule l5-2.045, F.A.C.DS{)E r0a (Eff. 09/11)
Signature of Voter
v
t Date Slgned (MM/DD/Yn
Ito be completed by Voterldbot/2
CANDIDATE PETITION
Noles: - All information on this,form becomes a public record upon receipt b), the Supertisor of Elections.
- It is a crime to knov,ingl.y sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this.fot'm is not completed, the.form will not be valid as a Candidate Pelition form
)3cq^Jc0 z a/ 4 LLoS the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and counly, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
INonpartisan ENo partyafflliation tr ParV candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mrur/DD/YY)
or Voter Registration Number Address
b1 q/ C..^,!4k4r , Qo/
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
)'>trrt
Date Signed (MM/DD/YY)
Ito be completed by Voterl
v -/'2' ) <
Signature of Voter
tu(*
Rule t5-2.04!1, F.A.C.
H-n+o I ob q)
DS{)E 1O.t (Efi.09/tl)
CANDIDATE PETITION
A'ole.s.' - .4ll in/brmatiott ott thi.s ./brm becontes a public record upon rec'ci1tl by the Supcrvisor ol' Elcclious.
-lti.sttcrintctoknov,inglysignmorethanonetrtetition./bracandidatc. fSection l04.lSS,FloridaStatutesJ
- IJ'all requested infbrmation on thi.sjbt'tn i.t not comltleted, the./orm v'ill not be valid as a Candidale Pctition.fbrm.
'' 5nr--, &.t V Ch nvlj the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
ENonpartisan fltto party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(HH/DDTYY)
or Voter Registration Number Address tA I
3 3) &o to
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Slgned (MM/DDfYI
by
Rule I F.A.C DSOE 10a (Eff.09nl)
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StotutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form
€o\r(o f-, H €rz N+/nb€)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecl</complete box, as applicablel
@Nonpartisan flruo party affliation E Party candidate for the office of
City of Miami Beach r
(insert Utle of and include district, circuit, group, seat number, if applicable)
Date of Birth
(rm/DDTYY)
or Voter Registration Number Addrpss th)C
Caty
Miami Beach
State
Florida
Zip Gode
3l ,3 I
Date (r[MrDorYn
lfo be
OE
County
Miami-Dade
Signature of Voter
Rulc 19-2.O45, F.A.C.
J L1 Jro
DSOE r04 (Efi.09/rl)
l1r3 9
CANDIDATE PETITION
Noles: - All in/brnwtion on this.fbrm heconte.s a public record upon receipt h.y,the Supeni,sor of Electiotts.
- It is a c'rime to knot+'ingly' .sign more than one petitionJbr a candidale. [Section 104.185, Florida StatutesJ
- If all requested information on this.fot'm i.s not cotnpleted, the.form v,ill not he valid as a Candidate Petition.l'orm.
I,niC the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition lo have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
,Nonpartisan E ruo party affiliation E Parly candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mrf,/DDIYY)
or Voter Registration Number Address *)\ra9.r P ??s--o tlo
Caty
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
T1 1i t
Rule lS-2.0i15. F.A.C DSOE roa (Eff.09/11)
Signature of Voter Date Slgned (tUItlrDD/Yn
lto be completed Voterl0g()z3
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervbor of Elections.
- It is a crime to lmowingly sign more than one petitionfor a candidate. [Section 104,185, Florida Sruruted
- If all reque.sted informotion on this .form is not completed, the form will not be valid as a Candidate Petition fonn
I,9 r; L€c\)4 €, (\ u,T/[ zrz€)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of tutq[qe1Gqlggrq
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[]Nonpartisan Itto party affiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrM/DD/YY)
o7 Voter Registration Number
(
Address
L4 S(,
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode3),Y/
Signature of Voter Date Signed (MM/DDfYI
lto be completed by Votefl
o -[-Z
33-'s
DSOE r04 (Efi.09nr)Ruh l3-2.11&t- F.A-C.
CANDIDATE PETITION
Notes: - All i4formation on this -form becomes a public record upon receipt by lhe Supervisor of Elections.
- It is a crime to knov,ingl.v, sign more than one petition.for a candidate. [Section 104. I 85, Florida StatutesJ
- IJ all requested inlotmation on this.lbt'm ts not completed. the.fbrm u'ill not be valid as a Candidate Petition.fbrnr
l.rZ C- Su {ZC e U the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a: lchecUcomptete box, as applicablel
lTNonpartisan E No party affiliation tl Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MM/DDTYY)
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
rc^/ b ,]r 3 <s- 7?tt )+7
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Codellr g t
Date Signed (MM/DDTYY)
Ito be completed by Votefl
,- /.a Y a)
Rule 15-2.045. F.A.C.DS-[)E l0.l (Eff.09/11)
Signature of Voter
CANDIDATE PETITION
nuotes: - All inlitrmation on this./itrm heconrcs a puhlic rccord upon receipt b.t'lhe iqtervi.sor of'Election.s.
-lti.sacrintetokno*ingl,l.signmorelhanonepetition.fbrocandidote. fSection 104 lSS,FloridaStatute:;l
- I/ all reque ste d inlormation on thi.s.fi-trnt i,s ttot complctcd, thcjorm will not bc valid a.s a Candidate Petition jitrnt
County
Miami-Dade
Signature of Voter
ilt w
G TL,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpa(isan E f,fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number Address
A,I ?)5 vLl :Q, I etu
City
Miami Beach
State
Florida
Zip Code
33i 1t
Date Signed (MM/DD/YY)
Ito be complgted by Voterl
oslt3123
Rule F.AC.1(N
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipl b1, the Supervisor of Elections.
- It is a crime to know,ingl_,- sign more than one petitionfor a candidote, fSection 104.185, Florida StatutesJ
- lf'all requested information on this.fbrm is not completed, the.fbrm will not be valid as a Candidate Petition Jbrm
I.//onr6r7 .,/Za-*n-the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael GOngora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan f]No partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
o ,72c Acri"S //b, l Eae
County
Miami-Dade
State
Florida
Zip Code
3sy s2
Rule DS{)E 104 (Eff.09/11)
Miami Beach
City
Date Signed (MM/DDIYY)
)1.-4
Ito be by Voterl
CANDIDATE PETITION
Notes: - All inlbrnation on thi,sJ'orm becomes a public record upon receipt h),the Supervi.sor o./ Election.s.
.srgfi more thsn one petition .lbr a candidate. [Section 104. 185, Florido Smrute.sf
is not contpleted, the./brn *'ill not he as a Candidatc Petition.fbrnr
- It is a crime
infitrmation on- Il'all
'^-)
City
Miami Beach
4Z
Signature
the undersigned, a registered voter
(print AS on your ca
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth Voter Registration Number Address
Ot
County
Miami-Dade
State
Florida
Zip Code
J7 t3?
Date Signed (MM/DO/YY)
be PvItod
Rule 1S-2.M5, F.AC.
7ao C.
osoE t04 (Eff.09/fi)
t.
CANDIDATE PETITION
Notes: - All informalion on lhis form becomes a public record upon receipt b7' the Supervisor o.f Elections.
- It is a crime to kno*'inglv sign more than onc petition for a candidate. [Section 104. 185, Florida StatutesJ
- IJ all requested information on this Jbrm is not completed. the Jbrm u,ill not be valid as a Candidute Petition Jbrnr
D^Vib 3. kV -Z *rpnl theundersigned,aresisteredvoter
@o{er information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan flNo parV affiliation E Party candidate for the office of
C of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(uM/DDTYY)
or Voter Registration Number Address
,2 a\.?l I vft ,{
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3)/]7
Date Signed (MM/DDIYY)
Ito be completed by Voter'l27/
Rule 1S-2.il5, F.AC.osoE loa (Eff. 09/11)
Signature of
CANDIDATE PETITION
Notes: - All in/'ormation on thi.s Jbrn becomes a puhlic record upon receipl lry lhe Supervi,sor oJ' Elections.
- It is a crinre to know.ingly.sign more than one petition.fbr a candidate. fSection 104.185, Florido Statutesf
- I/'all requested in/'orntation on this.fbrm i,s not completed, the _fbrm u;ill not he valid as u Candidate Petition ./brnt
n/) flj-l tr € ,,,t c rDu:a, J
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mru/DDTYY)
or Voter Registration Number Address
ft)I og I
City
Miami Beach
County
Miami-Dade
State
Florida
Date Signed (MM/DD/YY)
Ito be completed by Voterl,- lrl -&6lt
Zip Code)] /l 9
Rule 15-2.045, F.A"C.
) o . b3
OS{)E 1O,l (Eff.09,ll)
I
t.
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supertisor of Elections.
- It is a crime to knowingly' sign more than one petitionfor a candidate. fSection 104.i,85, Florida StatutesJ
- IJ'all requested idormation on this fornt is not completed, the fornt u,ill not be valid as a Candidute Petition form.
I,Loiql Cnaafr{zo the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
INonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address /d(MM/DDTYY)t0.p-?_.r 1!-)+ B r,..t I ,CR
County
Miami-Dade
State
Florida
Zip Code
3? /}F
Date Signed (MMTDD/YY)
Ito be completed by Voterl
8' lt - ztz ))
Rule 1S-2.0t15. F.A.C.DS{)E 10{ (Eff.09/11)
City
Miami Beach
Signature of Voter
CANDIDATE PETITION
Noles: - All in/ormation on this./brm hecomes a public record upon receipl b), the Supervisor oJ'Elections.
-ltis(tcrimetohrow'inglysignmorelhononepelilion.[oracqndidate. fSection l04.l85,FloridafiamrcsJ
- ff'all requested inJbnnation on thi.; .f'ornt i,s ttot contpleted, the.form vtill not he valid os a Candidate Petition ./brm.
City
Miami Beach
Signature of Voter
I,C nrc rn +-^) VZ. ( e ttn the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
./Nonpartisan f]ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat numb€r, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Addressq 3'lp I l4l,],)o
County
Miami-Dade
State
Florida
Zip Code
3]D?
Date Signed (MM/DDIYY)
Ito be completed by Voterl
Rule 15-2.045, F.A.C.DS{)E 104 (Eff.09nil
w\
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supertisor of Elections.
- It is a crime to kno+vinglr- sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requested idotmation on this form is not completed, the Jbrm v,ill not be valid as a Candidste Petition Jbrm
J osA the undersigned, a registered voter
(print name as it appears on your voter information card)
in said slate and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
E Nonpartisan f]No party affiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MUTDDIYY)
or Voter Registration Number Address
S-lS-- b t I bJo t-Jcat4v
-)baq
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
]/J
Rule I DS{)E ioa (Eff.09/11)
Date Signed (MM/DDIYY)
Ito be by Votel
CANDIDATE PETITION
Notes: - All inJbrmation on this -/brm hecomes a Jtublic record upon receiltt h7, the Supen,isor ol' Elections.
- lt is a crime to hrow'ingly .sign more than one petition.lbr o condidqte. [Section 104.185, Florida Statutesf
- I/ all reque.sted infbmwtion on this,f'ornr is not complcted, the .fbrm w'ill not be valid as a Candidatc Petition /itrnr
eff
Signature of Date S
llo
I the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or
;?J"TI
N um ber Address lrJcr Nk 2o-r| (HMTDD/A
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
F.A"C.
,lb7F
t0a 09,r
CANDIDATE PETITION
- lt i.s u c'rintc Irt htowittgly ,sigtt ttrotc tltutt ttttc ltctitirttt.fitt'tr canclidutc. [Scctiotr 101.185, Floricla Stutute:f
Signature of Voter Date Signed (MM/DDIYY)
Ito bec 7
t.the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
17 Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrees
AlAe/f*,tn'""U2 - /c-17 rD
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3>r
Rule 1S-2.F.A.C.osoE toit 09,1 1
CANDIDATE PETITION
l\otes: - .4ll injtrmution on thi.s form hecomes a puhlic record upon receipt hl, the Supen,isor af Elections
i.s ttol contpleted, the form v'ill not be valicl qs a Canclidute Pctition fornr
- It is a crimc lo ktrou'ingly sigtr more than onc pctition.fbr a candidate. [Section 104.185, Florida StatutesJ
- If all requeslecl information on
Miami
City
F.A.C.
I,C 0 the undersigned, a registered voter
(print name as appears on your voter information card)
in said state and county, petition to have the name of Michael GOngofa
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
lTlNonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Registration Number , Address /
i 7/g5 A4_[f/,,D h,,e(r (ao 5
County
Miami-Dade /---
State
Florida
Zip Code
I
Date Signed (MM/DD/YY)
by Votefi
Rule 1
I
llo be
2a
/t
CANDIDATE PETITION
iYotes: - All infbrmatiotr ott this.form becomcs a public record ulton receipt by' the Supervi.sor oJ Elec'tions.
- It is a crinte to knorl'ingl)'sign ntorc than one petition.fbr a candidate. [Section 104.185, Florida Statute.sJ
inlbrnrution on this.fbrn, i.t not completed, the.forn v'ill not be valid os a Candidute Petition./'ornr- IJ all
O
Signature of Voter
n
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan E t,lo party afiiliation E Party candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
I Date of Birth or Voter Registration Number Address,nwb 7o >'Dof # Zk a(abt i'
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Date Signed (IIIM/DD/YY)
[to be completed by Voter]
08 -s" aJ
Zio Codee)/
CANDIDATE PETITION
Notcs: - All information on thisform becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requested information on this form is not completed, the form will not be vqlid as a Candidate Petilion form.
I,the undersigned, a registered voter
(print name as appears on your voter information card)
in said state and county, petition ro have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a'.lchecVcomplete box, as applicablel
INonpartisan flNo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert litle of offtce and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address #s oa(xrM/DDIYY)
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3 Z /? /
Signature of Voter Date Signed (MM/DD/YY)
lto be mmpleted by Voter'l
-3,- 73
Rule 1S-2.lXll, F.A.C.
3?- i o sou C)E
DS{)E til (Efi. 09111)
I,
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingl,- sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- If'all requested iqformation on this .form is not comltleted, the .fitrm will not be valid as a Candidate Petition .form.
t"e rL'- flJ ui oz--the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Elec'tion Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan DNopartyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
o Z 7
Addrese
I /3
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Signed (MMTDDrYY)
lto be completed by Voterl
Ruh lS-2.ll4ll.DS{,E toa (Eff.09nl)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon recetpt by the Superuisor of Elections.
- It is a crime to lcnowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as q Candtdate Petition.form.
I,./ig\-o c\+*-the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael
placed on the Primary/General Elec'tion Ballot as a: lchecUcomplete box, as applicablel
!Nonpartisan E Uo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
(mM/DD/YY) @_?_l_ 60
Addrnss
k..v-p6 wp+sb
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Signed (Mil/DD/Yn
Ito be completed by Voterl
Signature of Voter
Rulc lS-2.0i15, F.AC.DSOE ma (Efi.09rfi)
.-A
l
CANDIDATE PETITION
Notes: - All information on this.[orm becontes a public record upon receipt by the Supervisor of Elections.
- It is a crimc to knox;ingl.v .sign more than one petition.for a candidate. [Section 104. 185, Florida StatutesJ
on this.form i.s not completed, the form u,ill not be valid a.r a Candidate Petition _formIl all requested
0
Date Slgned
[to be
Signature
I,the undersigned, a registered voter
(print name on your card)
in said county, petition to have name of M Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[ruonpartisan flNo partyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(HU/DD/YY)7q2 0 fta
City
Miami Beach
County
Miami-Dade
Zip Code$/e?
DSOE il)a
State
Florida
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by lhe Supervisor of Elections.
the form not be valid as a Candidate Petitionform.information on this form li
[Section I 04. I 85, Florida StatutesJ- It is a crime lo knowingly sign more than one petitionfor a
- If all
City
Miami Beach
Signature of
3
I undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan E t'lo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include districl, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrese
Gounty
Miami-Dade
State
Florida
Date Signed (lUMrDOfYn
Ito pg.eo m pl et ed)y V ote I,Y af ,2aAA
Zip Code
4d
Rub I DSOE toa
CANDIDATE PETITION
Notes: - All information on this_form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to lorcwinglv sign more than one petition,for a candidqte. [Section 104.185, Florida StatutesJ
- lJ all requested i4formation on thi.\ form is not completed, the fbrm will not be valid as a Candidale Petition.form.
I,the undersigned, a registered voter
(print name as appears on your voter rd)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
E]Nonpartisan E No party affiliation E]Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Address
Azo 6/? 4 a,/O
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Codev>/4
Date Signed (MM/DOIYY)
lto be completed by Votel
Rule 13-2.045, F.A,C.Ds{)E toa (Etr 0911t)
Date of Birth or Voter Registration Number
o(il
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104. 185, Florida StatutesJ
- If all requested information on thisform ts not completed, theform will not be valid as a Candidate Petitionform.
1t T?f Le ' AOdr+ar-- theundersisned,aresister€dvoter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecVcomplete box, as applicablel
[]ruonpartisan ENopartyaffiliation tr PaO candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mm/DD/YA)
or Voter Registration Number Address
La ZO Jr*r^l q/4 ,4?/o/
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Signed (MM/DD/YY)
Ito M completed by Voterl
o - o//- z6>
Signature of Voter
Rub {S-2.|}illl. F.A.C.DSOE toa (Efr.09fl{)
I,
City of Miami Beach Mayor
CANDIDATE PETITION
Notes: - All i4formation on this.form becomes a public record upon receipt bv the Supertisor of Elections.
- It is a crime to knoruinglt,sign more than one petition.for a candidate. fSection 104.185, Florida StatutesJ
- IJ'all requested information on this.l'orm is not completed, the.form will not he valid as a Candidale Pelition .form
I,/> t e v uev )*.- fr .a H ?'-' € >the undersigned, a registered voter
(print name as it appears on you
in said state and county, petition to have the name of
r voter card)
Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo paryaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
- /q/P
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Slgned (HM/DO/Y[
lto be completed by Voterl
Y- 4- z-aL>
Ruh tS-2.045, F,AC,os{E t(r (Etr 09fl1)
Signature of Voter
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to btowingly sign more than one petilion for a candidate. [Section 104. i,85, Florida StautesJ
- If all requested information on this .form is not completed, the form will not be valid as a Candidate Petition .form
I,f/ aurr,-. b 5z / r /2a 9 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
E]Nonpartisan ENo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
q
Addrsss
0 zoQ
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3)taq
Date Signed (I{M/DDIY[
Ito be mmpleterl by Votefl
Rub lS-2.lttlt. FAC.
O>a OtH.
osoE roa Gfr.09,il)
l?u Jq^2.*. 4 rl 2o 1 -l
CANDIDATE PETITION
Notes: - All in/'ormation on this.form beconte.s a public record ulton receipl b.t'thc Superrisorof Elec'tion,s.
-lti.sacrintetoknovingl.t',signmorethanoncpetition.fbracandidate. fSection l04.lS5,FloridaStatutesJ
- If all reque.sted in/orntation on thi.s./brm i,s not completed, the./brm v'ill not he valid as a Candidate Petition./itrnr
I,1\enw *rm'/1.14N-)the undersigned, a registered voter
- -lprint name as iiappdars on your voter information card)
in said state and county, petition to have the name of Michael Gqngorq
placed on the Primary/General ElecUon Ballot as a: lchecAcomplete box, as applicablel
I Nonpartisan f] ruo party aftliation fl PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DD/Yn
or Number Address
t1 t9b\t %az-
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
...-3 t 3a
Rule l3-2.045, F.AC.DS{)E t(r (Eff.09/t1l
Date Slgned (IilM/DDIYY)
lro by Voterl
-)2.,Q-'L
CANDIDATE PETITION
Notes: - All informalion on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime lo btowingly sign more than one petitionfor a candidate. [Section 104.l,85, Florida StatutesJ
- If all requested informqtion on this form is not completed, theform will not be valid as a Candidate Petilionform
t ( V/f - rrt iarT LL the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Go
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan !tto partyaffiliation EI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rr/rrD/Yn
or Voter Registration Number Address
C-, U^4oX
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3] r3p
Date Signed (ITM/DD/YY)
Wrtr:',x*'
Ruh lS-2.045, F.A"C.
l/ /),f)(U 5 "-/)Ul
IrsoE t(r (Er.09/il)
CANDIDATE PETITION
Abte.s.' - All infornrutiott ott thi.s.form becomes a public record upon receipt by the Supen,isor o.f Election.t.
- It is a crime to know,inglv sign more than one petition J-or a candidate. [Section 104. I 85, Florida StatutesJ
- lJ'all reque.sted information on this.form i.s rtot completed, tlte fornt will not be valid as a Candidate Petition ./'orm.
I,Arn*,p * l\ ,,t- €b in a p I 0 tqrv q,fr the undersisned' a resistered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl</comptete box, as applicablel
@Nonpartisan ENopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Hil/DD/YY)
or Voter Registration Number Address
?J: co-Ll---1o
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Date Signed (MM/DD/YY)
Ito be ampleted by Voterl
07- z7- z)
Ruh 15-2.045. F.A.C.DSOE toa (Eff.0911t)
I
Zip Code
CANDIDATE PETITION
Notes: - All informalion on this form becomes a public record upon receipt by the Supervbor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Sectton 104.185, Florida StautesJ
- If all requested informotion on this form is not completed, the form will not be volid as a Candidate Petitionform.
I f r' c t) fl Rb 'Pt. To > &rto the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'.lchecAcomplete box, as applicablel
[]Nonpartisan Itto party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of offtce and include district, circuit, group, seat number, if applicable)
Date of Birth
(r]H/DD/YY,
or Voter Registration Number Addreas C-EI;4 fr ,,,(
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode
ls G9
Date Signed (Mll/DDrYn
lfo be Voterl
Rub t
tl .tb
DSOE roa (Etr 09nr)
Signature of Voter
CANDIDATE PETITION
Abtes.' - All information on this.form beeones a public record upon receipt b1' the Supervisor of Election.s.
- It is a crime to knox'ingly sign more than one petitionfor a candidate. [Section 104. /,85, Florida Statute.sJ
- IJ'all requested infurnrution on this.fbt'm is not completed, the.fbrm v'ill not be talid as a Candidate Petition form.
I,{l)c>,q fYt Loe€Z the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: [checUcomplete box, as applicablel
@ Nonpartisan ! tto party afiiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DD/YY)
or Voter Registration Number Address?rl (.-r./,f,I frat
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code3i/)r
Rule 15-2.04!1. F.A.C.DSOE 104 (Eff.09111t
Date Signed (MM/DD/YY)
Ito be completed by Voterl
CANDIDATE PETITION
Notes: - All information on this fonn becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to know,ingly sign more than one petitionfor q candidste. [Section 104. /,85, Florida StautesJ
- If all requested idormation on this form is not completed, the form will not be valid as a Cundidate Petitton form.
I,-r C,H the undersigned, a registered voter
(print name as it appears on your votor information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lcheeAcomplete box, as applicablel
t Nonpartisan f]ruo party afliliation I Party candidate for the office of
City of Miami Beach Mayor
(insert litle of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Irn/DD/Yn
or Voter Registration Number
^.4 l),t u9
City
Miami Beach
County
Miami-Dade
State
Florida
Zo Code
J ? t: f
of Voter\Date Signed (MM/DD/Yn
-a-
lfo be by Votefl
Rulc lS{.045. F.A.C.
10 )?
DS{)E tO{ (Etr 09fl1)
I
Addross
?-r I cpab
CANDIDATE PETITION
Notes: - All in/brnalion on thi.s./'orm beconres a puhlic record upon receipl by the Supen'isor of'Election,s.
- It i.s a c'rime to knotringl.r' .sign more than one pctition Jbr a candidate. [Scction I 04. I 85, Florida Statute .sJ
- Il all reque.sted inlbrmation on this.fbntt i,s not completed, the.fbrm v'ill not hc valid a.s a Candidatc Petition .litrnr
'' -rSn R;L bEL F ) t rg( yf yf 6nfrl+theundersisned,aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
E]Nonpartisan !tto party afiiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ril/DDTYY)
or Voter Registration Number Address
t o . /)3 t\ c.,"eL^^n A*c
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
33r]
Rule I F.AC DS{E 104 (Eff. 09/r 1)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidqte. [Section I 04. I 85, Florida StatutesJ
- If all requested information on this form is not completed, the fornr will not be valid as a Candidate Petition.form
I,5orLG{ A Jt'untioa2 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan !tto partyafriliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rrf,rDD/YY)
or Voter Registration Number Addrues
))
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
33,3i'
Signature of Voter
-.=.--) liio t
Date Signed (HM/DD/Yn
lto be ampletecl by Votei
Rub lS-2.045, F.A"C.
Q)t q c1o C:,fru
DSOE t0{ (Efr.0911tl
CANDIDATE PETITION
l\otes: - .4ll information on this .form become .s a public record upon rccciltt by the Sulten'i.sor of Elec'tion,s.
-ltisacrintetoknox'inglvsignmorelhanoncpetition./bracandidatc. [Scction I0l.lS5,FloridaStatute.sJ
- Il all requestcd inlormation on thi.\./brnt i.s not contpleted, thc.fitnn v'ill not be wlid as a Candidate Petition J-ornt
I,llanta'.-q\i a,e {?-or>the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ ruonpartisan ! tto party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xril/DD/YY)
or Voter Registration Number Address
9 lo 3 io(l o G 0 l) lr
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code\i,li
Date Slgned (If, M/DD/YY)
lto be ampleted by Voterl
7"4-Ls
Ruh 13-2.045. F.A osoE flx (Eff.09nll
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Superuisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104./,85, Florida StatutesJ
- If all requested information on this form is not completed, the fornt will not be valid as a Condidqte Petition -form.
I AcR,aeT Tl o />the undersigned, a registered voter
(print name as it app€arson your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan !tto party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(rI[/DD/YY)Ir .c){}/J
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Codelt Gq
Date Slgned (IilM/DDfYY)
lto)e ampleted by Votefl.F ,?q Z1
Ruh tS-2.041I. F.A.C.
38 lo9ro
usoE toa (Etr 09nil
CANDIDATE PETITION
Notes: - All information ott this.form becontes a public record upon receipt b1, the Superuisor o.f Electiotts.
- It is a crime to brc*,ingl)' sign nrore than one petilion for a candidate. [Section 104.185, Florida StatutesJ
- I/ all requestcd infurmation on this.fottn i.t not completed, the form v'ill not he valid as a Candidate Petition fornt
'' Cvt'r>io €s,Pt o\ n the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of \4igheqq9!99!q
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
@Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ru/DD/YY)
or Voter Registration Number Address
' gro3? +-l a-,A^ *n & u 7 tg 'itJ'rJ- L(
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3\tL//
Rule 15-2.045, F DSOE r(x (Eff. o9/1r)
Date Slgned (MM/DDIYI
Ito be completed by Voterl
-Z -2
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt b), the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- IJ'all requested information on thisform i.s not completed, theform w'ill not be valid as a Candidate Petitionform.
t, L 0., i > og c firZ Pe-a eZ )).: r>RrquCp Sr. theundersisned,aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mrf,/DD/YY)
or Voter Registration Number Addrees
? r?
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3) tq/
Rule
2 qLl @b ts11 /l ,t ,a
DSOE r0. Gtr.09fi1)
CANDIDATE PETITION
Notes: - All informatiott ott this./brm becontes a public record upon reccipt b1, the Supervisor of Elections.
- It is a crime to knor+,inglv sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- IJ'all requested infurmation on this.lb,'n i.s not contpleted, the form u'ill not be valid as a Candidate Petition forn.
r, y44r?lrt fL, (ene t L-spinto<e the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@t'tonpartlsan E No party afliliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ru/DD/YY)
or Voter Registration Number I
I
Address
ob30 Hu*---nnre .9tS- 't
J
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
]l/q)
Signature of w Date Signed (MMTDD/Yn
Ito be by Votel>)
Rule 15-2.045, F.A.C.DS{E 104 (Eff. 09/tt)
CANDIDATE PETITION
Noles: - All infornation on this form becontes a public record upon receipl bS, the Supen'isor of Elections.
- It is a crime to knor+'ingly' sign more than one petition for a candidate. [Section 104. 185, Florida Statutes]
- If all requested inforntation on this form is not completed, the form w'ill not be valid as a Candidute Petition.[orm.
I,-/ onr,-,-da [1 e \n ic,tlr:r theundersisned'aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the oflice of
c of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(uu/DD/Yn
or Voter Registration Number Addressbb3b Ha-,&.-4,tQ -, 3A
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3 31?/
*f;U:t:k-tu Date Signed (MM/DO/Y[
"'q:x'"y:'f'g
Rule lS-2.045. F.A"C.
?, >. .)b
DS.I)E toa (Etr 09,lt)
CANDIDATE PETITION
Noles: -.411 in/brmatiott ott this./brm beconres u public record upon rec'eipt b.t'the Supcrvi,sor o/ Elections.
-ltisacrimetoknox'ingl.t'signmorcthanoncltctition.foracandidate. [Section l0l.lS5,FloridaStatute.sJ
- l/ all requesled inlbrmution on thi.\.f bt'm is not complcted, the./itrm v'ill not hc valid a.s a Candidote Pctitbn.litrm.
I,9 g o (< ir,l r+ Y t'o t q I d a lJ <Z ,. ,f ed-.o the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
E]Nonpartisan Etto parVaffiliation E PaO candidate for lhe office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rrf,/DD/Yn
or Voter Registration Number Address
'/ J]RL/<t)a---,Auo I
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
z>/1t
Ruh lS-2.045,DS{)E r04 (Eff.09/fi)
Date Signed (IIIM/DD/YY)
Ito be completed by Voterl
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the fornt will not be valid as a Candidate Petition form.
I,1 L V nn lt N At,re f, . t> e Q Q r'S C A theundersisned,aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUamplete box, as applicablel
[] ruonpartisan f] tto party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rn/DD/Yn
or Voter Registration Number Addrses
g O^rL frv J1
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
?? tr I
Slgnature of Voter
{.
Date Signed (MIt DDIYI
be ampleted by Voterl
Rulc lS-2.045. F.A.C.
il J .f,,b
DSOE loa (Efr.09rtt)
Slgnature of Voter
(
CANDIDATE PETITION
Notes: -..lll in/brnrution tn this./brm becontes a publit'record upon reccilt! b.y'the Suparvisor ofElections.
-ltisac'rintatoknox'ingl.t',signntore!hanoncpctition./bracandidatc. [Scc'tiott l0l.lSS,FloridaStatute.sJ
- [f all reqttested in/brmation on this.fottrt i.s not contplctcd, the.form v'ill not he valid as a Candidatc Pctition.fitrm.
I,t-
I { FLIC LoPe>the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a'. lchecAcomplete box, as applicablel
@Nonpartisan flNo party affiliation E
City of Miami Beach Mayor
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrM/DD/YY)
or Voter Registration Number
t t.> t'J 3t '00?O^4u 3r/
Zp Codej3)<lt
Address
City
Miami Beach
County
Miami-Dade
State
Florida
Rule 13-2.045, F.A.C.DSOE loa (Eff.09/1rl
Date Signed (MMTDD/Yn
Ito be completed by Voterl
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- lt is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this .form is not completed, the .fornt will not be valid as o Candidate Petitton form.
I Ai( €L,ft flr,frN the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan fltto party afflliation E Party candidate for the office of
City of Miami Beach Mayor
(insert litle of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DDTYY)
or Voter Registration Number Addrese
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
l) l:3
Slgnature of Voter
4,*1k ?t#b,,/
Date Signed (tU lulrDD/Yn
M mmplete!.by Voterl-7(-&8
Rule lS-2.045, F.A"G.
. /) 3t tsb B 1^fr,
DSOE roa (Efi.09/il)
CANDIDATE PETITION
lVotes: - All in/brnrulion on thi.s ./bnn becotrrc.s u public record upon rec'eipt b.t' the Supcrt'i,sor ol Eleclion,s.
-ltisac'rimetoknov'inglv.signntorethanoncpetition.fbrac'andidate. [Scction l04.lS5,FloridaStatutesJ
- If'all reque.sted in/brmation on this./ornt i.s ttot completed, the.fornr v'ill not bc wlid as a Candidate Petition.fitrm.
I,a>A8€L V; 1.0.,to7.',the undersigned, a registered voter
er information card)
in said state and county, petltion to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
,Nonpartisan E f,lo party affiliation E PaO candidate for the office of
of Miami Beach M
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Addrsss
,e Q,3'b tl a^J^--,..(mm/DDrYn fr,t Y;
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
3> tcl I
Slgnature of Voter
d,,^!,\*m
Date Signed (MM/DD/Y[
Ito be ampleted by Votefl
? /es( 43
Ruh tS-2.045, F.AC DS{)E toa (Eff.09/fi)
CANDIDATE PETITION
Notes: - All idormation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for q condidate. [Section I 04. I 85, Florids StatutesJ
- If all requested information on this.form is not completed, the form will not be valid as o Candidate Petilion form
I,(.a tu. {l c the undersigned, a registered voter
(print name as it appears on your voter i card)
in said state and cnunty, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplele box, as applicablel
@ttonpartisan !ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Hm/DDTYY)
or Voter Registration Number Address -t
tc. t tsb3fr L.l 0,i 'QA
Gounty
Miami-Dade
State
Florida
Zip Code
)3t 1/
Date Signed (MM/DD/YY)
lto be completed by Voterl,$-
City
Miami Beach
Signature of
Rulc lS-2.1X5, F.A"G.
HO
osoE toa (Efi.09,l1)
CANDIDATE PETITION
Abres.' - All informatiotr otr thi.s.f'orm bccomes a public record upon receipt b1, the Supe rvisor of Elections.
- It is a crime to knoringlv sign more than one pe tition for a candidate. [Sectiott 104.185, Florida StatutesJ
- Il'all reque sted infbrntation on this.fot-m i.s not cotnpleted, the.f'orm v'ill not be wlid as a Candidale Petition.fornt
I,?o I )the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
@ Nonpartisan E t'to party afriliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DD/YY)
or Voter Registration Number Addresa
:l b 'b dla.-C.^.-..Ao ao
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3>/Ht
Rule lS-2.045, F.A.C.DS{)E Io. (Eff. 09/1r)
Date Signed (MM/DD/Yn
Iro Voterl4-z
CANDIDATE PETITION
Nolcs: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is s crime to knowingly sign more than one petitionfor a candidqte. [Section 104./,85, Florida StatutesJ
- If oll requested idormation on this form is not completed, the form will not be valid as q Candidate Petition.form.
I,C s n , J oJ ( e r e>the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'.lchecl</complete box, as applicablel
@Nonpartisan ENo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Ir]{/DD/Yn
or Voter Registration Number Address
tl .t A-.Fn>:2e /
City
Miami Beach
County
Miami-Dade
Zip Code
33tL/ I
State
Florida
Date Signed (HM/DD/YY)
llo by Voterl
ri-- t:\ . .aaL
Signatura of Voter
_, -r
Rulc 15-2.045, F.A.C.
3 Bb T
DS{)E tot (Etr.09n1)
CANDIDATE PETITION
lYotes: - All in/brmation on thi.s.fonn hecomes a public record upon rec'eipt b1' the Supervisor of'Eleclions.
- It is a crinrc to know,ingly sign nrcre than one petition.fbr a candidate. [Sectiott 104.185, Florida StatutesJ
- ff'all requested infonnation on this .lot'tn is not cotnpleted, the.fbrm v'ill not be valid as a Caildidate Petition _litrnr
I,frba1 Fe YL- L,:c,,o the undersigned, a registered voter
(print name as it appears on your voter information card)
in sald state and county, petition to have the name of
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
[]Nonpartisan flHo party afriliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrM/DDIYY)
or Voter Registration Number Address
'e)- J9 qa 6 [-1 a^d;-4rp-J'A
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3]1r1 I
Date Signed (MMTDD/YY)
lto be
Ruh lS-2.045, F.A.C.DS{)E tO4 (Eft.09flt)
CANDIDATE PETITION
NoEs: - All information on this form becomes a public record upon receipt by the Supervbor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requested information on this form is not completed, the form will not be valid as q Cqndidate Petition Jbrm.
t:L de Stt*r tUra the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lcheeUcomplete box, as applicablel
[]Nonpartisan Itto partyaffiliation I Party candidate for the offie,e of
City of Miami Beach Mayor
(insert litle of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(HM/DDfYY)
or
s
Voter Registration Number Addrees
.N'b hlc;^A-,-fru e-)tl
County
Miami-Dade
State
Florida
Zip Code
33/q/
City
Miami Beach
Signaturs of Date Signed (IilMIDDIYY)
"f;IYr\\"-<t
Rule 1S-2.llilll. F.A.C.
,d
osoE roa (Etr 09rtt)
€Lr X
CANDIDATE PETITION
A'ate.s.' - All infurmation on thi.s.fbrm hcc'onrcs a puhlic record upon rec'eipt h.t' the Supart,i.sor of Elec'tions.
-ltisac'rimetokno*'ingl.v,signnrorcthanonepetition_fbracandidate. [Scction l04.lS5,FloridaStatutesJ
- I/ all requested inlitrmation ()n this.lbt'm i.s not completed, the.fbrm u'ill not be valid as a Candidate Petition.fitrm.
City
Miami Beach
by Votefl
t
Slgnature of Voter ;
Ito be
Date
I,l o9e fl 6 cryt €z the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a'. lchecUcomplete box, as applicablel
INonpartisan [ruo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DDIYY)
or Voter Registration Number Address
?_]-l I bb3a /lc,N,t )o
County
Miami-Dade
State
Florida
Zp Code3!l tl I
DS{)E I(x
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidqte. [Section 104.l,85, Florida StotutesJ
- If all requested information on this .form is not completed, the form will not be valid as o Cundidate Petition form.
I,rn I
-t c r_1 frtYe the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and cnunty, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as appliceblel
INonpartisan !tto partyaffiliation E Party candidate for the office of
of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mu/DD/YY)
or Voter Registration Number AddressBalg a+aA^."fi,t e /)-
City
Miami Beach
County
Miami-Dade
Statg
Florida
Zip Code
3)n 74,
Slgnature of Voter
-z''7- C
I
Date Slgned (illt DD/Y[
lto be completed by Votel
o'7 - 2C_ Zj
Rule lS-2.1145. F.A.C.
lJ.cl
IX30E flL (Efi. 09rfl)
CANDIDATE PETITION
Notes: - A ll in/brnrut ion on thi.s .fbrm bccontes a public rccord upon receipt b.t' the Supe rv,i.sor of Elec'tion.s.
-lti.sa('rine tokno*'ingl.r'signntorethanoncpetition./bracandidate. fSaction l04.lS5,FloridaStatute.sJ
- Il all requestcd inf'ormation on thi.s _fot'nt i.s not contpleted. the.form *'ill not hc valid a.s a Candidatc Pelition./itrnt
I,lnf)ftrd),)iJE Lo/t&the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
@Nonpartisan !tto party afliliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(rm/DD/YY)3- .-{}b N e.^H,t ;J
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Gode
\atqt
Date Slgned (MM/DD/Yn
Itp\e ampleted by Voterl'/-25-2i
Rule 13-2.045. F.AC.DSOE 104 (Etr. 09/fi)
ofre
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- lt is a crime to knowingly sign more than one petitionfor a cundidate. [Section 104./85, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as o Candidqte Petilion form.
City County
of Voter
C'
Date Slgned (MMTDD/Yn
Ito be completed by Voterl
I,the undersigned, a registered voter
name as it on your voter information card)
Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan flruo party affiliation E Party candidate for the office of
I
in said state and county, petition to have the name of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Hrf,/DD/YY)
Voter
0tl
Numberor
51
Addrpss;Hi Cstl;rrfr,,e7Al he r (l/
State
Florida
Zip Code
73 tict
t F.A"C.II9OE lo'l 09rt
CANDIDATE PETITION
Notes: - All infornatiotr otr this Jbrn be c'omes a public record upon receipl h.y, the Supervisor of Elections.
- It is a crime to knox'ingl.v sign more than one pctitionJbr a c'andidatc. fSection 104.185, Florida StatutesJ
- IJ'all requestcd inlbrmation on this.fbttn i,s trot completed, the.fbrm v'ill not be wlid a.t a Candidate Petition.fbrm.
I,\',.)tndi 9'r.t^r"the undersigned, a registered voter
(pflnt narir'e a{it appeaE on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan I tto party affiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrpDD/Yn
or Voter Registration Number Address
U 2s q t|tu 5+Z CL-
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
9)t 37
Ruh lS-2.045, F.A"C.DS{)E 104 (Efr.09111)
Signature Voter Date Signed (Mt/DDrYn
1 Zt,
Ito be Votefl
CANDIDATE PETITION
Noles: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this .form is not completed, the form will not be valid as a Candidate Petition form.
iIA BOA ft the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'.lchecAcomplete box, as applicablel
Ir,lonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrces r -t
6t7o ri e
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
35
Signature of Voter Date Slgned (IXMTDDIYIo"T:ff'Y5"\"s
Rule lS-2.0t15, F.A.C.
6n
I\SOE ilta (Efi.0911t)
;
Vn*;
CANDIDATE PETITION
Notes: - ,4ll information on thi.s./brm hec'otttcs a public record upon receipt by the Supervisor of Elec'tion.s.
- It is a crinte to kno*'ingl.r' .sign more than onc pctition .fbr o candidate. [Se ction I 04. I 85, Florida StatutesJ
- If'all requested information on this./b,tn i.s ttttt completed. the.fbrm v'ill not be valid as a Candidatc Pctition.fbrm.
Signaturu of
I,A t cirr< W,'w1e,tt(the undersigned, a registered voter
(print name as it appears on yoHoter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
INonpartisan [ruopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
Co[ [tt-S A--c /cc(uwootw)g1
[]TC (,6 ]t
County
Miami-Dade
State
Florida '*77 s1
Rule 15-2.045. F.A DSOE 10a (Etr 09/11)
City
Miami Beach
Date Signed (ltm/IlD/Yn
1*-)oTlfo be Voterl
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.i,85, Florida StatutesJ
- If all requested informotion on this form is not completed, the form will not be valid as a Candidate Petilion form.
Date Slgned (MMrDDfYn
bv Voteil
Z;- ZcIfo
I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleciion Ballot as a: lchecUcomplete box, as applicablel
@t,tonpartisan !tto party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(rH/DD/Yn
/? _ /V 7 fAq S kv.So
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code)JtJ7
Signature of Voter
Ruh F.AC.
&
CANDIDATE PETITION
Notes: - All inlbrmatiott ott this .form becontes a public record upon receipt hv the Supe rt i.sor of Elections.
- It is a crime to kttorvingh, sigtt more than one petition./bra candidatc. [Scc'tion 104.185, Florida Statute.sJ
- Il all requcsted inlorntation on this.l'ot'nt is ttot conrytleted, the_fbrm v'ill not be vulid as a Candidatc Pctition.fitrm.
t.Jo,.ee- Qrrs 6nn.;*the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, peti tion to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplele box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
(b.b1 Tto ( f3 v.,1,5l--. {l,l I Qo t
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
331c1 /
Signature of Date Signed (MM/DD/YY)
Ito be completed by Votei2s-6* 23
Rule
CANDIDATE PETITION
Nuotes: - ,4ll in/brmution on thi.s .fbrm bec'ontes a puhlic rccord upon rcceipt b-r' thc Supcrt'isor ol Eleclittn.s.
- It i.s ct <'rinc to knowingl.r,.sign nutre than onc petitiott.lor a candidate. [Section 104.185. Florida Stututc.sl
l.L p Zn ^A L e N fr S,+r* c H ts .)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicable)
INonpartisan E No party affiliation tr
City of Miami Beach Mayor
Party candidate for the office of
Date of Birth
(MM/DDTYY)
City
Miami Beach
County
Miami-Dade
Zip Code
3 31?/
Date Signed (MM/DD/YY)
Ito be completed by Voterl
0g -- 16.- z?
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
t(. rJ- ?o +(o t {3 -t .,\-€-, 4*..1'{ ot
State
Florida
Rule 1S-2.045. F.A.C.osoE 104 (Eff.09/11)
Signature of
\IJ
CANDIDATE PETITION
Ahres.' - ,4ll inJbnnatiort ott this ./brm beconres u public record upon rcc'cipl b.t' the Supcrvisor oJ' Elcction,s.
-ltisacrimetoknot+'ingl.t'signmorethanoncpetition./'ot'uc'andidute. [Sec'tion l0l.lS5,FloridaStotutesJ
- IJ'all requested infbrmation on this.lbt'm i.s ttot complcted, the.fitrm v'ill not be valid as a Candidate Petition ./itrnr
I,E tnmg Lona->the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan flruo party affiliation fI Party candidate for the office of
City of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mu/DD/YY)
or Voter Registration Number )o 4 L)
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
<) tLl I
Date Signed (Hil/DDIYI
lto M ampleted by VotefiZZ
Ruh 15-2.045. F.A.C.DS{)E toa (Eff.09rlt)
.-_-;
4--,
Signature of Voter
/
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidote. [Section 104.185, Florida StarutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petilion form.
I,4 LFfte\o _Sor Q *rLe- i fr the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !tto party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mu/DD/YY)
OJ Voter Registration Number
o-Js.3b
Addrcas
o
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3 ] i?r
Signature of Voter ,'(/kfl"^Date Signed (MM/ODrYn
Ito pe ampleted,by -Voteflu lr -lfi
Ruh lS-2.Otllt, F.A.C.
?(o r {trv
osoE toa (Efi.09nr)
i laar"""
I
CANDIDATE PETITION
Noles: - All information on this _form becomes a public record upon receipt by the Supervisor of Elections.
-ltisacrimetolmowinglysignmorethanonepetitionforacandidate. [Sectionl04.lS5,FloridaStatutesJ
- lJ'all requested information on this Jbrm is nol completed. the Jbrm u,ill not be valid as a Candidate Petition Jbrm.
I.LIaep tB e- Sicrp the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo paryaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
(irurDDIYY)
Address, )) re / -.tJ Tto >'o ce t/5 0J_
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
])
Rule lS-2.045, F,osoE 10a (Eff.09/il)
Signature of
CANDIDATE PETITION
Notes: - All inJbrmation on thisJbnn becomes a puhlic record upon receipt hy the Supeni,sor ofElections.
- It is o crime to know'ingly sign more than one petition.fbr a candidate. fSeclion 104.185, Florida Smrute,sl
- I/ all requested information on this.fot'm is ,tot completed, the.fitrm w'ill not be valid as a Candidqte Pctition./brm
I 6 rL frc i r-'cfi fr 6g[LmnNi the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of Mic[qgl Gqngqq
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(.'M/DD/YY' o, /zq /ryaz J" fr.>Ll e ,s-
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3) (L{/
Signature of )ter
tN tb
Date Signed (MM/DD/YY)
4[to be
Rule lS-2.(X5, F.A"C.
)b o
DS.I)E lll.l (Etr 09/11)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipl by the Supertisor of Elections.
- It is a crime to knov'ingl-r- sign more than one petition for a candidale. [Seclion 104, 185, Florida StatutesJ
- lJ'all requested informqtion on this fornt is not completed. the Jbrm u,ill not be valid as a Candidate Petilion Jbrm
GU i ( t€f ^r-,C {ZO Dnl gUy;Z Srt.theundersisned'aresisteredvoter
(frint name as it appears on your voter information card]
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
pNonpartisan E No party affiliation tr Party candidate for the oflice of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(uruoorw)
or Voter Registration Number I
I
I
I
l
Addressg. /E..s6 > g Lo 'd a-^ d;-,p 4 ,. Ll
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3 3l L/ /
of Voter Date Signed (M III/DD/YY)
[to be cqnOletey' by Voter]*l/r(a22-3
Rule l5-2.045, F.A"C.osoE 104 (Eff.09/11)
CANDIDATE PETITION
Notes: - All in/brmation on this.f orm becomes a public record upon receipt h), the Supen'i.sor of'Elections.
- It is a crime to knowingl.t, sign more thon one petilion _fbr a candidate. fSection 104. 185, Florida Statute.sl
- Il'all requestcd in/brmation on this./bt'm is not complcted, thc./itrm *'ill not he valid a.s o Candidate Petition /brm.
Signature of Voter
I ' 4 € nA p C i r C * f O Aen T 4 the undersigned, a registered votere r L Lt A
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
E Nonpartisan E No party afflliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
OQ
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
] 3 )'l /
Date Signed (MM/DDIYY)
by Voterl
L5
Ito be
b
cgmpleted
I ta1
Rule 1S-2.(X5, F.A"C.
t t( 5)] t")o C-.^frw.
DSOE tO,l (Eff.09/ll)
I
CANDIDATE PETITION
Notes: - All informotion on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowinglv sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requested information on this form is not completed, the Jbrm will not be valid as o Candidate Petition Jbrm.
t.tvlftx 6u7-rn,nA)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county,, petition to have the name of !4ighe9l99!99!q
placed on the Primary/General Election Ballot as a: lchecl<lcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MU/DDTYY)
or
i
Voter Registration Number I
I
Addrees
t ) tr g+?+]s- 4Abttl N,t,S[=
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33rrt t
Date Signed (MM/DDIYY)
Ito be completed by VoterlB-lc-- zo"-7
Rule 15-2.045. F.A.C.DS{)E il)a (Eff.09/fit
CANDIDATE PETITION
Notes: - All inf'ornation on this.l'orm heconres a Jtuhlic record upon receipt hv the Supervi.sor o/ Elections.
- It is e crime to knou,ingly sign more lhan one petition .lbr a candidate. fSection I 04. I 85, Florida Slalutesf
- Il'all requested inlbrmation on this.fot'm i,s not completed, the./brm will not be valid as a Candidate Petition .lbrnt
LeatrLt> Sar,ft-_$oix the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan n ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address?+lS frbLrft frt., ?o
County
Miami-Dade
State
Florida
Zip Code
({
Ruh 15-2.045, F.AC.
L
DS.t)E (Efr. O9/fl1
CANDIDATE PETITION
Notes: - .4ll in/brmation on this .fbrm bec<tnres a public record ulton receiltt b), the Supervisor ol. Elections.
- It is a crimc to knov'ingl.t' sign ntore than one petition for a candidatc. [Section I 04. I 85 , Florida StatutesJ
- I/ all reque.sled inf ormation on this./brm i.s not completed, the.fbrm v'ill not he valid a.s a Condidate Petition .fitrnr
I,Kveil :f Bnr?vc the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
./Nonpartisan E ruo pafl affiliation E Party candidate for the office of
of Miami Beach M
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number
(MU/DDTYY)
O O,-t-.1
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
3: l?/
Date Signed (Mii/DDrYn
lto be completed by Voterl
ox/u 7;;
Rule l5-2.045. F.A"C DS{)E 104 (Eff. 09/fl)
Signature of Voter
CANDIDATE PETITION
Notcs: - All infornation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florido StotutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form
I,VO t+U UaV the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !tto partyafiiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(tm/DD/YY)
or Voter Registration Number Address (t fr,t o
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
l3 /L/ t
Signature of
Rule l5-2.045, F.A.C.
? Sb \bcr *66
DS{,E loa (Etr.09/1t)
orn
CANDIDATE PETITION
nature of Voter
I.fef< the undersigned, a registered voter
(print name as it on your voter information card)
in said state and county, petition to have the name of MiChael GOlgqfa
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number I Address
'y7?'ry! z/o I vL'4 /q
City
Miami Beach
County
Miami-Dade
zip3 st //Gode
F.A.C.os{E 104
State
Florida
Date Signed (MM/DDIYY)
Ito be completed by Votefl
/
CANDIDATE PETITION
r\bres.' - All iryformation on thi.s form hetonrc.s a puhlic record ulton receipt hv lhe ,Supervi.sor of lilec'tion.s.
-ltisacrimctttknotringlysignntoretlunonepetitionJbracandidute. [Sectionl04.llJ5,f'loridaStatutesJ
O6v-27< t7 -€a y r 'e the undersigned, a registered voter
in said state and county, petition to have the name of MiChael GO
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
ENonpartisan ENo partyafiiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(uir/DDIYY)
or Voter Registration Number Address
r ,-/r*)2 -r77
City
Miami Beach
County
Miami-Dade
State
Florida
Signature of tu)4
Zip Code
s5 /1/
Date Signed (MM/DD/YY)
[to be
o
by z8/I6
Prls 15-2.615, F.A.C.
I
g
DS{)E 10. (Eff.09/tt)
I
CANDIDATE PETITION
- It i.s u crintt'ttt kttrtttittgl.t'.sigtr tttot.t thutt ttttc ltatitiott.fitr d LLutdiddtc. fSactitttt 1()1.1,\5, l:ltttidu Stuttrtc.;J
- llull
t.the undersigned, a registered voter
(print as it appears on your voter information card)
in said state and county, petition to have the name of MiChael -Ggqgora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or
i (HM/Doryy)^ _
| 4ft// ryc
Voter Registration Number Address8x4;J 6(
/t' I t
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Date Signed (MM/DD|YY)
Ito be completed by Voterl3- /G- z>
Ruls I F.A.C.
Signature of Voter
I'o/es.' - A ll informution on thi,s fitrn betttmes a puhlic record upon receipt hv the Stqten'isctr of Elect ion.s.
- lt is u crinrc to knox'ingly sign nwre tlrun onc pctition.lbr a candidutc. [Scctiort 104.1E5, l:loridu Stututcs]
CANDI E PETITION
Signature of Voter
@
the undersigned, a registered voter?/'a ro
(print name as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/General Election Ballot as a.lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr
City of Miami Beach Mayor
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
d
City
Miami Beach
Address
6L93 oz
County
Miami-Dade
a D 3
zip
w b" /r/ t
Code
/{f
State
Florida
Date Signed (MM/DD/YY)
Ito be completed by Voterl
- lL- LoL)
Rulo F.A_C.I\S{)E ioa rEtr. 09rttt
CANDIDATE PETITION
- lt i.; tt Lt'intL,t() krrorr'irrgir' .:igu ttttttc'tlutt ttttc ltctition.fbt'u cttttdidutc. [Scc'ti<ttr 101 185, [''ktrila Stututctf
IJ tluft err,//a the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan flruo party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
i Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
YGsWo "ri
' o7-o/-/ 7/f 1,/e
City
Miami Beach
County
Miami-Dade
Zip Code
,///v
+
Date Signed (MM/DD/YY)
Ito be completed by Voterl
8 - )a- e3
Rule l3-2.0i15, F.A.C.osoE 10. (Eff.09,fi1
State
Florida
Signature of Voter
1
CANDIDATE PETITION
iVotes: - All informutiott otr thi.s form hecome.s a public record upon receiltt hv the Supervi.sor of Elections.
- It is u crinrc to hrc*'ingly sign more thun onc patilion.[or a c'andidate. [Scction 104.185, Florida StatutcsJ
- If all rcqucsted infurnrution on this Jbrm is not c'<tmpleted, thc form v'ill not be valid as a Candidate Petition fornr
L a undersigned, a registered voter
on voter
in said state and county, petition to have the name of Gongora
placed on the Primary/General Election Ballot as a.lchecUcomplete box, as applicablel
@Nonpartisan f]No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
i [n{rv//n?/v ./t e o Z (
City
Miami Beach
v
County
Miami-Dade
State
Florida
Zip Code
33/ //
Date Signed (MM/DD/Y[
Ito be completed by Vaterl
Y 0-(- /r.l 227
Rule 1S-2.04!i, F.A.C.
D v
DS.I)E rO. (Eff. 09/fi)
CANDIDATE PETITION
- lt i.s tt t.rittrc ttt kttotritrgl.r.sigtt tttttt'c'tltutr rtttc ltclitiott.lbt d LLutdidulc. [Scctiott 101.1,\5, Florilu St.tlutc.tJ
t.the undersigned, a registered voter
(print name as it on your voter information card)
in said state and county, petition to have the name of MiChael GOng ora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
fZNonpartisan f]No pa(y affiliation tr Party candidate for lhe ofl'ice of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
I (MM/DD[YY)
or Voter Registration Number Address
I o-2 I trb )8,(h,47 ,.4 a 6aE i
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
7>
Signature of Voter
Wz.6.fr;Zl
Rulo lS-2.0tt5, F.A.C.DSOE 104 (Eff. 09'11)
Date Signed (MM/DDTYY)
(to beI Voterla2
CANDIDATE PETITION
rYares.' - .1ll infornuttion on thi.s.form betttntes a puhlic record upon reteipt bv the Supert,i.sor of Election.s.
- lt is u crinc to hrctingly sign ntot'c than one pctition_fbr a c'undidute. [Sectiort 104.185, Florida StatutesJ
- IJ'ull rcque.stetl information on thisftrrm i.s not c<tmltlcted, thefnrm v'ill not be valid es u Candiddte PelitionfornrHeithe undersigned, a registered voterzZ
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
of Miami Beach f
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
3e s q/a'Z-i
I
City
Miami Beach
Coungr
Miami-Dade
Zip Codes3///
Date Signed (MM/DD/Y[
Ito be completed by Votet?-/P-2ezg
State
Florida
Rule 1 osoE ru (Eff.09/11)
CANDIDATE PETITION
- lt i.s u Lriilr to Atutl'ittgl.v.sigtt ltot'c rhutr otrt'1tt'tititttt.lil tt cturclidutc. [Scttiott 101.135. l:lttridu Statute:;f
the undersigned, a registered voter2zlZA
name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Go
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
Nonpartisan f]r,fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit. group, seat number, if applicable)
Dqte of Birth or Voter Registration Number Addrees
{MM/DDTYY}'?4:?i-/ 74 /7ez Ve a 3z'
City
Miami Beach
County
Miami-Dade
Zip Code
33,/ /,a
Date Signed (MM/DDIYY)
Ito be completed by Votel
)'- tl' 23
Rule 1S-2.0t15, F osoE toa (Eff.09,111
State
Florida
CANDIDATE PETITION
i\hres.' - ,1ll inrtn'molion on thi.s form become.s o public rec'ord upon receipl bt, the Sulten,i.sor of Election,s.
-ltisuc'rinrctoknot'inglysignnorethanoncpatitiott.foruc'undidate. fScctiott 104.185,[:loridaStatutes]
form i.s trttl conrpleted, tlrcftrm v'ill not be vulid us q Cundidqle Pctitionfornr- If all retprc.sted inftt rmqtiotr on lhi.s
a €ar>the undersigned, a registered voter
name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
IZNonpartisan f]No parly affiliation tr Party candidate for the office of
C of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
i (uutootw), tc) - t+. ^ f7 Ge>
Addrees
+yq) y 3rz
City
Miami Beach
Countlr
Miami-Dade
State
Florida
Zip Gode33///
Signature of Voter Date Signed (MM/DD/YY)
Ito be completed by Voterl
,<f,-
Rulc 15-2.045, F.A.C.
AI.t,r<; A"* I
osoE loa (Eff.09111)
I,
CANDIDATE PETITION
t. 1 ,en
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placcd on thc Prirnary/Gencral Elcction Ballot as a: fchccl</complete box, as applicablel
Nonpartisan E rtro partv affiliation n
the undersigned, a registered voter
City of Miami Beach Mayor
(insert title of office and include district. circuit, grouD. seat number, if applicable)
or Voter Registration Number Address
Party candidate for the office of
oa o
Zip Code
Date of Birth
(MHiDDi/Yi '7Gff1^21"*'7- zY-+
City
Miami Beach
F,A.C
County
Miami-Dade
State
Florida
Date Signed (MM/DOTYY)
Ito be completed by
7>ra'
lcLo
Voteflaoz)
Rule 1 09/1 1
Signature of Voter
r
CA.NDIDATE PETITION
- lt it ,t , r';rrr,, ttt l'tt,tt,'inolt ciott ttt,rt',, llt,ttt.ttrt' ttt)liti.in lttr tt t trn,litl.trt' l\,t'littrt llrJ lX\ l:lrrri,l,r \lttlrtlt'\'l
I
.t t^A
t'16r> 'Pe >-tho rndersionpd a reoistered ,.,Otg!.
s'2 a z-
(print as it appears on your voter information card)
in said state and county, petition to have the name of MiChael GOngOfa
placed on the Primary/Genera! Election Ballot as a' lcheck/complete box, as applicable)
Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number l,f,IM'DD'YYI i
i"7"/t-'5-
Add ress ,!Ec/p i
City
Miami Beach
County
ttliami-Dade
State
Florida
Zip Code
Signature of Voter Date Signed (MM/DD/YY)
llo hp camnlcled hv VnleA
t
Rule 1S-2.0t15, F.A.C.
,- /b- 27
osoE r04 (Eff. 09/111
@Nonpartisan E No party affiliation tr
l.EprcTfi fij;ia the undersigned, a registered voterP
CANDIDATE PETITION
(print name as it appears on your voter information card)
in said state and county. petition to have the name of MiChael GOngora
placed on the Primaryi General Election Ballot as a: lcheck/contplete box, as applicablel
Nonpartisan E r.lo party affilration l-.l
Date of Birth or
City
l',4iami Beach
Signature of Voter
Party candidate for the office of
(inserl title of office and rnclude district. circuit, group seat number, if applicable)
Voter Registration Number Address
(MM/DD/YY)\. .-- 3 l) 'qo AET L)/*- A 't
o,-
^l
0neL
| | z,r, crJ" l
i .-i> /) f -l
I oate gisne!,(MM/DD^/Y)
lv;N'ffi,"'.'),n.,,..
I
l
County
Miami-Dade
State
Florida
Rule 1S-2.045. F.A.C.09/1 1
\ rrlr'r. i
CANDIDATE PETITION
,1,,1 .i.,,,,,/ /,, i/i, .\'i,,,,,r .',. '.t.,
,, ' ,i ,,r,t,lt,l,,r, -''.\i, 1i,,11 .'l),' ,'\ i ,'
i.. ,,, ;1.. : t,'t,i;.,','i,i,ti L ',i1i,,', . , i
A ^t\ {Z e-rt f lDory ,Z the undersigned, a registered voter
A.C
(print nanre as it appears on your voter rnformation card)
!r!I :.rr(, -r.rri: r r . uuL,r .y ii:l,tlOrl tO lli,.l Ilg l',rli,9 9f It4ichael Gongora
,, .i..u,.j ort llrc [:lrr,,.i . C,- iu 1 [ ui-:,o ] [].rll:i.:- at. [.l;". i, ce'tttplt:lc box .,S appltcabla)
.!:l i
Date of Brrth
(MM/DD/YY)
j citv
i t\tliami Beach
Sign
L--, .., .: l;i
or
City of Miami Beach Mayor
,,, :e I iti.. ,. ...'f L.t; ,r:rri l: .l,t i', i siirr,t ,:ircuit, group seaI rrrlntbu; ,i.t1;;,i .-,rLicr
Voter Registration Number Address
29 63 220 n Q,t.A
County
lvliami-Dade
Gt"i"
I rrorioa
Date Signed (MM/ODl/Y)
Zip Codel] r) P
tpleted by VotelL
$
Rule I S
ature of
u'o" r 6
DS-OE 104
?
09/'t l
Cjty of Miami Bgac! !1qyg,
l
I
L
_l
13eNla^,'^f 8 S,n t o0.oor/+*the undersigned, a regrstered voter
CANDIDATE PETITION
(print name as it appears on your voter information card)
in said state and county. petilion to have the name of Michael Gon ora
placed on the Primary/General Elcction Ballot as a: lchecUcomplete box, as appltcable)
Nonpartisan n No party affiliation tr
City of Miami Beach Mayor
Date of Birth
(MM/DD/YY)
or
City
lt/ianri Beach
Signature of Voter
(insert tille of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Addresst a" +6 >21 rn 9-+o,'.lz
Party candidate for the office of
?
County
Mianri-Dade
State
Florida
_l
Date Signed (MM/DDl/Y)
Ito be cfinpleted by Voterl8/olre
Rule 1S-2 04 c os-DE 1 04 tt. 09/1 1
,/
C
Date of Birth
(MM/DO/YY)
City
lVlianri Beach
Signa
S;t
(pri name as it appears on your
or
the undersigned, a registered voter
t - :'l >'.,rle arri.j .;C. '':i ,r!'i: a;''l t rl.,.c tt,t, ..,,''e Of
voter infornration card )
[/ichael Gongora
p o,-r.;...1 .,i, llru Pr itldr) ;Lilu'.r E,u l. r Il.; it: ai5 .i. i-i...-i, -.'..i,ir ir: Il,-tx .ti Ltpplti'.lbla)
Z', r,r'i , f . -,ij
City of [Viami Beach Mayor
I -rE'l . ii, L;i ,;iiur .rrii ': -..ie -l ,i' ..i .iri.rit, gtt-up seat Trrrrtlbcr rf ,r1-,i i,L;ai,li:i
Voter Registration Number Address//.a./ .71 EL^
County
Miamr-Dade
State
Florrda
At
'.
SC
I I zio coa" I
j :}: rs9
__l
Date Signed (MM/DD/YY)
l
[to be blr Votel'u-ftI Zt
Rule '1S.2.045. F A.C.
JJ/
o
os.oE I 04
I.
Zip Code
33 zs
t
, .r .i,,lt
(
l.D e-(eK c. 6 €-K Q,/the undersigned, a registered voter
CANDIDATE PETITION
(print name as it appears on your voter information card)
in said state and county, petition to have the nan,e of MiChael GOngOfa
placed orr the PrrrnaryiGeneral Electiorr Ballot as a: fchecl</complete box, as applicable)
Nonpartisan E ruo party affiliation E
I t . /a. 6tr )oa a-)-)/?d
Parly candidate for the office of
sr
I [z*
]L;l/3L
or
( i n se rt titre or orri ce, ".?1fl o?{#,',.ilj, :,tff:#:#tn,,. 0",. i r a p p r i ca b re )
Voter Registration Number AddressDate of Birth
(MM/DD/YY)
I /)
City
Miami Beach
Signature of Voter
Rule 1S-2 0.15. F.A C.
ll
County
Miami-Dade
State
Florida
Code
Date Signe{flMM/PD^/Y)
Ito be geq$ted pl Voterlr/6 /2s/ --,/--/ os-DE 104 09/t 1
i.
CANDIDATE PETITION
i .t :.,'',,.1 L,l'Ltri,tLL,,,ti/r; 1/7. .\';17r,rr;rr
, ,, ,'.,',,,,,/..1.r,. \',,r.:,11i ,t[).i ,
i I t 'rt.,'rir.,' ,li, I trtl) ' ti,t,l,,'!,. '., iri.i
[Y) .-1 IZ N ft C-. 8t:os
(print nanre as lt appears irrr your voter information card)
the undersigned, a registered voter
rrt s.t ri ,'late ,:rrtd ( r , :r "
!,; ,,-.1,,,,: -.r: I
ii. ,. :(, , ..-,,.i. 1t.s . .., .E, f lv4iChael GOngOra
pL.iccci ort tlre F. rrrary 3uiioi'.t Eic-i -,i B.riiol ;rs ar. [.l.1-, i ,.;:rrtptalc bux its appltcable)
Date of Birth
(MM/DDTYY)
or
,i
City of Miami Beach Mayor
. '::;t ii.1 gf ;1f cr, .tr ., ,r .-l.,Lre J,>ir r.l .,r'.,it, grcup, seat ttrtttber rf .,";,i ,-.tbie)
Voter Registration Number Address
8'')sf pe,-SC
Iciir
I Uian,, Beach
County
lvlianrr-Dade
[st"r" I
I Florida l
Zip Code
Date Signed (MM/DO/YY)
Ito be by Votel
z-o z3
33t3 i-)
Signatu
(
Rule I F,A,C
Voter
("OB
8 4
os.oE r 04 09/1't
j l,tt",' t '. .'fir.c (tf
I
CANDIDATE PETITION
- lt is u (rintL, to knon'ingl.r'.sign nrtn'c thttt otte petititttt./itr tt <unclidatc. IScctiott 101.185, Florilu Stutute.sJ
l(*yH ,rzr/U n- IL*lto-f T4 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petitron to have lhe name of MiChael GOngOfa
placed on the Primary/Gencral Election Ballot as a. lchecl</contplete box, as applicablel
Nonpartisan f] f.lo party affiliation E
City of Miami Beach Mayor
(insert title of offrce and include district, circuit, group, seat number, if applicable)
or Voter Registration Number Address
Party candidate for the office of
Date of Birth
(MM/DDn/Y)g
City
Miami Beach
Signature of Voter
Rule 1S-2.045. F.A C
/o^Ps t G>c d,r-94--
I zip coa"
I :)/]fCounty
Miami-DadeI
t
State
Florida
1
I
I
j
Date Signed (MM/DDIYY)
Ito be completed by Voter)
E /sa /13
os.DE r04 (Eff 09/11)
I
CANDIDATE PETITION
, , ,,1,',1 ,,,,, .l !tf)t))t , || L,;y,; lt1 il,,.\.r17r,,r.r,r,,, ' ! .', ; tl
i,,,,',," ' tii:tlitl,tlt 1.\,,1,,,i7iO.ii\' l,', .,:,
t. .\ 1.,,; ,. .i,,t", ,,i. :,,i, t,,, ,, ,. ili' r ,tl l,t t,i,'it,/,:' ,, , ,,,,i',,,
fr.
(print nanre as it erppears o!.r your voter info tion card)
City of Miami Beach Mayor
\ :rert i iic ,ri.-ii -= .,r ,i ::, l-4. r . ct circuit, group seat nunrber if ,riri,i cabie;
Voter Registration Number Address
the undersigned, a registered voler
in saLc.l slirte arrrl t;or;rriy i,',. ii.i :c ir...,.: tl'e: r.irr'e !:f I'f4iChael GOngOfa
pl.- u,-i ur, llr,; Pirtrui, C,:,ri. .t Eiu-i ,.;r: IJ,; l;l as i, [c/;r.., 7r.. :1-'late bo,r. .t.s ilpplt-ilbiL')
2i".,,,1 ,,r-.-,, [l:.,... .,,1t il i' I t.J,I :' .,'f ,.t' t.rf
Date of Birth
(MM/DDn/Y)
or
lo . I b.J*c I b(tb u)c.t 4-Qe
City
lVliami Beach
Signature of Voter
I
I
I
I
State
Florrda
Code
3 t3 j')
l
Date Signed (MM/DD/YY)
"'" ffl';i'y;"::*,_
Rule 1S-2.045. F A.C
-Dade
09il
.l
CANDIDATE PETITION
Notes: - All in_formation on this _form becontes a public record up<tn receipt b1' the Superuisor of Elections.
-ltisacrimetokno*'inglvsignmorethanonepetition.foracandidate. [Sectionl04.lSS,FloridaStatutesJ
- IJ all requested infurmation on this fotvt i.s ttot completed, the tbrm v'ill not be valid a.t a Candidate Petition./brm.
City
Miami Beach
Signature of
I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mrf,/DD/YY)
F.A.C.
or Number Addressl
I
4q VrtU*0Eptb07
County
Miami-Dade
State
Florida
Zip Code
v/
Rule
Date Signed (MM/DD/YY)
n-2
Ito be by
CANDIDATE PETITION
Notes: - All information on this.form hecontes a public record upon receipt by the Supenisor of Elections.
-ltisacrimetokno*,ingl1:signmorethanonepetitionforacandidate. [Section l04.l35,FloridoStatutesJ
- IJ'all requested information on this fornt i.s not completed, lhe form v'ill not he valid as a Candidate Petition .fornt
/the undersigned, a registered voter1'Uqtn,tr' l.-,*o
rol
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Regietration Number Addreas
ill+ to o?
(mm/DD/YY)?5? r/"t h./t)v,
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Signature of Voter Date Signed (MM/DD/YY)
Ito be
7
by Voterl
I
Ruh tS-2.1)45. F.A"C.
0tr 0v
DS.I)E 1il (Etr 09fiil
I,
CANDIDATE PETITION
A'otes.' - .4ll in/brmation on this jbnn becomes a public rec'ord tqton reccipl b.r' the Superu'isor of Elec't itttr.s.
-ltisacrimetokn<tx'ingl.t'.signntorethanonepetition./bracandidate. [Scction l04.lSS,FloridaStatutesJ
- lf'all reque.sted infbrmation on this.lbnn i,s not completed, the./orm will not bc valid as a Candidatc Petitiotr./itrnt.
I,a the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and counly, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan !t'to partyaftiliation E Party candidate for the office of
City of Miami Beach Mayor
(insen ttb of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(Mrf,/DD/Yn 9.13 b ?, (,e Na-*.-,4v 5t
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
33ty/
Date Slgned (MfrrDD/Yn
Ito be completed by Votei'+4:23
Rule lS-2.1X5, F.A.C.DSOE roa (Efi.09/fi)
Signature of ,)(b
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more thon one petition for a candidate. [Section I 04. I 85, Florida StotutesJ
- IJ'all requested information on this form is not completed, the form will not be valid as a Candidate Petitton form.
fi rul orv I
C ( c,rv S the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecl</amplete box, as applicablel
pNonpartisan Eruo partyafiiliation n Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(IrH/DD/YY)
ot Voter Registration Number Address
an);-^/s-/5-
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 t .t I
Date Slgned (MMTDD/YY)
/
lto be completed by Voterl
Rulc I .AC.
({t @ b)@
DSOE 1(r (Efr.09/fi)
I,
CANDIDATE PETITION
Notes: - All information on this.form hecontes a public record upon rec'eipl by the Supervisor of Elections.
- It is a crinte to kno*,ingly' sign more than one petition for a candidate. [Section 104.185, Florida StatutesJ
- I/ all requested infurmation on this.lbt'm is not completed, theJbrm v'ill not be valid as a Candidate Petitionform.
(n rtt i n \ u- rt FeA C *ac- [Le]the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecldcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Num b;l
_l
Address
(ilr][rDD/YY)'- - -'5,2?.LlB o 3E l1 c;,'A,.,,fr slo
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 / q /
Date Slgned (MM/DD/YY),,hr7":w\wr:,"u)
Rule 1S-2.O41i. F.A.C.DSOE il)a (Eft.09/11)
CANDIDATE PETITION
Noles: - All information on this.form beconrcs a public record upon receipt by the Supervisor of Elec'tions.
- It is a crime to know'ingly sign more than one petition for a candidqte. [Section I 04. I 85, Florida StatutesJ
- IJ all requested information on this.[orm is not completed, the form will not be valid a.s a Candidate Petition.form,
I,/4 ,'Jn fi o fttrP D the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
!Nonpaftsan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
I
Date of Birth or Voter Registration Number
(tm/DD/YY) / nA -,.^ -/-?6't?37
Addrees
3A Fl ,^
County
Miami-Dade
Zip Code
33)q1
Date Signed (Mm/DOfYn
Ito be
Y
completed by Voterl
- &E' cL)
State
Florida
City
Miami Beach
Signature of Voter
Rule lS-2.0411, F.A"C.
A,I
osoE ltx (Efi.09/fi)
CANDIDATE PETITION
Notes: - All in/brnrution on this -form becomes a public record upon receipt by the Supervisor o.f Elections.
- It is a crime to kno*'inglt,sign more than one petition.for a candidate. [Section 104.185, Florida StatutesJ
- IJ.all requested information on thi.s.fot'nt i,s not completed, the Jbrm will not be valid os a Candidate Petitionfornt
I,C D t1 lL the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number
1.o t s-o
Addrese
ob3b H u 5c
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
3)t1t
Date Signed (MM/DD/YY)
Ito be completed by Voterl
o F- zi- ez
Rule 1S-2.O45, F.A.C.DSOE tO4 (Eff.09/fi)
CANDIDATE PETITION
Notes: - All inJbrmalion on this form becontes a public record upon receipt b1, the Supervisor of Elections.
- It is a crime to btowingly .sign more than one petitionfor a candidqte. [Section 104.185, Florida StatutesJ
- I/'all requested informqtion on this fornt is not completed, the form will not be valid as a Candidqte Petition.forn.
t' Lt'/lh.C'moQ ( ),.>a the undersigned, a registered voter
(print name as it appears on your votei information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
um/DDrYn
or Voter Registration Number Address
\)o{
City
Miami Beach
County
Miami-Dade
Zip Code
33 r v/
State
Florida
o Date Signed (tUil/DD/Yn
by
z-7Itobe2t
Rule lS-2.llr[5. F.AC.
o al qT /1
DS{E lil (Efr.09/fi)
CANDIDATE PETITION
Notes: - All information on this.form hecontes a puhlic record upon receipt by the Superuisor of Elections.
- It is a crinre to kno*,ingly,sign more than one petition.for a candidatc. [Section 104.185, Florida StatutesJ
- Il all rcquested inftrmation on this fot'nt is not contpleted, the.form v'ill not be valid as u Candidale Petition Jbrm.
ft)ct nt D \l r C p,wl'rrU,' So*i ! (o the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
Nonpartisan E f.fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rrf,/DD/YY)
or Voter Registration Number Addrese
b a5-if N iltt CJ
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
3lr v r
Signature of Voter
a
Date Signed (tUM/DDrYn
Ito bq com p letedlby V ote r)4\L-rL>a
Rule 15-2.045, F.A.C.DS{)E 1(}1 (Eff.09nt)
CANDIDATE PETITION
Notes: - All infurmation on this form becomes a puhlic record upon receipt b), the Supen'isor of Elections.
- It is a crime to know'ingl1, sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- IJ'all reque.sted information on this.form is not completed, the form w'ill not be valid as a Candidate Petition.form.
Signature of Voter
/
Date Signed (MM/DD/YY)
Ito be completed by Voterl
t' 6' frern€N L, F tolag-S the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
I
Date of Birth
(r1[/DD/YY)
or Voter Registration Number Address
I 4v <l
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
)\t4
Rule
3 @t"N
loa (Etr 09rtfl
I,
[-4AA
CANDIDATE PETITION
lYotes: - All infornatiotr ort this.[orm beconte.s a public record upon receipt b), the Supervi.sor of Elections.
- It i.s a crime to knov'ingly sign more lhan one pelition.for a candidqte. [Section 104.185, Florida StatutesJ
- Il'all reque.sted infurmation on thi.s fornt i.t ttot completed, the Jbrm will not be wlid as a Candidatc Petition Jbrnr
J ct<Tt,va Lo rc vu r s the undersigned, a registered voter
(print name as it appears on your voter information card)
in said stiate and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan fltto party aftiliafion E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrees
ts N 4,t 4 rt
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Codet, /r
Date Signed (][ii/DD/Yn
Ito b9 complgted by Voterl
7/ze/zz
Rule lS-2.Of5, F DS{)E l(N (Eff.09/1r)
CANDIDATE PETITION
Notes: - All infurmation on this forn become.s a public record upon receipt b), the Supenisor of Elections.
-ltisacrimeloknow,inglysignmorethanonepetitionforacandidate. [Section l04.lS5,FloridaStatutes]
- lJ'all requested information on this .form is not completed, the form v'ill not be valid as a Candidate Petition form.
t, (n i L A N r' f2ft *ro^) * Go-r-,> a Le >the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan [ruo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DD/YY)
or Voter Registration Number Address
t4 U
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33tq/
Date Signed (MM/DD/YY)
lto be completed by Votel/v-,2s-- Z 3
Rub 15-2.045. F
&-:t q>a6 A a-",/-^^4,t P
DS{)E toa {Etr.09nil
I
CANDIDATE PETITION
Notes: - All in/brmaliott ott thi.s.form bec'onres a public record upon receipt b.t' the Supenisor of Elections.
- It is a c'rinte lo knov,inglv.sign more than one pctition.[or a candidate. [Section 104.185, Florido StatutesJ
- If all requested information on thi.s.fottt is not comple ted, the form u'ill not be valid as a Candidate Pctition Jbrnt
City
Miami Beach
Signature of Voter
I,*the undersigned, a registered voter
(print name as appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ttonpartisan ENo partyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Number Address *(ilr/DD/YY)Pb o"[Z 1b%
County
Miami-Dade
State
Florida
Zip Code
33\+
Date Slgned (MM/DD/YY)
Ito be completed by Voterlo8-.6>2.23
Rule F.A.C.osoE ilta 09n
CANDIDATE PETITION
Notes: - All inJbrmation on this.form becomes a public record upon receipt b1'the Supervisor of Elections.
- It is a crime to know'ingly sign more than one petition.for a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requested information on this.fot'm is not completed, the fornt will not be valid as a Candidate Petitionform.
I,C n^Jbi >,2 6o^t >A(?-2 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county,, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
INonpartisan flNopartyafflliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert tltle of office and include district, circuit, group, seat number, if applicable)
AddressDate of Birth
(MM/DDrYn
or Voter Registration Number jq {+a e? (.>o ea^9o
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 t'/ I
Date Signed (MM/DD/Y[
L
Ito by Voterl
Rule lS-2.045, F
<l .) rJ-
DS{)E 10. (Eff.09rlr)
CANDIDATE PETITION
Noles: - All information otr this.form becomes a public record upon receipl b.y' the Supeni.sor of Electiotts.
- It is a c'rime to kno*,inglv sign more than one pctition for a candidate. [Section 104. 185, Florida StatutesJ
- IJ'oll requested inftrmation on this lbrm is no! completed, the Jbrm v'ill not ba valid as a Candidate Petition.fornt
z'ilVttlna! tr-, ( I[ezL the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan E No party afliliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
'"WU'rzb t84 (,e$fu
County
Miami-Dade
State
Florida
Zip Code
firq\
Date Signed (MM/DDIYY)
lto
Z
s-2.04!i, F.A.C.osoE 1&l (Eff.09,fi)
City
Miami Beach
CANDIDATE PETITION
Notes: - All information on thisform becomes a public record upon receipt b),the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionJbr a candidqte. [Section 104.185, Florida StatutesJ
- If all requested information on lhis.form is not completed, the Jbrm will nol be valid as o Candidate Petition form
I,Tu nnJ ( o o^ ndto the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael ora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
ENonpartisan nNo partyaffiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
i
i
i
Date of Birth
(HrH/DD/YY)
or Voter Registration Number
T'6;" ca^ 94/a 4 vP-' 6cb
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3</ct /
Signature of Voter Date Signed (MM/DD/YY)
lto be completed by Voterl
8,-) -J?
Rule 1S-2.045. F.A.C.
5 >J-.al
DSOE toa (Etr.09/fi)
I
i**l P,r""ta
CANDIDATE PETITION
Notes: - All information ott this .form becontes a puhlic record upon receipt b.t' thc Supervisor of Elections.
- It is a crime to knowinglv .sign more than one pctition.fbr a candidate. [Section 104. 185, Florida StatutesJ
- I/'all requested information on thi.s.fitt'nt i.s not c'onrplcted. thc.fbrn v'ill not be valid a.s a Candidate Petition.fitrnt
t.LnJr -l ILo\ O ftsz,/Qo r the undersigned, a registered voler
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Go
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
I Nonpartisan E No party affiliation tr Party candidate for the oflice of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number Address
J )b q8 ?-6,o c€^I^/b,{y,6oa
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3)zclz
Date Signed (MM/DDTYY)u'ory1'wrffi
Rule lS-2.(X5, F.A.C.DSOE 104 (Eff.09/11)
CANDIDATE PETITION
Notcs: - All in/itrmation on thi.s.lbrm hccomes a puhlic record upon rec'cipt b-r'thc Sttperlisorof'Election.s.
-ltistttrintctoknox'ingl.t'.signnrorcthanoncpetiti<tn.fbracandidate. fSec'tion l0l.lS5.FloridaSttttutesl
t.tT etT H Er;C &.p6-N€rL the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
lTNonpartisan E No party affiliation tr Party candidate for lhe office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
{rt u);s^Aa 3e
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33/)(2
Signature of Voter Date Signed (MM/DD/YY)
lro Votef
Rule 15-2.045, F.A.C.
| | ?b @o/
osoE (Eff.09/fi)
CANDIDATE PETITION
Notes: - All i4formatiott ott this.[orm becontes a public record upon rec'eipl bv the Supe nisor of Elections.
- It i.s a crime to kno*,ingl!'sign ntore than one petition.for a condidate. [Section l04.ll]5, F-lorida Statutcsl
- l/.all requestcd inlbrmation on this.fbt'nt is not conrltletcd, thc./brm v'ill not be valid as u Candidate Pctitiott.fbrnt
l.N L B € AT O t/;cnlQ of t the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county , petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
17 Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address3 ta-s) Do I fn a;.J=o- d),* ., ) c
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Godei] /] r
Date Signed (MM/DDIYY)
Ito be completed by vote4Eli)29
Rule 15-2.045, F.A.C.DSOE 104 (Eff.09/rl)
CANDIDATE PETITION
A'ores.' - ,4ll in/'ormation on thi.s./brm bct'omes a puhlic record upon rcceipt hv the Supcrvi,sor ttf Elec'tion.s.
- It i.s a crinte to knov ingh' .sign nnt'c than onc petition.fbr a candidate. fSection 104. 185. Florida Stdtute.sl
a<-{@
,
Date Signed (MM/DD/YY)
29Ito be by Voterf
I.I the undersigned, a registered voler
nt name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)IS IM ,a-6o
County
Miami-Dade
State
Florida
Zip Code
sisn(ie of voter
-.--
City
Miami Beach
Rule 15-2.045, F.A.C.
l'c
osoE 104 (Eff.09,1r)
CANDIDATE PETITION
Notes: - All infornntiott otr this.form beconres a public record upon receipl by the Supervisor o_f Elections.
- It is a crime to knov'inglv' sign more than onc petition./br a candidate. [Section 104.185, Florida StatutcsJ
- lf all requested inlbnnation on this.fotttt i.s trot completcd. the.fbrm will not bc valid as a Candidatc Petiliott.fbrn.
Signature of Voter Date Signed (MM/DD/YY)
Ito be
(
by Votel
N the undersigned, a registered voter
na me AS it appears o n you I voter information card)
Michael Gongorain said state and county, petition to have the name of
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
Nonpartisan E f'fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number Address
t I ()L b66 rv\serDrt,] Ne +t9
City
Miami Beach
County
Miami-Dade
State
Florida
Zio Code
3=(3 ?
Rule F.A.C.os{)E
CANDIDATE PETITION
,Notes: - All in/brmatiott ott thi.s.forn hccontc'' tt puhlic rccord upon rec'cipl b.t'thc Supcrtf,sorof.Eleclion.s.
- It is a crinte to knox'ingl.t' .sign nwre than onc pctilion./itr a candidate. fScction 101. 185, Florida Statutesf
nol bc wlid u.s u Condidutc Pctitiotr ./itrnt- Il'all reque.rted in/itrnation ttn this.lbrm i.s trttt <'ontple
chael G
informati card)
of
on your
box,
the undersigned, a registered voter
ty of i Beach Mayor
Party
an
Voter
Cou
title include district, circuit, group
n Number Address
City
Miami Beach ami-Dade
Signature of Voter
t.
(print name a
in said state and cou petition have the
placed on the EI Ballot a
Er.to for the office of
if applicable)
Date of Birth
'tB'*'
State
Florida
Zip Code
Date Signed (MM/DD/YY)
Ito be completed by Votel
Rule 15-2.045. F.AC.DSOE 104 (Eff.09/11)
CANDIDATE PETITION
Notes: - .4ll in/brmatiott otr this.form becontes a puhlic record upon receipt hy the Supenisor of Elections.
-ltisacritnetokno*ingl.t'.signntorethanoncpetilion.fbracandidule. [Sectionl04.lS5,FloridaStatutesJ
- Il'all rcquestcd inlorntation on thi.s _litt'nt i.s ttot c'ompleted, thc.fbrm v'ill not hc wlid as a Candidatc Pctition.fitrm.
ofSig
F.A.C.
€nruCSf O 1Q tv/4Zee the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan E f.fo party affiliation E Party candidate for the office of
C of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MMTDDTYY)
or Voter Registration Number Address
o b e?.bc /){q s7
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3?/) f
Date Signed (MM/DDIYY)
Ito be completed by Voterl
Rule DS{)E 104 09/1
CANDIDATE PETITION
nuores: - A ll in/itrntalion on this .fitrm hcconrcs o public rccord ulton rcceipt b.t' the Supen'i.sor ol Elcct ion,s.
- It i.s u <'t'ime to knovingl.t, .sign nutre lhan one pclition.f'or a candidate. fSection 104. 185, Florida Stututesf
the undersigned, a registered voter
(print name as it a on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan I No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number I Addr"""
ls*s zz(M 65<FUI"/JlAlr
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3s01
Date Signed (MM/OD/YY)
Ito be completed by Voterl
d
Signature of J-
Rule 15-2.045. F.A.C.
1l
DS{)E tO4 (Eff.09nt)
t.
I.
CANDIDATE PETITION
Notes: - All in/brmation on this.form becontes a public record upon receipl hy the Supo-uisor of Elections.
- It is a crime to knowingh,.sign ntore than one pctition_for a candidatc. [Sec'tion 104.185, Florida StatutesJ
- IJ'all requestcd inlbrntotion on this.litrm i.s trttt contpleted, the .fitrm v'ill not hc wlid os a Candidate Pctition J'orm.t' n/7)nrn 6 e rZeNe-s the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Nonpartisan E Uo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DDTYY)
or Voter Registration Number Address D6.p-,^-rt- il,3 J(/ Y-t I bLILI I tlo
City
Miami Beach
State
Florida
Zip Codel)/]?
Rulc DS{)E r04 (Eff.09/rl)
CANDIDATE PETITION
Noles: - A ll inf'ormation on thi.s ./brm hcc'onrcs a public record upon receipl h.r' the Sulten,isor o/ Election.s.
-lti.sac'rintetoknov'ingl,r,signnorcthanonepetition.fitracandidtttc. [Scction l04.lS5,FloriduStatute.sJ
& o\o the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
I Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Numbera b3T
Address
'{o n'-'a)c A- 't ' ) 3 /oA 3b
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33rs?
Signature of Voter Date Signed (MM/DD/YY)
lto be bty
Rule l5-2.045. F.A.C to4 (Eff. 09/fi)
Date Signed
Ito be by
a a
County
mi-Dade
>
CANDIDATE PETITION
Notes: - All infornalion on this.form becomes a public record upon receipt b1' the Supert isor of Elections.
- It is a crime to knox'ingl"-,sign ntore than one petition./br a candidate. fSection 104.185, Florida Stututc.sJ
- lJ all requc.slcd infornrotion on this.fitrnt i,s trol contpleted, the.fbrm x'ill not he valid as u Cundidate Pctition./itrnt
AJn Zfr Go,nt>nceZ the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
17 Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MmrDDIYY)
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
t 0s)lo 6 t-o -sr e
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
]3 /)
Date Signed (MM/DDIYY)
Ito be ty Votel
Rule 15-2.045, F.A.C DS{)E 104 (Eff.09/11)
CANDIDATE PETITION
rVates.' -.411 inlitrmatiott ott thi:;.fitrm beconrcs a ltuhlic rccord upon rec'cipl b-t'the Supcrvi.sor of Elcction,s.
-lti.sctt'rimctoknotingl.t'signnorcthunonepctition.litracundidate. fSection l04.lS5,FloridaStatute.sl
requestcd inlitnnatiort on thi.s.fbnn is not L'on1)lctetl, the.firttr u'ill not bc vtlid as a Cundidale Pctitictn
the undersig
e of Michael Go ora
on your voter information card)
box, as applicablel
City
Miami Beach P
Date Signed (MM/DD/YY)
Ito be Vote4
in said state and county, petition to have th
placed on the Primary/General Election Ballot as a
@Nonpartisan E No party affiliation tr
Jo al
Rule 1S-2,
I.p
3
City of Mia
(insert title of office and include di
(print
Date of Birth
(MM/DD/YY)
or Voter Registration Nu
County
Miami-Dade
State
Florida
o t3sAddress
, circuit, group,
Party candidate for lhe office of
registered voler
r
DS.[)E'toa Eff.09/fi
number, if applicable)
CANDIDATE PETITION
Notes: - All information on this_form bec'ontes a public record upon receipt b1'the Supen'isor ofElcction,r.
- It i.s u c'rima to knov'inglv sign more than one pctition./br a candidatc. [Scc'tion 104.185, Florida StatutesJ
- ll all requested infonnation on this.lbt'n i.s ttot complcted, the Jbrm v'ill not he valid as a Candidate Petition _/orn.
3 n Adt c 4 lr,h nnn)the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
E Nonpartisan f] No party affiliation E Parly candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
(MM/DD/YY)t0.1s.8/3aO Ws;l;".-^ flrp^
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33r3
Date Signed (MM/DDIYY)
[to be by Votel
Rule I .A-C.osoE 10{ (Eff.09,11}
CANDIDATE PETITION
-lti.sact'inretoknov,irtgl.t'signmorelhanonepclition.litt'a<'andidale. fScctiottll)1 185, 1:'lnridaStatule.sl
I.SOnSin T.Q q.iru*f theundersisned,aregisteredvoter
(print name as it appea7s on your voter info/mation card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
Nonpartisan f]f.fo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
Date of Birth
(MM/DDTYY)
or
(insert title of office and include district, circuit, group, seat number, if applicable)
Voter Registration Number Address
b3 ] 1Ll nrnk I
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
J) z]3
Votel
Date Signed
Ito be
Rule 15-2.045, F.A.C.
+\-,,A,) ,
DSOE tO4 (Eff.09/11)
CANDIDATE PETITION
-lti.sttc'rintctttktttt,l.ittgl.t'.sigtttttot'cthatrottepatiti<ttt./itruLLutdi(lutc'. [Scc'tittttl0l.lSS,FloriduStututc.sJ-tl ull
Signature
AC c7 e >4t.the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongofa
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan E No parly affiliation t]
City of Miami Beach Mayor
Party candidate for the office of
(insert title of offlce and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Reoistration Number Address;**yt ob':*|V"Y")Vqtt , eoo 4/h) rz1 6 /7 porhl
State
Florida
Zip Code
=3/3 'Date Signed (MM/DOIYY)
Ito be comoleted bv Voteic74e-M3
City
Miami Beach
County
Miami-Dade
09,r
CANDIDATE PETITION
Notes: - All informatiott ort thi.s form hecontes a ltuhlic record upon receipt hy the Supen,i.sor of Elections.
- It is a crimc to knox'ingly sign more than onc pctition./br a c:andidatc. [Sectiott 104.185, Florida StatutcsJ
- If all requested information on this fornr is not c'ompleted, the form vill nol be valid as a Cqndidutc Petition form.
City
Miami Beach
County
Miami-Dade
Signatu re of Voter
)
', ( )MArc ilt,tena>the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartis.n BNo party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth or voG i" g i *rati o n-n-u m ue i I
I
I
I
I
Address
State
Florida
Zip Code
>-)iLl /
Date Signed (MM/DD/YY)
Ito be Voterl
L3
Ruh lS-2.(X5, F.AC.
0 3
osoE flx (Eff.09nl)
Is-z,oa6. r.e.c. I
I
I
idipu \; \o\- czoo-norq the undersigned, a registered voter
CANDIDATE PETITION
(print name as it appears on your voter information card)
in said state and county. petition to have the name of Michael GOngOra
placl;d on the Prirrtaryi General Electrorr Ballot as a.lcltecfucorrtplelc box, as .tstpltcabla)
Nonpa(isan n No party affiliation tr
- City of Miami Beach Mayor
(insert title of office and include district. circuit, group, seat nunrber, if applrcable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number Address
Parly cand,date for the office of
Zip Code
)'3 tqct
551'La,?orcz Of
Florida
t\/,zq/Aq1
City
Miami Beach
I
t lr
County
Miami-Dade
i
State
Signature of Voter
__ri o'7 /2q / Z)
Date Signed (MM/DD/YY)
Ito be completed by Voterj#-e;"v
Rule '1S.2 045. F.A C os-oE 10.1 (Eff 09111
i,'i . i', rii,i:. ,1. ,,, ,:tt' tL t t,
i j,.t, t,tt. !,t 1,,,.,,,. 1t,.,.',',
CANDIDATE PETITION
r ,rrt , 1,, t,it,ttl,. ',, ,,,i ',1',,,; L,,,;, /, .j ',..1 , !'..',,, ttl I !,.;,, ,t.
,,, ti:.iil ,tlt j.,;,;i,., 'tu r, r,t/rr,r./.,,', ,'t1,..',.,, ,ti,' r.\'a I i',,,i,i,t.\i,,.,.,I.,,,
,,r. i.,.',,,', .r (,i,1,i,,1,r,, i'
/-z__the undersrgned, a registered voter
, ,iij itatee,roco.rrt\ peitir.rnlolr.r,,:tl er..-''erl' lt'4iChael GOngO''a
pi.icud on tlrc Pi nrary/GLr,or., Eluii,-'rB.iilol as i. [cl;c,-A t.utt)pialL b..r.r..-r.. .ii;pt,cabla)
7ir.,,i .r,,:...r l-l i'. ;.,r'... -i' ,ri []
(print nanre as it a rS your voter infornration card)
City of Miami Beach Mayor
lrr,sett irlle ,;f t-.rflrie ar;j inijrr-te r.irsii :;.. t;ircuri g,-i,;r se.rt nun'Lt-r if applicabie)
irl ''
w$!c,r:
Date of Birth or
City
Miami Beach
Voter Registlr tration Number Address
7 rz 25 r/nY*,/f, I v/,,t0 r/Z /
l[.;ty
| | rtriun,i-
I Ist"t"
| | rro,.i,iu %tr
Date Signed (MMiDD/YY)
'u'7v"51:b't
-t tll
_lr
Zip Code
Dade
Sign of
J
I
Rule lS-2 045. F.A.C os-DE 104 (Eff 09'11
I
(ti.:i)'t),t!t.iiitt, i,,,t
I. r: l,
CANDIDATE PETITION
- Il is tt t't'imt, to knowittgl.l.sigtt tnorc than ottc patiliotr./itt'u tttndidutc'. fSct'tirttt 101.1,\5, Floricla Sturtrtt'.sf
iliAI.Ac-n
(print name as it appears on your voter information card)
in said state and county, petition to havethe name of MiChael Gongora
placed on the Prinrary/Generai Electron Ballot as a. lchecl,a'corttplcla box, ;rs applrcable)
Nonpartisan f] ftf o party affiliation E
the undersigned, a registered voter
Party candidate for the office of
City of Miami Beach Mayor
iinsert title of office'and include district, circuit. group. seat n,rmber, if applicablel
Date of Birth or Voter Registration Number
31
Address
(M!'rlDD^rY)()z-o)/l \# lz, (/ lJ
| | zip coo" Irrl', ,31 / t>?
i,q r L_/ /
?0c
City
tMiami Beach l
County
Miami-Dade
State
Florida
il
Signature of
Rule 1S-2 A.C.
Date Signed (MM/DO/YY),'"0"ttrTY',:g)
DS-DE 10/t 09/1 1
n
l'.".i,,,:,,,ii:.,,;
'' , ' ,/ . i ,tl,t .'t, !\
,, ./, .
CANDIDATE PETITION
. | ,i, /,,..ri,,.r.,1'i,,1,',.
'L ,)tr,t.tl't: ',..,';
-,,, .'r,,r,, ,i',,1,.i1,i,,1,,,,t'
.,,-r, 'r'-/l'ti,,','iit,i,i t,i, i. .. , 't)1,,,.i'',,,'.,, , \,, it' 1,' 't-j, /",1,,,r',,',, \',''.'
)...i1.,t,. .'i ., 1,,,r;j \.., i,,,,.,. ,., , , .,i,, /,,,,.',.i'..',,(,i,,,,".,,' r',
the undersigned, a registered voter
(print nanre as it appears on your vote nration cart.i)
r- ii,r (i 51.)te;rncl r.oi,nl'r' ilet l. n lo 1,,i,.'e r.he r:.rrtre of [/iChael GOngOfa
p,dr r'-i ur ii,u Fr r,.rr),Cur)rr'.i L ei:i,,:t, Balloi as at. [.l;.'in. Crtt]plelu box. .ts ,tltplt':.tbiv';
t'.'' i
City of Miami Beach Mayor
lirrserti,lie of offrce and rrr'luc..ie distrrt circLrii, .1r()up, seat rurrl-rer, if applicabl::i
Date of Birth or Voter Registration Number Address
(MM/D
City
Miami Beach - Dade
ry -{r - /g 3.[Anf\/-0 c ^l tzd /ann)
t
I
IL
I
I
State
Florida
Zip Code
Date Signed (MM/OD/YY)
37 3;iL
t,I
I
I
09i 1
Signature of Voter
Rule 1S-2.045. F.A.C
Ito
()'
be
,,1"l 'qvff,,,^
tr-:,i-
A
l
I 0 t EZ-N the undersigned, a regislered voler
CANDIDATE PETITION
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Prirnaryi Generai Electiorr Ballot as a. lcheck/contplele box, as ztpplicitblel
Nonpartisan E Uo party affiliation E Party carrdidate for the office of
Date of Birth
(MM/DD/YY)ol-
lCitv
II lViami Bet_
County
Miamr-Dade
05-lf cf z-i 50
City of Miami Beach Mayor
(iniert trtle of office'and include district. circuit, group. seat number. if applicable.l
or Voter Registration Number Address rtl/ou /zC /tr)>
Izip coo"
',7a/32ach
State
Florrda
Signature of Voter I Date Signed (MM/DD|YY)
Ito be completed by Voterl'/?_)
DS.DE 1 04
ZR ), Ztt
Rule lS-2.045.FAC 09/1 1
CANDIDATE PETITION
i,,:-t! tli, )t . ilt; /;,( r)r , ,, t ,,, '\,
, t,,, tti ., 1
Z 7 L
(prinl rranre as it appears on your voter informati(rrr ciir(.J)
,n r,.rri state anci L:or.rrtj pr;l,rior. :(r lra,,e tire ..,ir e rr[ _ti_q!rglAglgqiL
1-,i.i-:e .1 ei tiru P;rrtatry Gct e ra Eicui .,, 8.: i-,i as .t. lcltaci. t,,,i))it t:i-: Lu-r :is -ti,p)t'-,ilrtL'j
the undersigned, a registered voter
t:.L-
City of Miami Beach Mayor
r,ir.sert i,iie .rf ,.-,1f i-e antj irrr:lude ,.i stri : cirruit. gi,jL; iirat rurlrL,Lr, if .ippl c.ri,i.7
Date of Birth or Voter Registration Number Address
City County
Miami-DadeMiami Beach Florrda
I-l lu . p: :, ,: '
'\7'tf!"t2- l7 37 /50 n/A^'Fd /rtls
teSta Zip CodeI-
i
I
I!
t
?)/jf
Signature of Voter o.1" sig',"J6trrvvo onrii -
be contpletel ty 'vr,terj
./ / -7 -tI I I -r'ra)
Ito
("\
Rule 1S-2.045. F.A.C
fu,e_8:
lrll
os-DE 104 (Eff 09/11)
t.
ti l
:'
llrl
I
I
i
l
I
L
u2;4--,L
CANDIDATE PETITION
Notes: - All inlbrnrutiott otr this.lbrm beconrcs a puhlic record upon receipt by the Supervisor o.l Elections.
- It i.s a crinrc to knov'ingly,sign ntore than onc petition.lor a candidate. [Section 104.185, Florida Statute.rJ
- I/'all requestcd infbrmation on thi.r.fbt'ttt is ttot conrytleted, the.form v'ill not he valid as a Candidale Petition.litrnr
I,
C)o {) [-(the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete Dr.x, as applicablel
,Nonpartisan E ruo party amliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat numb€r, if applicable)
o"i" oiairth
(mm/DD/YY)
or Voter Registration Number
) ,))-5 J- &l--,u'&3rS-
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code]>rvr
Signature of Voter -TA A-<-tr'3
Date Slgned (Hil/DD/Yn
Ito be completed by Votefl
? -Eo - arE
Rule l5-2.0411. F.A.C.DS{)E lOrt (Etr.09111)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidqte. [Section 104.185, Florida StatutesJ
- If all requested idormation on this form is not completed, the form will not be valid as a Candidate Petilion form.
I,7,w6rLi) l'ne terubcz the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
ENonpartisan fltto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Rogartration Number Addrees
(rM/DD/Yn a-^ /),)J=)
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
\t /)f
lfo be
Date
Rub 1S-2.0411, F.A.C.
lc.o+3V
SsoElq{Gfr.!941I
Addrese
CANDIDATE PETITION
Notes: - All infurmation on this.fbrm hcconres a public rec'ord upon rec'eip! h.1' the Supcrvisor o.l' Elec'tions.
-ltisacrintetoknowinglvsigttnrorethanonepctition_fbracandidate. [Scc'tion 104.185,f:loridaStatute.sl
- I/'all reque.sted inforntation on this.fbrm is not completed, the./brm v''ill not hc wlid as a Candidate Pctition./'orm.
I,0nigip f, 4p-o(,-.-,the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Ir4ichael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan flt'to party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Address
(Mm/DDTYY)? z b-vt J..l 5 (v)-'( )^ri o'-, A"b
Caty
Miami Beach
County
Miami-Dade
State
Florida
DS{)E loa (Eff.09/11)
Zip Code3>/\f
Date Slgned (tM/DD/Yn
lto be by Voterl
CANDIDATE PETITION
Notes: - All information on this form becomes a puhlic record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. fSection 104.185, Florida StatutesJ
- Il'all requested idormation on this .form is not completed, the form will not be valid as q Candidate Petition form.
I,frmnNi'fi {. ke,-.---.v the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleciion Ballot as a: lchecUamplete box, as applicablel
@Nonpartisan !tto party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rn/DD/YY)
or Voter Registration Number Address
C
qh fr,1 !
City
Miami Beach
County
Miami-Dade
State
Florida
Date Slgned (Uil/DD/YY)
lto be completed by Voterl
o
Zip CodellrSy
Signature
Rule 15-2.045, F.A.G.
t0 >l/ N1 (;
DS{)E 104 (Efr.09/11)
CANDIDATE PETITION
rVoles.' - .,1ll in/brmution on t hi.s .fbrm becomcs u ltublic record upon receip! b.l' thc Supervi.sor of' Electiott.s.
- It is a c'rine to knox'inglv sign nnre than one pctition_/br a candidatc. [Sec'tiotr 104.185, Florida Statutes]
- I/'all requested information on this f bt'm is not cotnpleted, the.fitrm 'n'ill nol bc valid as a Candidate Pe tition.fitrm.
I,CQark C rt'?ar'tc\p!(the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan IHopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
t.'Date of Birth
(Mm/DD/Yn
or Voter Registration Number Address
lc.e J C s m,-rc f frd
c:ty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code33/]9
Rule lS-2.045, F.A"C OS.I)E l0,r (Etr.09rlll
Slgnature of
CANDIDATE PETITION
Notcs: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- lt is a crime to knowingly sign more than one petitionfor s candidate. [Section 104.l,85, Florido StatutesJ
- If all requested information on this.form is not completed, the.form will not be valid as a Candidate Petition form,
I,rfi nrcta {L ocaQ-'r ^* frilcL',t.0(the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan INopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DDIYY)
or Voter Registration Number
1 o.)? 7o
Address? os {Y1,tc Aa
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
3g ,-;7
Slgnature of Voter
R/ft
Date Signed (t}l/DDIYn
lfo be by Voterl
Rulc l3-2.1145. F.AC.DSOE loa lEfr.09nt)
CANDIDATE PETITION
!\oles: - A ll inlbrnrutiott otr this .fbrn beconrcs a public record upon rec'eipl h.t' thc Supervisor of Elactions.
- It is a crime to kno*'ingl.t' .sign more than one pctition./br a c'andidatc. [Sec'tion 104.185, Florida StatutesJ
- l/ all rcquested inlbrmation on this.lbt'm i,s not completed. thc.fitrm will not he valid as a Candidate Petition.fitrnt
Slgnature of Voter
I,J - S' o',c f [Z-u" <(1 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan Eruo party affiliation fI PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number Address) rY.c )C /2, l ,4 .tU Ire
City
Miami Beach
County
MiamLDade
State
Florida
Zip Code
osoE 10a 09/t I
Date Signed (IHM/DD/Y[
Ito be mmpleted by Voterl
7 2x
CANDIDATE PETITION
Notes: - All information on this _form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to lorcwingly sign more than one petitionfor s csndidqte. fSection 104.l,85, Florida StatutesJ
- IJ'all requested information on this .form is not completed, the fornr u,ill not be valid as a Candidate Petilion .form,
I,\U--___-r,De L ft CtCq l0( theundersisned,aresisteredvoter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan fltto party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number Address
{) ,,, , t/C
Caty
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 13 y
Date Signed (Mm/DDfYn
7
lro Voterl
Rulc r.ac.
q J.o-+/Jo'%
DSOE 104 (Efr.09nr)
CANDIDATE PETITION
I\,loles: - .4ll in/brmaliott otr this _fonn heconre.s a public rccord upon receipt h.t' the Supervisor ol' Elections.
- lt is a crime lo knov,inglt' .sign ntorc than one trtctition ./br a candidatc. [Scc'tion I 04. I 85, Florida Statute.sJ
- ll all requestcd inlbrmalion on thi.s.f brm is not c'ompleted, the.fbrm v'ill not be valid a.s u Candidate Petition.lbrm.
I,D
/)L0)or/<a the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DD/YY)
or Voter Registration Number Address
C I JC)fi,t lo
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33{} 3
Date Signed (tM/DD/Yn
lto be umpleted by Voterl
?lz tl >z
Rule 15-2.045. F.AC.DSOE toa (Eff. 09/rr)
Slgnature of Voter
\
CANDIDATE PETITION
Notes: - All infornation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is s crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Floridu StatutesJ
- If all requested idormation on this form is not completed, the form will not be valid as o Candidqte Petition form.
I,rn { fi c c-- \ r_-s e- C-a /"*.\;/t?a the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
pttonpartlsan !tto party afliliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include districl, circuit, group, seat number, if applicable)
Date of Birth
um/DD/YY)
or Voter Registration Number Addrees
AD,-, 'fi *., )
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
33 lJt
Slgnature of Voter )
c t
Rulc l5-2.04!1, F.A"C
& ol e'5 ;(-> f
I\9OE ilX (Etr.09ril)
CANDIDATE PETITION
Notes: - .4ll in/brmation on this .fonn hcconrcs a public record upon rec'eipt h.t' thc Supct'"-isor of Elect ions.
- It i.s a crintc to kno*'ingl-r' ,sign more than one petition.fbr a candidatc. [Scction 104.185, Florida Statute.sJ
- I/ all requc.stcd infbrntation on this.fbrnt i.s not completcd. the.f orm ll.ill not he valid as a Candidatc Pctition.fitrnr
I,6rrr \fie-cu f inn'/Q-d-the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
t Nonpartisan E Uo party affiliation E Party candidate for the office of
City of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(HU/DD/Yn
or Voter Regietration Number Addrese
]c 3cl J ,t;f,',- fl'l qB
City
Miami Beach
State
Florida
Zip Code
3lr\)r
Rule 13-2.045. F.A.C.DS.I)E roa (Eff. 09,lt)
2->(
Dats Signed (M M/DD/Yn
Voter)lto be
CANDIDATE PETITION
Noles: - All information on this form becomes a public record upon receipt hy the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StotutesJ
- If all requested idormation on this .form is not completed, the form will not be valid as a Candidate Petition form
I,f+ Q r'r, - f--l . Do v,'9 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: [checAcomplete box, as applicablel
pruonpartlsan fltto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rlf,/DD/YY)
or Voter Registration Number Address3rt {frt
City
Miami Beach
County
Miami-Dade
Zip Code
I
State
Florida
Signature of Voter \
I
Date Signed (MM/DDIYYJ
byllo be
Rulc lS-2.(Xll, F.AC.
\J.oy q
DS.I)E illa (Efr.09ril)
l
CANDIDATE PETITION
Notes: - A ll inlbrnrution on this ./'orm becontes a public record upon reccipt hy the Supervi.sor o.f Elections.
- It i.s a crime to knoxfngl.v ,sign more than one pctition ./br a candidatc. [Section 104. 185, Florida StotutesJ
- IJ'all r.equcstcd in/brmation on this.fornr i,s ttot completed, the./'orm v'ill not he valid as a Candidate Petition.fitrnt
Signature of Voter
the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan fltto parryamliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
l
Date of Birth or Voter RegigtrationU*DDNA*kk-a Number Br aa
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
Ee/?a
Date Signed (MM/DD/YY)
Ito be completed by Voterlc v-g-v-; >
Rule 13-2.045. F.AC.DS.I)E loa (Etr 09/fit
GANDIDATE PETITION
Notes: - All idornation on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidate. [Section 104. 185, Florida StatutesJ
- If all requested idormation on this form is not completed, the form will not be vqlid as a Candidale Petition.form.
I,P,
o lv e p €,NC the undersigned, a registered votero( $s
(print name as it appears on your voter information card)
in said state and county, petition ro have the name of MiChael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
Ittonpartisan Et'to party affiliation E Party candidate for the office of
c of Miami Beach
(insert title of office and include district, circ,uit, group, seat number, if applicable)
Date of Birth
(ru/DD/Yn
or Voter Registration Number Address
State
Florida
Zp Codeli r?tCity
Miami Beach tam i-Dade
Slgnature of Voter Date Signed (IUil/DDIYn
Ito be ampleted by Voterl
- 2rL0
Rutr 1S-2.0r15. F.AE.
/L))ns;
DSOE toa Gfr.09/1ll
I,
I
h CANDIDATE PETITION
nuoles: - All inJ'ormation on this.lbrm hec'omes a puhlic record upon rec'eipt b.t' the Supervisor of Elcctions.
-ltisacrimctoknox'ingl.t',signntorcthanonepctition./bracandidate. [Seclionl04.lS5,FloridaStatutesJ
- IJ'all reque.stcd it(ormation on thi.s .fbnrt is trot completed, the.fbrm x'ill not be valid as a Candidate Petitiott jbrnt
t, (Yla a i LVat Stervl €{Z the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
r'Nonpartisan E ruo party affiliation E PaO candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Registration Number
iJ I 3o I C1)
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zp Gode33r>t
Date signed (lU lul/DO/YY)
Ito be completed by Voter)
K-ao-w,
Ruh 1 DS{)E lo't (Eft.09/11)
Y
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervbor of Elections.
sign more than one petition for a candidate. [Section 104.185, Florida StatutesJ
is not completed, theform will not be valid as a Candidate Petition.form,
- It is a crime
idormation- If all
3-*-z
Zip Code
by
Oato
Iro
I,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition ro have the name of MiChael GOngOra
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@ttonpartisan E tto party afiiliation f]Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
[-Date of Birth or Voter Registration Number Address
Miami Beach
City
iami-Dade
State
Florida
Signature of
Rule tS-2.045, F.AC.
//1,/a
DS{)E loa (Efi.09n1)
CANDIDATE PETITION
N'otes; - All inlbrmation on lhis .fbrm bec<tntes a puhlic record upon receiltt by the Supervisor of Elect ions.
-ltisacrimetoknov'ingl.t',signnrorethanonepetition./bracandidate. [Sec'tion l04.lSS,FloridaStatute.rJ
- ll all requested inf orntation on this.lotnt is not completed, the.fbrm *'ill not be valid as a Condidate Petition _/brnt
I,(.nu,, ft.Cl_liat n) oS the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
!Nonpartisan f] tto party afliliation E Party candidate for the office of
C of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
i-
, Addreee
I
I
(ITil/DD/YY)
5 /aS_o {J!nd JC-
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Date Signed (I||M/DD/Y[
Ito M Voterl
o
Rule 15-2.045. F.A.C.DSOE l(r (Eff. Ognt)
I
Zip Code
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more thon one petitionfor a candidate. [Section 104.185, Florido SnrutesJ
- If all requested information on this.form is not completed, the form will not be valid as a Candidate Petition form.
I,frr-,Gos7,o C B oZtC€ruo the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
E]Nonpartisan EUo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert Utle of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(irlr/DDrYn
or Voter Registration Number Address M (.:,-- t'?d> to,fLI > t1 3
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code3?,:,
Voter-Date Signed UUM/DD/YI
lto be by Voterl
0 25
Rule 15-2.045, F.A.C DS.I)E ltll (Efr.09nr)
CANDIDATE PETITION
,\'nles.' - A ll inlbrmation on this _form becontes a public rccord upon rcceipt by the Supcrvi.sor of Eleclions.
- It is a crimc to kn<tv;ingl.v' sign nrore than onc pctition Jbr a candidate. [Section I 04. I 85. Florida Statute.sJ
- I.l all requested in_lornrution on this.fitt'ttt i.s not completed, the.fitrm v'ill not be valid as e Candidote Petition.lbrm.
I,L c g rtc rL the undersigned, a registered voter
(print name as it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as appli@blel
@Nonpartisan fltto party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
-loar""i
I
Date of Birth
(u1[/DD/YY)
or Voter Regietration Number
3 b.)/_9 )J-\n f 4o'(.
County
Miami-Dade
State
Florida
Zip Code
1t3
Date Slgned (mM/DD/Yn
Ito be ampleted by Voterlsla"l>3
Rule l5-2.045, F.AC.osoE 10a (Efr. 09/11)
CANDIDATE PETITION
Notes: - All informalion on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.l,85, Florida SnrutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.
I <I q*l fr\ ,i). Qo 0 < J theundersisned,aregisteredvoter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'.lchecUcomplete box, as applicablel
@Nonpartisan !tto partyamliation E
City of Miami Beach Mayor
Party candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ITrrDD/Yn
or Voter Registration NumbertJ,/ +&lJoo ltjsr e
City
Miami Beach
County
Miami-Dade
Zip Code
33r\?
State
Florida
Signature of Voter
Ruh lS-2.1t45, F.A"C.DS{)E 10. (Efr.09nr)
7
Date Slgned (lTM/DDfYn
2<
Ito be.by Votefl
CANDIDATE PETITION
Notes: - All inf'ormati<tn on this./brm bec'onrc.s a public record upon rcccipt by the Supe rvisor oJ'Elections.
- It is a c^rimc to kno*'inglv sign more than one pctition./or a candidate. [Section 104.185, Florida StatutesJ
- Il all requested in/brmation on thi.s.fbrtt i.s not contpleted, the.fbrm v'ill not be valid as a Candidate Pctition Jitrnr
I,)r'ed"il( J,tcoa,<the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of N{lqhael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan fltto partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
I
I
I
Date of Birth
(H1{/OD/YY)
or Voter Registration Number
r/ /J-.69
Address
1ul S_0t )c
City
Miami Beach
County
Miami-Dade
Zip CodeflrlP
Ruh l5-2.04!1, F.A.C.DS{)E 1(r (Efi.09/rrl
State
Florida
Signature of Voter Date Signed (MM/DD/Yn
3
Ito be Voterl
e8 LO 1 ^ /-',Z-U 1
CANDIDATE PETITION
Notes: - All informalion on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidqte. fSection 104.i,85, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition.form
I,LnuEtN rm tauM the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete Dc.x, as applicablel
E]Nonpartisan flruo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include clistrict, circuit, group, seat number, if applicable)
of Birth or Voter Registration Number Addruee
um/DD/YY)tstJ 5r a
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code]l rlI
Date Slgned (MMTDO/YY)
"'ff%;o^Tw*
of VoterSignature
Rulc 15-2.0411, F.A"C.
K-) r l?
osoE roa (Efr.09n1)
CANDIDATE PETITION
,\'ote.r.' - All inlbrmtttittn on this.f'orm bec'onrcs a ltublic record upon receipt h.t'the Supenisor ol.Elec'tions.
- It is a c'rinrc to kno*'inglv .sign more than one pctition./br a candidate. fSection 104.185, Florida StatutesJ
- Il'all reque.sted information on this fi>rm i.s ttot contpleted, the Jitrn ll''ill not hc valid as a Candidate Petition ./brn.
I,c)a J the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
./Nonpartisan E ruo party affiliation E Party candidate for the ofnce of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
r
Date of Birth
(rrwDD/YY)
or Voter Registration Number<l tP. 6J
Addrcss19_il- U Y 0_,y +c
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3B?37
Rule 1S-2.11i15. F.A.C.DSOE roa (Eff.09/fi)
Slgnature of Votet Date
[to
(mil/DD/Yn
CANDIDATE PETITION
Notes: - All idormation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor q candidate. [Section 104.i,85, Florida StarutesJ
- If all requested information on this form is not completed, theform will not be valid as a Candidate Petition form
City
Miami Beach
Gounty
Miami-Dade
Date
Iro
Signature of Voter
t, y,y)flrLia 3gcn )4rt the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecldcomplete box, as applicablel
@Nonpartisan Etto party afriliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ru/DDrYn
or Voter Registration Number Address
State
Florida
Zip Code
3B r3 ?
Rule F.AC.
S .to-lL1 SJ- t^)t- fro ?cf
t04
CANDIDATE PETITION
i\otes: - A ll in/brmation on this .lbrm bec'onrc.s a public' rccord upon re ceipt b.t' thc Supervisor of Election.s.
-ltisttcrintct<'tknovingl.t'signntorethanonepetition.fbracandidate. [Sec'ti<tn l0l.lS5,FloridaStatutesl
- Il all requested in/brmation on thi.\jbt'nr i.s not completed. the./itrm x'ill not bc valid as a Candidate Petition.fitrm.
I,\,''US 0ainl t/ S'r)no,v the undersigned, a registered voter
(prinl ndmias i(appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
ENonpartisan flttopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(muDD/YY)
or Voter Registration Number Address
t8 / .i 11 J- L"J t fit U
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
t
Ruh 15-2.045, F.AC.DSOE roa (Eff. 09/il)
CANDIDATE PETITION
Notes: - All information on thisform becomes a public record upon receipt by the Super-vbor of Elections.
- It is q crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Floida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petilion form.
City
Miami Beach a
County
Signature of
J r-,s € P t'l II r,^ i ru c tr t'the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan Ettopartyafiiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rII/DDTYY)
or Voter Regietration Number , Addrcss
/rt \7 toort E,t 0
State
Florida
Zip Code
-3) i>?
- -)-
/o
Date Signed (ilM/DDIYI
by Votefl
xv
Mlto5O
.) s)
DS{)E toa
CANDIDATE PETITION
Notes: - All in/brnrution on this./brm bec'omes a public record upon rec'eipt b.t'the Supert,isoro.f Elections.
- It is tt crimc to kno*'inglv ,sign morc than onc petition./br a c'andidate. fScction 104. 185, Florida StatutesJ
- IJ'all requestcd information on this.fbrm is uot cornpleted, the.fbrm will not he valid as a Candidate Petition./'orm.
I,y/,',r*-, fllloy.uOl l the undersigned, a registered voter
in said state and county, petition to have the name of MiChael ora
placed on the Primary/General Election Ballot as a: lchecAmmplete box, as applicablel
@Nonpartisan fltto party affiliation n PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address I
I
I
I
(mm/DD/YY)
t0 to3{ tJest fw 7
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
33t<?
Ruh lS-2.04!1, F.A.C.DS{)E l(r (Efr.09111)
Signature of Voter Date Signed (IUM/DD/Y[
lto be
o ?n
by Voterl
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104. i,85, Florida StautesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition.[orm.
I,L-iol.:? L (. nnrZcn-C theundersigned,aregisteredvoter
(print name as it appears on your voter information card)
in said state and counly, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ Nonpartisan ! No party affiliatior, E Party candidate for the office of
City of Miami Beach Mayor
(insert title of oflice and include district, circuit, group, seat number, if applicable)
Date of Birth
(um/DD/YY)
or Voter Registration Number Addrees
J . a>. s'b t,lLl5 \d
State
Florida
Zip Code
\)r3 9
Date Slgned (ilm/DP/rn
Ito Ecorn pleted by lV ote rl(/to/>2
CountyCity
Miami Beach
Signature
Rub 15-2.04!1. F.AC.
t U
DS{)E toa (Etr 09/ilt
I
CANDIDATE PETITION
iYates.' - All inlbrmatiotr otr this.form becomes a public record utrton receipt hy the Supervi.sor o./'Electiotts.
- It is a crime to knowinglt' sign more than one petition.fbr a c:andidate. fSection 104.185, Florida StatutesJ
- If all requested intbrmation on this.fitt'tn i.s ttot completed, the.form x,ill not he valid as a Candidate Petitionfornr
I A": x MA<G{& L(e5-$ <,the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General ElecUon Ballot as a: lchecUcomplete box, as applicable'l
@Nonpartisan ENopartyafriliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrr/DD/YY)
or Voter Registration Number Address
ol lt ht u:tgt. N-,:
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33t 3?
Date Signed (HM/DD/YY)
Ito be completed by Votei
o-b(z-o lz>
Ruh F.A.C.DsqE 19{ G q941I
CANDIDATE PETITION
Notes: - All infornation on this.form becomes a public record upon receipt by the Supervkor of Elections.
- It is a crime to knowingly sign more than one petitionfor s candidate. [Section 104.185, Floida StatutesJ
- If all requested idormation on this form is not completed, theform will not be valid as a Candidate Petitionform.
I the undersigned, a registered voter
(print name as on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
E]Nonpartisan Eruo party affiliation fI Party eandidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrees
Aunu 3,\^O
City
Miami Beach
Countlr
Miami-Dade
Zip Code
-'3 t37
State
Florida
Rule I
U J€
osoE tlr (Etr 09nl)
Signature of Voter
\-14-=\^l.r- \C-.r-^-
Voter C-Date Signed (MMrDDfYn
bylfo be -2b
I,
CANDIDATE PETITION
Notes: - All informatiot't o,t this.form beconres a public record upon receipt h1' the Supervi.sor of Elections.
- lt is a crime to /brou'irrg/1, sigtr tnore than one petition.fbr a c:andidate. [Section 104.185, Florida StatutesJ
- If all requested in/brmation on this.fotnt i.s not completed, the.fbnn v,ill not he wlid as q Candidqte Petition _fbrm.
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lcheck/complete box, as applicablel
./Nonpartisan fluo party affiliation E Pao candidate for the office of
of Miami Beach r
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Mrf,/DD/YY)
or Voter Registration Number
I l.s 1 3 )-f r.Doa)..^-4 /3ot
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
?3/f9
Signature of Voter
Ulzzzzz-
Date Signed (tf,MrDDIYn
Ito be ampleted by Voterlf 2/7/z=
Rule lS-2"041i. F.A.C.DSOE r04 (Eff. 09111)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supenisor of Elections.
- It is a crime to knowingly sign more than one petitianfor a candidate. [Section 104,185, Florida StatutesJ
- If all requested information on this form b not completed, theform will not be vqlid as a Candidate Petition-form,
t' /4nRK lt"nkeENE the undersigned, a registeled voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: fcheclc/complete box, as applicablel
t Nonpartisan E ruo party affilialion E ParV candidate for the office of
Date of Birth
(Iilr/DD/YT)
or Voter Registration Number Addrees
2?i
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Codeeslzl
Signature of Voter Date Signed (MMTDD/Yn
lto be completed by Voterl
8i^d / ab?3
Ruh 15-2.045. F.A.C
c f 8 we *tl
osoE r0{ (Etr ognr)
r' r\ i*nA l,taLCZn<
CANDIDATE PETITION
Notes: - All in/brmatiott orr this.form bec'ontes a public record upon receipt by the Supen:isor of Elec'tions.
- It is a crinrc to knov,inglr sigtt nore than one petition for a candidatc. [Section I 04. I 85, Florida StatutesJ
- IJ all requested inftrmation on this lbrnt is rtot completed, the Jbrm v'ill not be valid as a Candidate Pctition./brm.
I,Le-iarg Ne{Lru*N\€Z the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecl</complete box, as applicablel
@Nonpartisan flruo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
I
i
I
I
Date of Birth
(M![/DDTYY)
or Voter Registration Number
(/ Ji ?a-
Addrees
Tro t 13 1o(/
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3\r a /
Signature of Voter Date Slgned (MM/DDIYI
Ito be completed by Voterl7-ta-)3
Rule l5-2.045, F.A.C.DS{)E r04 (Eff.09/rl)
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt b), the Supervisor o.f Elections.
- It is a crime lo know'ingly sign more than one petition.[or a candidate. [Section 104. 185, Florida StatutesJ
- I/ all requested information on this./bt'm is not completed, the.form *,ill not be valid as a Candidate Petitionform.
.U the undersigned, a registered voterO)vo
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
@Nonpartisan ENopartyaffiliation tr Party candidate for the office of
c of Miami Beach Ma
(insert title of office and include district, circuit, group, seat number, if applicable)
r-'- -
Date of Birth
(mrn DD/YY)
or Voter Registration Numbei Addrees
oJ
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
>3 trl t*'W/nr41
beItoa
Date
Rub tS-2.0tlll, F.A.C.
la.a I , S ol fi U
DS{)E t(r (Efi. Ognt)
I,
CANDIDATE PETITION
Notes: - All informatiott ott thi.s.form beconres a public record upon receipt by the Superuisor of Election.s.
- It i.s a crime lo knot+'inglv sign nore than one petilion for a candidate. [Section 104.185, Florida StatutesJ
- IJ'all requesled infurmatiott on thi.s.fbt'nt is nol completed, thcform *'ill not be wlid as a Candidate Petition.fornt
fi '- n - .--'the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
Nonpartisan E ruo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilrs/DD/YY)
or Voter Registration Number Address , I
elBg/-/dn J i 41/)/o0
City
Miami Beach ,-t'-
County
Miami-Dade
State
Florida
Zip Code
a3lq /
Date Signed (MMTDD/YY)
[fo be
-f-
completed by Voterlft-3oa3
Rule lS-2.(X5, F.A.C.DS{)E rO4 (Etr.09/1r)
Signature of Voter
CANDIDATE PETITION
Notes: - All infurmation on this.form becontes a public record upon receipl by the Supenisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a c'andidate. [Section 104.185, Florida StatutesJ
- Il'all requested information on this.fot'm is not completed, the.form w,ill not be valid as a Candidate Petition.form.
Signature of Voter Date Signed (MMTDDfYY)
D5
b VoterlIto be
I,the undersigned, a registered voter
(print name as it your voter information card)
in said state and county, petition to have me of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan flNopartyaffiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of or Voter Registration Number Addrees
-- A i,
CIs {a'4i1 r,z lSto
County
Miami-Dade
State
Florida
Zip Code33t( (Miami Beach
City
CANDIDATE PETITION
Notes: - .4ll information on this .form hecontes a public record upon reccipt h1' the Supervi.sor of Eleclions.
-lti.sacrimctoknouingl.y',tignnrorethanonepetitionJbracandidate. fSec'tion l04.lS5,FloridaStatutcsJ
- I/ all reque.stcd informalion on this.f'onn i.s not completed. thc./orm v'ill not be valid a.s a Candidate Patition.fornr
Ct/ilTfifr R*S1A Da nru*uez the undersigned, a registered voter
-lprint
name as n appears on your(oter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
Nonpartisan E ruo party affiliation E Parly candidate for the office of
Ci of Miami Beach M
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(MM/DD/YY)
or Voter Registration Number
i0-23- tlyy
Address
/NB F/N563s H Arl ar-.e- t3a7 33t4A
City
Miami Beach
l/County
Miami-Dade
/State
Florida
/Zip Code
73tUt
Date Signed (MM/DDIYY)
Ito be by Voterl
5
Rule 1 F.A.C DSOE 104 (Eff. 09'11)
CANDIDATE PETITION
Noles: - A ll in/brmalion on thi,s ./brn beconres a public rccord upon receipt h.r' the Supcrvi.sor of' Elect ion.s.
- It i.s a crimc to knox,ingl.t'.sigtt more than one pctition./br a candidatc. [Section 104.185, Florida Stutute.sl
Signature of Voter
I.the undersigned, a registered voter
(print na as it your voter information card)
or Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
in said state and county, petition to have the name
(insert title of office and include district, circuit, group, seat number, if applicable)
or Voter Registration Number AddressDate of Birth
(MM/DD/YY)
l, r f tqt;3I I1l
City
Miami Beach
L County
Miami-Dade
L-State
Florida t.
Zip Code
Vltt t
1 F.A"C.osoE 104 09/1 r
Date Signed (MM/DD/YY)
Ito be by Voterl
CANDIDATE PETITION
- lt i.s tt tt'itttc ttt kttovittgl.t .sigtr tttot'c thutt ottapctitiott.fitt'Lt cdndidulc. fSac'titttt 101.1,\-;, l:'lttrila Stulutt'.sJ
LrL glb y) e I /. -/J RoJoi {q the undersisned' a resistered voter
in said state and county, petition to have the name of MiChael GOngOfa
a
placed on the Primary/General Election Ballot as a'. lchecAcomplete box, as applicablel
[]Nonpartisan E No party affiliation tr Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrees
(XIM/DDTYY)
' '/"7/ //,Z/"33 t/
City
Miami Beach
County
Miami-Dade
State
Florida
Date Signed (MM/DDTYY)
Ito be completed by Voterl
Rule osoE 1(r (Eff.09/1r)
Zip Code
D(-
CANDIDATE PETITION
,\htes.' - ,4ll infornation on thi,sform hecontes a puhlic record upon receiltt h1' the Sulten,i.sor of Elections.
- It is a crime to knovingls'sign morc than one pctition.lbr a candidute. [Sectiorr 104.185, Florida StatutcsJ
- If all rcquestcd informution on this Jbrm is nol completed, the form will not be valid as a Condidttte Petition fornr
I,Z e 172,70 R,A the undersigned, a registered voter
(print name as it appears on your voter i card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan f]No party affiliation tr Party candidate for the oflice of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
I
I
City
Miami Beach
Countlr
Miami-Dade
Zip Code
22r//
Date Signed (MM/DD/Y[
Ito be completed by Voterl
&Lzl-eooP
State
Florida
Signature Voter
Rule lS-2.(Xll, F.A.C.osoE 104 (Eff.09,lr)
t.
CANDIDATE PETITION
^rores:
- ,4ll in/brmation on this ./brm hecomes a puhlic record upon rcc'eipt by the Supervisor oJ' Elections.
-lti.sacrinteloknot+'ingl.r'.sigttmorethanonepetition_/'orac'undidalc. [Scc'tion l0l.lS5,FloridaStatutesJ
- If'all reque.sted inlormatiott on this _f'onn is not completed, the .litrm v'ill not be valid as a Candidate Petition .fitrnr
the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
t Nonpartisan f] ruo party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(Ir1{/DDIYY)
or Voter Registration Number
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Gode
Slgnature of Voter Date Signed (MM/DDIYI
Ito be nmpleted by Voterla/-97-Jt I
Rule 15-2.045, F.A.C.DS{)E 104 (Etr. 09'tt)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is o crime to knowingly sign more than one petition for a candidate. [Section I 04, I 85, Floridq StorutesJ
- If oll reqpested idormation on this form is not completed, the form will not be valid as a Candidate Petition.form
I,4zze/a ,Zgsz the undersigned, a registered voter
lpnilname a5 it appears on your voter information card)
in said state and county, petition to have the name of Michael Go4gora
placed on the Primary/General Eleclion Ballot as a: lchecAcomplete box, as applicablel
INonpartisan !ttopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Address
A za4zs
City
Miami Beach
Gountyl
Miami-Dade
State
Florida
Zp Codee4/Q
Slgnatu re of
Rulc 1S-2.0t15, F.A.C.DSOE loa (Etr 09/rl)
IB /a ,rt c// fr c-a )4c1 ,I,
I
CANDIDATE PETITION
Notes: - All inlbrmatiotr ott this.form becomes a puhlic record upon receipl hy the Supen'i,sor of Election,s.
- It i.s tt crinte to kn<nt,inglt, sign more than onc pctition./br a candidate. [Section 104.185, Florida StatutesJ
- Il'all requested infbrmation on this.lbt'm is not conrpleted. thc ./brm v'ill not be valid as a Candidate Petition lbrm.
Date Slgned (MM/DD/Y[
27t 7cz J
MIro Voterlby
of Voter
I,(L the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan !ruo partyaffiliation E PaO candadate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
5 38oo \atl, i e 50 1
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zp Code
)? r+o
DS{)E 104
CANDIDATE PETITION
Noles: - All information on this form becomes a public record upon receipt by the Supervisor of Electtons.
- It is q crime to knowingly sign more than one petition for a candidate. [Section 104. I 85, Florido StatutesJ
information on this form is not completed, the form will not be valid as q Candidate Petilton.form.
Slgnature of Voter Date Slgned (lxm/DDfYn
lfo be
C sby
I,the undersigned, a registered voter
(print name as it on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@ Nonpartisan fltto party affilaation PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Regittration Number Addrcss
A-J
County
Miami-Dade
State
Florida
Zip Code
33 t{-oCity
Miami Beach
Rulc
/rs
Address
CANDIDATE PETITION
l\otes: - All infornntiott ott this.form hecontes a puhlic record upon receipl bv the Supervi,sor of'Elec'tions.
- It is tt crinte to knov,inglt'sign ntore than one petition.fbr a candidatc. [Section 101.185, Florida StatutesJ
- I/'all requestcd inlbrmatiott on this .fitrm is nol contpleted, the.fitrm will not be valid as a Candidute Petition ./itrnt
I,4uazza the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete tr,x, as applicablel
@Nonpartisan fltto partyaffiliation !Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
uwoDN\& _o_42 a eo//t.is }.I
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
3 3/ Y O
Rule l3-2.045, F.A"C.psoE 104 (Eff.09/ltl
(mm/DD/Yn
Votefl
Date i
lto be
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petition for a candidste. [Section 104.i,85, Florida StautesJ
- If all requested inlormqtion on this form is not completed, the fornt will not be valid as a Candidate Petition form.
I,the undersigned, a registered voter
(print name as it app€ars on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecldcomplete tr,x, as applicablel
@ruonpartisan fltto party affiliation E PaO candidate for the office of
c of Miami Beach
(insert Utle of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number Addrsss
3800
__J
.a//ae fuusffi(rm/DD/YY) Plz _€3
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33rct 0
Signature of
by a
Date Signed
Ito be
Ruh tS-2.&$. F,A.G.DS.I)E rlr (Etr 09/fi)
Slgnature of Voter :-\
CANDIDATE PETITION
nuotes: - All in./brmatiott ott this./brm hecontes a public record upon rcc'eipt b; the Supen'isor o.f Elec'tions.
- It i.s a c'rimc to knov'ingl.t'sigtt more than onc petition.for a c'undidate. [Section 104.185, Florida StatutesJ
- I/'all rcquestcd inf'ormatiott on this .fitt'trt i.s ttot completed, the.form v'ill not bc valid as a Condidatc Petition ./brnr
I,z2 the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !Nopartyaffiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number , Address
I
a 3ta aaz;re fu=
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3924
Date Slgned (MM/DD/Y[
lto be completed)y Voterlc7/?bB
Ruh iS-2.045, F.AC.DSOE 10{ (Etr.09n1)
Slgnature of Voter
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Florida StotutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petilion .form.
I,4ktz"rt U i,+rz y'ro'A the undersigned, a registered voter
(print name as it on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a'.lchecUcomplete box, as applicablel
@ttonpartisan Itto party amliation E PaO candidate for the office of
c of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ru/DD/YY)O4'
or Voter Registration Number Addrcas
/-?I oC (@27,c9 7/4
City
Miami Beach
State
Florida
Zip Codez7 /?c
Date Slgned (MM/DDrYY)
Ito be ampleted by Voterl2
Ruh lS-2.lXll. F.A.C.
7? 4!'C
DSOE roa (Efr.09[r)
CANDIDATE PETITION
Notes: - All in/bnnation on this_fornt hecome.s a trtublic'record upon receipt by the Supervisor of Elec'tions.
-ltisttcrinte toknov'ingl.t'.signmorethanoncpatitionjbrac'andidate. [Sectionl0l.lS5,FloridaStatutesJ
- I/ all requested inJitrmation on thi.r.fbt'm i.s not c'ompleted, the.fbrm v'ill nol hc valid as a Candidate Petition.[orm.
Signature of Voter
I,the undersigned, a registered voter
(print name as on your voter information card)
in said state and county, petition to have the name of Michael Gongola
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@ Nonpartisan ! ruo party affiliation f]Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
(IrM/DDTYY)t -&o
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
vvt 1(
Date Signed (mM/DD/Yn
Ito be ampleted by Voterl
o'7J7-{9
Rule DS{)E 10a (Etr 09111)
CANDIDATE PETITION
Notes: - All information on this lorm becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to knowingly sign more than one petilionfor a candidqte. [Section 104.185, Florida StautesJ
- If all requested informotion on this form is not completed, the fornt will not be valid as a Candidate Petition form.
I,Klczzza =55 a-/ e,/ 9Z fuZfaeundersisned, aresisteredvoter
(print name as it appears on your voter information card)
in said state and county, petition to have tho name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl</complete box, as applicablel
@Nonpartisan Itto party affiliatior, E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ril/DD/YY)
or Voter Registration Number Address
S e O() C-a; -ax--ry\2 fl "<. ) / I ) J
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code3siy'?
L ,ec'U
Dde Signed (ilil/DD/Yn
Ito be mmpleted by Voterlo>-a7-&3
Ruh lS-2.1145. F.AC.tlsoE roa Gtr.09/il)
I
CANDIDATE PETITION
Notes: - All in/brmatio,, on this _form beconrcs a public record upon rec'eipt hy the Sultervi.sor of Elec'tions.
-lti.sacrimetoknor+,inglvsigtrntorethanoncpetition.foracandidate. [Sec'tionl04.lS5,FloridaStatutesJ
If'all requested infbrmation on this |itrnt is not completed, the.lorm v'ill not he valid as a Candidalc Petitiott /brm.
Slgnature of
I,the undersigned, a registered voter
nt name as it on voler
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecl/complete box, as applicablel
@Nonpartisan fltto party affiliation fI Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
(ilm/DDIYY)c,C"/,t,ly9 0o
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code5s/no
Date Slgned (Mil/DD/Yn
Ito be ampleted by Voterlc7-.9a-23
DSOE 104 09n
Notes: -Att inrormation on this.rorm i",o^",,?#P:PAi,F:,"i;:ilPr[,-,.,, orEtecrions.
- It is a crime to knowingly sign more than one petitionfor u candidate. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition .form
I,L //-L Ca -/5 /A to the undersigned, a registered voterne
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as appliablel
./Nonpartisan E f,lo party affiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mmrDD/YY)
or Voter Registration Number Addrces
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
Sst4 O'
Date Slgned (Ht/DD/Yn
lto be amplete<l by Votefl
A8- o/ ^ 23
Rule 13-2.1145,
3
qgoE 10a (Etr 09/li)
CANDIDATE PETITION
A'ates.' - A ll in/brmatiott ott this ./brm beconres a public rec'ord upon receipl by the Supervisor of Elections.
-ltisacrimetoknox'ingl.t'signnorethanonepetition./bracandidate. [Scction l04.lS5,FloridaStatutesJ
- IJ'all reque.sted ir(brnrution on this.fot'nr i.s not contpleted, the.fornt x'ill not bc wlid as q Candidate Petition.f'orm.
Signature
I,,T*/> fZeDA.the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete tr;,x, as applicablel
@ruonpartisan !ttopartyaftliation f]PaO candidate for the officr of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mm/DD/YY)
or Voter Number
/0 /7 q 4 0c G//r ps Do(,r0 L
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code /oza/
Date Signed (mM/DD/Yn
Ito be mmpleted by Votefie7-26 -23
Rule l5-2.0411,osoE r04 (Etr 09/fi)
CANDIDATE PETITION
Notes: - All idormation on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to lotowingly sign more than one petition for a candidste. [Section 104.185, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be vqlid as a Candidate Petition form.
I,. ..'..-. :'1.. /,. , l'i,.- ,..,-. : -. .
;_i '.{:, the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAamplete box, as applicablel
@ltonpartisan fltto party affiliation E
City of Miami Beach Mayor
PaO candidate for the office of
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth or Voter Registration Number
: /;/_/-
-:h
Zip Code'./,2'!i
-../'r,. j
-;, 1'1 ?':
I
City
Miami Beach
Ruh tS-2.045. F.A"C.
County
Miami-Dade
State
Florida
"'n::|)* "lYoterl
)*rwtD,'l'
Date Signed (IIIM/DD/YY)
Ito be mmpleted by Voterl
Ory- Lg,23
DS{E roa (Efi.09nil
CANDIDATE PETITION
h'otes: - .4ll informotiott on this .form beconres a public record upon rcceipl by the Supe n,i.sor of Elections.
- It i.s tt crimc to Alox,inglr' .sign ntore than onc pelition.fot'a c'andidate. [Section 104.185, Florida StatutesJ
- If'all requestcd in/brmation on this .fbt'm i.s tt<tt contpleted, tlrc.form v'ill nol bc valid as a Candidate Petition .fitrm.
I,the undersigned, a registered voter
(print name as ir on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
ENonpartisan !ruopartyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrlr/DD/YY)
or Voter Registration Number
42 1
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code,3/(b
Date signed (IuMrDD/Yn
lto be completed
Rub osoE 10a (Eff.09nl)
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Elections.
- lt is a crime to knowingly sign more than one petitionfor a candidqte. [Section 104.i,85, Florida StatutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidote Petilionform.
ltJ NI,the undersigned, a registered voter
(print name as it on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballol as a: lchecUcomplete box, as applicablel
@Nonpartisan flNo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rrrDD/YY)
or Voter Registration Number Addreee/,-13*(38so C-o?,a
State
Florida
Zp Code
qg?vto
Date Signed (mWDD/Yn
Y,yff'W*'^
City
Miami Beach M i-Dade
County
Signaturc of Voter
Ruh lS-2.045, F.A.C,us{)E 10a (Etr 09/fl)
CANDIDATE PETITION
rVores.' - All in/brmation ot, this _form become.s a public rec'ord upon reccipl h.r' the Supervisor of Elect ions.
- It is u crime to knowinglv.sign more lhan one petition_fbr a candidatc. [Section 104.185, Florida StatutesJ
- Il'all requested inlbrmation on thi.s .fbt'm i.s ttot contpleted, the.fbrm x'ill not be valid as a Candidute Petition .[orn.
the undersigned, a registered voterI,
nt name as appears on r information card)
in said state and county, petition to have the name ot Michael Gongofa
placed on the Primary/General Election Ballot as a'. lchecUcomplete box, as applicablel
@Nonpartisan ENopartyaffiliation tr PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(ilm/DD/YY)
or Voter Registration Number Addrees
o-582a
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
Signature of Voter Date Signed (ITM/DD/Yn
lto be ampleted by Voteflo7-zs -23
Rule 1S-2.O15, F.AC.DS{)E tq!1Eff.09/fi)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by lhe Supervbor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. [Section 104.185, Floridq StarutesJ
- If all requested idormation on this form is not completed, the form will not be valid as a Candidate Petition form.
I,the undersigned, a registered voter
nt name as app€ars on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a'.lchecUcomplete Dc.x, as applicablel
@ruonpartlsan flNo party afiiliation tr Party candidate for the office of
c of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rM/DD/YY)
or Voter Registration Number Address
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
r>-i I '{a
Date Signed (Mil/DDfYn
Ito be mmpleted by Votefl
0t - )-.
Signature of Voter
Ruh 15-2.1115. F.A"C.
'nc
ugoE roa (Efi.09nrl
CANDIDATE PETITION
A'ares.' - All in/brmatiotr ott this ./.orm hec'onres a public record upon receipl by the Supervisor o.[ Elections.
- It is a crime to knov,ingl.v sign more than one petition.fbr a candidate. [Sac'tion 101.185, Florida Statute.sJ
- If'all requestcd information on fiis.fottn i.s trot completed, the.fbrm v'ill not be valid as a Candidale Petition ./brnr
fr /- t,.)/tdr/'r)d Mo the undersigned, a registered voter
@rs on your votbrinfoimation cardl
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
./Nonpartisan E No party affiliation E PaO candidate for the office of
of Miami Beach
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(mwDD/YY)
or Voter Registration Number Address
q g2
?
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3o/4 o,
Date Slgned (MIul/DDfYn
Ito be ampleted by Voter)og_o/-2>-
A(ite DS{E r0. (Etr.09/fi)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Superrisor of Elections.
- It is a crime to knowingly sign more than one petitionfor a candidate. fSection 104.185, Florida StarutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form
I,Z/rbrfa fu.the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
p uonpartisan fltto party affiliation fI PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rM/DD/YY)
or Voter Registration Number Addrees
a
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
33/7a
Date Slgned (mm/OD/Yn
Ito be ampleted by Voterl
0g-n/- 2.a
Signature
Ruh lS-2.1X5,
o
9roE lollEfi. 0911!)
t,
CANDIDATE PETITION
A'ares.' - All in.fbrmation ott this./brm beconrcs a puhlic record upon receipt by the Supervi.sor o/'Elections.
- It is a crimc to knox,ingl.t'sign morc than one petition.fora candidate. [Sec'tion 104.185, Florida Statute.sJ
- If'all requestcd in/brmation on thi.s .fitt'm i.s ttot comltleted, the.fbrm v'ill not be valid as a Candidale Petition .fbrnt
t,the undersigned, a registered voter
as appears on your information card)
in said state and county, petition to have the name of Michael G
placed on the Primary/General Election Ballot as a: lchecUcomplete tr:.x, as applicablel
@Nonpartisan !tlo partyaffiliation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rr/DD/YY)
or Voter Regietration Number Address
q 3B?t P/4 /7-
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
33/4 D
Date Slgned (HM/DDIYI
lto be ampleted by VoterlOVz-g-z-1
Rule l5-2.0411. F.A"C.osoE 10a (Etr 09/fi)
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to know,ingly sign more than one petitionfor a candidute. [Section 104.i,85, Florida StotutesJ
- If all requested inlormation on this form is not completed, the form will not be valid as a Candidate Petition.form.
of
I,the undersigned, a registered voter
rol
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Eleclion Ballot as a: lchecl<lcomplete box, as applicablel
fiNonpartisan [No partyaffilaation E Party candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(HH/DD/YY)
or Voter Regietration Number Addrcss
-..<
City
Miami Beach
County
Miami-Dade
State
Florida
Date Slgned (lUm/DDfYn
Ito be ampleted by Voterld- j.^6-
Ap2 Code
1//
Rule
S7
DSOE roa (Efi.09/fl)
Signature of Voter
CANDIDATE PETITION
Notes: - .4ll informatiotr otr thi.s .lbrm hecomes a puhlic record upon rcc'ei1tt by the Supervisor oJ' Elections.
- It is a crime to kno*'ingl.t' .sign more than one petition _for a c'undidate. [Scc'tion 104. 185, Florida StatutesJ
- I/'oll requestcd inJbrnrution on thi.s .litt'ttt i.s ttot cotnpleted, the.fbrm v'ill not be valid as a Candidote Petition ./itrnt
City
Miami Beach
Gounty
Miami-Dade
Signature of Voter
I,L ?the undersigned, a registered voter
(print name it appears on your voter card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
./Nonpartisan flruo party affiliation fI Party candidate for the office of
of Miami Beach M
(insert title of office and include district, circuit, group, seat number, il applicable)
of Birth or Voter Regietration Number Address
(mu/DD/YY)/qfr 3flaa
State
Florida
Zp Code
Date Signed (tf,M/DD/Yn
lto be ampleted by Voterl
Vzg-P--a,
Ruh F.A.C.
CANDIDATE PETITION
Notes: - All information on this.form becomes a public record upon receipt by the Supervisor of Electiow.
- It is a crime to know,ingly sign more than one petitionfor a candidate. [Section 104.185, Florida StatutesJ
- If all requested idormation on this form is not completed, the form will not be valid as a Candidate Petition form.
I,G1atfu the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
INonpartisan !no party afrliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
um/DD/YA)
or Voter Registration Number Address
AJ Z2
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code
D
Date Signed (tIt/DDIYn
lto be mmpleted by Votei7-z-a- LZ
Signature of Voter
Rub l3{.045, F.AC.
6 l^
DS{)E loa (Etr 09fl1)
CANDIDATE PETITION
Notes: - All in/brmation ott this.form heconrcs a public record upon rec'eipt hy the Supervi,sor of Elections.
- It i.s tt crime to knov'ingl.v sign more than one petilion ./br a c'undidatc. [Section 104. 185, Florida Statutesl
- Il'all requestcd infbrmation on this.fot'tn i.s ttot contpleted. the.fbrm v'ill not be valid as u Candidate Petition./brm.
I,"zo/cz '\the undersigned, a registered voter
name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
@Nonpartisan !tto partyafiiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
T
Date of Birth or Voter Registration Number
(Mm/DDTYY)i 0-o 6ru
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
3S /4 2,
Date Slgned (tTMrDD/Yn
Ito be ampleted by Voterl
- 2-9 ':z-s
Rule l3-2.045, F.A"C.DS.I)E r0{ (Eff.09nr)
Signature of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is q crime to lorcwingly sign more than one petitionfor a candidste. [Section 104.185, Florido StarutesJ
- If all requested information on this form is not completed, the form will not be valid as a Candidate Petition.form,
I,L''=\ the undersigned, a registered voterl-tt'. Kodri c^'ueZ.
ro)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecUcomplete box, as applicablel
ENonpartisan fltto party affiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(rm/DD/YY)
or Voter Registration Number Address
0D httiNskrq-o1
City
Miami Beach
Gounty
Miami-Dade
State
Florida
Zip Code
3S/{o-
Date Slgned (Mxl DD/Y[
lto be completed by Votei
Rulo 15-2.1145. F.A"C.
3
DS{)E toa (Efi.0U11)
Signature of Voter
CANDIDATE PETITION
Notes: - All in/brmation on this Jbrm becomes a puhlic record upon rcc'ei1tt b1, the Supervisor of Elections.
-lti.sucrimet<tknov''inglvsignmorethanonepetilion_[oracandidate. [Seoionl0l.lSS,FloridaStatute,sJ
- IJ'all reque.sted inlormation on this.fitt'ttr i.s ttot completed, the.form v'ill not be valid as a Condidate Petition_fbrnr
'' A/ /./aro OrtdrTe//the undersigned, a registered voter
(print name as it appears on your voter information card)
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
@Nonpartisan !tlopartyaffiliation E PaO candidate for the office of
City of Miami Beach Mayor
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth
(xrH/DD/YY)
or Voter Registration Number Address
d 30-qs 38?2 ,
City
Miami Beach
County
Miami-Dade
State
Florida
Zp Code33/4 0,
Date Signed (HM/DD/Y[
[to be ampleted by Voter]07-27-78,
Ruh 15-2.045,osoE flra (Eff.09/11)
Slgnature of Voter
CANDIDATE PETITION
Notes: - All information on this form becomes a public record upon receipt by the Supervisor of Elections.
- It is a crime to know,ingly sign more than one petitionfor a csndidqte. [Section 104.i,85, Florida StautesJ
- If all requested informqtion on this form is not completed, the form will not be valid as a Candidate Petition form.
I,,4rr./al/ '' aa,ias the undersigned, a registered voter
in said state and county, petition to have the name of Michael Gongora
placed on the Primary/General Election Ballot as a: lchecAcomplete box, as applicablel
Ittonpartisan !tto party affiliation E Party candidate for the office of
City of Miami Beach Ma
(insert title office and include district, circuit, group, seat number, if applicable)
Date of Birth
0rm/DD/YY)
or Voter Registration Number Addrues
3o
City
Miami Beach
County
Miami-Dade
State
Florida
Zip Code
33 /4 o,
Date Slgned (MtlrDDfYY)
Ito be amplete<l by Voteid7*e7-;3
Rule lS-2.1145, F.A.C.
0 3
r)tsoE r04 (Efr.09/il)