Loyalty Oath DS-DE 24B
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LOYALTY OATH
CANDIDA TES WITH NO PARTY AFF/lIA TJON
(Sections 876.05-876.10, Florida Statutes)
.., \ ~::.OFFICE USE ONL Y
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STATE OF FLORIDA Miami-Dade COUNTY
(PLEASE PRINT)
I, LAUf<.A- A. L cyv 4-
First Name Middle NOIImellnitlal 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.
I,
. OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
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A.
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IPLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT -- NA MAY NOT BE CHANGED AFTER THE END OF QUAlIFYING)
am a candidate for the office of m "frn / Bell (' 1-t ~lTJi~ N/A N/A
---rr- (office) A"" (dl,trlct) (circuit)
_Jl- , I am a qualified elector of ~ A-D 'C County. Florida.
(group)
I am 8 qualified elector of the City of Miami Beach, Florida, residing within the Cit at r slone ye.aJ ,befC?re qualifying
for City of Miami Beach elected office, with my legal residence being: '.- MUli . .
MImiII Beach, Florida. I am qualified under the ordinances and Charter of said City and under e Constitution and the
lfta of Florida to hold the office to which I desire to be nominated or elected. I have qualified for no olher public office
In Ih8 state, the term of which office or any part thereof runs concurrenl with the office I seek; and I have resigned from
e from whch I am reQuired 10 resiQn pursuant to Section 99.012. Florida Statutes.
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.
"~~::~::~'" ULIAM R. HATFIELD o.pf
!~m: <i'\Notary Public - Slate ot Florida SWPRN TO AND SUBSCRIBED br~c:-= iOC l!J.is J~. day
~: .?-\'Canr.....&pesFeb18.2009 0~~J..I2JJ06 Notary Name; M.'--'~"VW) K! ~"'iJJ.
\1,,, <D.~~ Commission (I DO 375299 Notary Public, ~rcm; of Florida
~'I.OFF\.Q'" . . E . '/ . /'
,"....,.. BondedBvNaflonaINolaryAssr mmlSSlon xplres:. Personally Known:~
Pro ced 10:
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.'lIng Address
Day Phone
,?fh. &lga<t2'f
Fax Number
SIGN HERE
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Clay
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'53;3 ~
Zip Code
CJ~ I~l,
State
Date Signed
D8-OE 248 (Rev. 08/03)