Loyalty Oath DS-DE 24B
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LOYAL TY OATH
CANDIDATES WITH NO PARTY AFFILIATION
(Sections 876.05-876.10. Florida Statutes)
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STATE OF FLORIDA
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First Name
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Miami-Dade
COUNTY
(PLEASE PRINT)
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Middle Namennitlal
Last Name
a citizen of the State of Florida and of the United States of America, . . . and a candidate for public office. .. do
hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida.
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,OATH OF CANDIDATE
~ j(Section 99.021. Florida Statutes)
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(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT - NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the office of CoM tz-I /!!i;$ ,'OtJe r'I N/A N/A
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(group)
I am a qualified elector of the City of Miami Beach, Florida, residing within h~~l!Y at 'ea~~ one"y~C}r b~fore gu~ifying
for City of Miami Beach elected office, with my legal residence being tc:t:1 12 .I]IVO /f /iJ &. /1 tJ .
Miami Beach, Florida. I am qualified under the ordinances and Charter 0 s id City and under the Constitution and the
Laws of Florida to hold the office to which I desire to be nominated or elected. I have qualified for no other public office
in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from
an office from wr.ich I am reauired to resian pursuant to Section 99.012. Florida Statutes.
. I am a qualified elector of
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(OfflCj)t<. L
(district)
County, Florida.
(circuit)
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF
CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE.
""~\:~"~;;"" lILIAM R. HATFielD
/~m~ :'~<... Notary Public. State of Florida
~. * * . ~Commilsio"ElcJ::iesFeb J 8. 2009
;.~, <JI:.W Commission # DO 375299
I'1,f,,?r.f,""'-' Bonded By NatIonal Notary Assn.
SIGN HERE
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Mailing Address
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City
OS-DE 248 (Rev. 08/03)
SWORN TO AND SUBSCRIBED befcyo ;;;a this
of ,Jtjd-- 2006 Notary Name: . '/I'd- /l.-
Notary Public, Stem:: of Florida
Commission Ex~res: ,:;III t/ tJ q Persoqally ~11'?JNn: . ,
Produced 10: !L Type: 1P1 'Df..--/l' u;;.,/~ ,OJI? -~~.
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(305) 5jS--1c?j (3a;)533-oo
Day Phone Fax Number
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Date Signed
State
Zip Code