Wroy, Marie Myrtha 2017
Candidate Name: MQ l e_ W114� TL bly-OW
E-Mail Address: ( MLA l col
Address: 7�{ R C l0
Telephone Numbers: 30S cl&6 --n Lk C
CANDIDATE INFORMATION REQUIRED FOR
QUALIFYING FOR VILLAGE COUNCIL ELECTION
Notice of Candidacy and Residency
Campaign Account &Treasurer's Appointment
Form 1 Financial Disclosure
Loyalty&Candidate's Oath
Statement of Candidate
50 Signatures on Nominating Petition
Confirmed by Miami-Dade County Elections
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NOTICE OF CANDIDACY AND RESIDENCY
I, A / 1 e hereby file this Notice of Candidacy this� day
of OeF 2017, for the Village Council election of Miami Shores Village to be held on
April, 11, 2017- 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.
Signature Print Name
Address
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Telephone Number
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E-Ma' Address
STATE OF FLORIDA )
COUNTY OF MIAMI-DADE )
BEFORE ME personally appeared )V V, ,who executed this Notice of
Candidacy and Residency this 3rrJ day of 2017.
Notary Public
Personally Known
k, Produced the following Identification Seal/Commission Expires:
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MIAMI SHORES VILLAGE COUNCIL
CANDIDATE INFORMATION RECEIPT
Candidate: /e/ e' �/i19 (Z/
This is to acknowledge receipt of the following documents relating to
the 2017 Miami Shores Village Council Election to be held on Tuesday,
• April 11, 2017.
Informational Letter from the Village Clerk
Petition Forms
Village Ordinances relating to Village Election
Qualifying Forms
Treasurer Report Forms
Items and Documents available from Miami-Dade County
Absentee Ballot Information
Poll Watcher Information
Candidate and Campaign Treasurer Handbook
State Statute Chapters 97 — 106
Received By:
Date: �v��