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
Miami-Dade
COUNTY
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(PLEASE PRINT)
GOV\joro-
last Name
First Name
Middte Namennitlal
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.
(Sectio~21. Florida Statutes)
l:Yo VlSarCL
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT - NAME PM Y NOT BE CHANGEO AFTER TliE END OF QUALIFYINGl
am a candidate for the office of t.-\ i~vYl) ~ C'oi1'VW..s:~: 0,..,) , N/A N/A
- \ ,.. Ul (office) ~ (dl"trict) (circuit)
~ . I am a qualified elector of r {,t;l'V\."'I - Vcde.. County, Florida.
(group)
I am a qualified elector of the City of Miami Beach, Florida, residing within the Cit at least Qne year before qualifying
for City of Miami Beach elected office, with my legal residence being:5b3B s=> \.\11';. r-'Ne.1t:"3'A ,
Miami Beach, Florida. I am qualified under the ordinances and Charter of said City and under the Constitution and the
laws of Florida to hold the office to which I desire to be nominated or elected. I have qualified for no other public office
In the state, the term of which office or any part thereof runs concurrent with the office I seek; and I have resigned from
an office from whch I am reauired to resiQn pursuant to Section 99.012. Florida Statutes.
I,
. OATH OF CANDIDATE
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UNDER PENAL TIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF
CA D IN EACH ARE TRUE.
..\\~~~~'~t;"".. IUAM R. HATFIELD
l"~' . ('/>\ Notary Public .. State or Florida 8
... · s~ TO AND SUBSCRIBED be!!:::,:: ;;;0 this day
i. '~M{Como'U..,,&piesFeb18 2009 I / '/Aa.~
;;j~ ~ifi Commission # DO 375299 of . 2006 Notary Name; t-tdtr.-nr I.. N.....(/~
" I,'lf.~I~"'" 80nded By Notional Notary Assn. Notary Public, Src;u:: of Florida
Commission Expires: 02/; f: If) 9 Personally Known: L-
Produced 10: Type:
SIGN HERE
563~ Gl/~sA.reit- 3A
Mailing Address
(;o'02Jp.:) - I 0 I '1 (50"?) L{'--{ 2.. - -Z "2 5
Day Phone Fax Number
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f-L
331 "-fO
City
State
Zip Code
qjB/0b
Date Sign~d
OS-DE 248 (Rev. 08/03)