Candidate Oath HarrisCANDIDATE OATH —
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate)
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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)
I, Sandra Harris
(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 Member ,
(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): 109201769
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.]
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Signature of Candidate Telephone Number Email Address
945 NE 98th Street Miami FI 33138
Address City State ZIP Code
STATE OF FLORIDA
nature of NotaYy Public
COUNTY OF Al11+10/ - QL L> rint, Type, or Stamp Commissioned Name of Notary Public below:
Swornto (or affirmed) and subscribed before me by physical or LINDAM.SMITH
fi =,: Commission I GG 365536
El online presence this day of t-t L,r i. , 20 A Expires September 21,2023
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Personally Known: '` or Produced Identification:
Type of Identification Produced:
DS-DE 302NP (Rev. 04/20) Rule 1S-2.0001, F.A.C.