Notice of Candidacy & Residency- BurchNOTICE OF CANDIDACYAND RESIDENCY
t 11A + OTAS hereby file this Notice of Candidacy this � Z day
Of 1� wdvv • , 2019, for the Village Council election of Miami Shores Village to be held
on April % 19. I affirm that I have resided in Miami Shores Village for at least six (6) months
prior to the date of qualifying for office as required by Section 23 of the Village Charter.
R -T- /I
C ndi a ig to Print Name _
53 c. f /,I Gj Address
(3 1 Cl� a-
Telep one Number
E -Mail Address
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
BEFORE ME personally ap eared r y l i C MM 7DI who executed this Notice of
Candidacy and Residency this day of Q C 2419.
V/ Personally Known
Produced the following Identification
FISr , Imo.
Notary Public
, LESLIE RACKL
My COMMISSION # GG 056758
f+IRES: March 13. 2021
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