ACKNOWLEDGEMENT OF RECEIPTAcknowledgement of Recei t of Candidate Handbook
By signing this form, I acknowledge that I have received a complete copy of the 2019 Candidate Election
Handbook for Miami Shores Village, which contains the following documents relating to 2019 Miami Shores
Village Election to be held on Tuesday, April 9, 2019:
➢ Informational Letters from the Village Clerk
➢ Petition Forms
➢ Village Ordinances relating to election
➢ Qualifying Forms
➢ Treasurer Report Forms, Schedule, and
due date
➢ Miami -Dade County Documents
➢ Candidate and Campaign Treasurer
Handbook
➢ Florida Election Code- State Statutes 97-
106
I further acknowledge that I have read and understand the following disclaimers:
Acknowledgement that the Package is a Summary of the Election Code Only:
The information contained herein is intended as a reference guide only. The Village Clerk's Office will provide
assistance to candidates; however, it is not the responsibility of this Office to interpret Florida Statutes as
prescribed by Florida Law. All information contained herein is current as of the date of publication, June 2018.
Acknowledgement of the Responsibilities of the Qualifying Officer:
Pursuant to F.S. 99.061(7)(c), the Village Clerk, as filing officer, performs only a ministerial function in
reviewing qualifying papers. In determining whether a candidate is qualified, the filing officer shall review the
qualifying papers to determine whether all items required have been properly filed and whether each item is
complete on its face, including whether items that must be verified have been properly verified (by oath or
affirmation) pursuant to F.S. 92.525(1)(a). The filing officer may not determine whether the contents of the
qualifying papers are accurate.
Candidate:
"(Iz i�oJ-f,S
First Name I Last Name
Acknowledged By:
3 D
Date