CANDIDATE PETITION

Notes: - All information on this form becomes a public record...
- It is a crime to knowingly sign more than one petition... [Section 104.185, Florida Statutes]
- If all requested information on this form is not completed, the form will not be valid...
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
George E. D. Morgan
Nonpartisan No party affiliation
Mayor for North Miami
(insert title of office and include district, circuit, group, seat number, if applicable)
Date of Birth (MM/DD/YY) or Voter Registration Number
Address
City
County
State
Zip Code
Signature of Voter
Date Signed (MM/DD/YY) [to be completed by Voter]
Rule 1S-2.045, F.A.C. DS-DE 104 (Eff. 09/11)