Petition Transfer of Custody MarinbergMIAMI-DADS`
i f
Miami -Dade Elections Department
2700 NW 87' Avenue
Miami, Florida 33172
305-499-8363
Petition Transfer of Custody
(to be completed when returning processed petitions to Governmental Agency or Committee)
PETITION NAME: Daniel Marinberg
GOVERMENTAL
AGENCY OR
COMMITTEE: Miami Shores Village
COMPILED BY REGISTRATION SECTION:
No. of Petitions 67
transferred
No. of Boxes
transferred
Delivered by: (Miami -Dade Elections Dept. Staff)
Print Name Signature Date
Received by: (Governmental Agency or Committee Staff)
J(,/-Vgji
Prin Name Sig Lure D to