CANDIDATE OATH- ULVERTCANDIDATE OATH —
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate) 02 -2 1 -) 9 0 9 : 02 RC VD
Check box only if you are seeking to qualify as a
write -in candidate:
❑ Write -in candidate
OFFICE USE ONLY
Candidate Oath
(Section 99.021(1)(a), Florida Statutes)
Christian Ulvert
(Print name above as you wish it to appear on the ballot. If your last name consists of two or more names but has no
hyphen, check box ❑. (See page 2 - Compound Last Names). No change can be made after the end of qualifying.
Although a write -in candidate's name is not printed on the ballot, the name must be printed above for oath purposes.)
am a candidate for the nonpartisan office of Miami Shores Village Council
(Office) (District #)
I am a qualified elector of Miami -Dade County, Florida;
(Circuit #) (Group or Seat #)
I am qualified 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 any office from which I am required to resign pursuant to Section 99.012, Florida Statutes;
and I will support the Constitution of the United States and the Constitution of the State of Florida.
Candidate's Florida Voter Registration Number (located on your voter information card):
Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on the audio
ballot as may be used by persons with disabilities (see instructions on page 2 of this form): [Not applicable to write -in candidates.]
Christian OH -LVERT
X
( 305 ) 336 -3631
Signature of Candidate Telephone Number
29 NE 102 St Miami Shores
Address City
STATE OF FLORIDA
COUNTY OF Mi >AAA
Sworn to (or affirmed) and subscribed before me this h ' a ` L
day of 20
Personally Known: or Produced Identification:
Type of Identification Produced:
christian.ulvert @ gmail.cc
Email Address
FL 33138
tale ZIP Code
Signatur ooary Public
Print, Type, or Stamp Commissioned Name of Notary Public below:
MATTHEW LAND
My COMMISSON 9 FF926566
EXPNtES 00k6w 12, 2019
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