Petition Transfer of Custody Saint FleurcouMTv Jk;
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: Katia Saint Fleur
GOVERMENTAL
AGENCY OR
COMMITTEE: Miami Shores Village
COMPILED BY REGISTRATION SECTION:
No. of Petitions 65
transferred
No. of Boxes
transferred
Delivered by: (Miami -Dade Elections Dept. Staff)
2 ozi
rint Name ignature Date
Received by: (Governmental Agency or Committee Staff)
Pri t Name Siglure Date