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HomeMy WebLinkAboutrrandels_qualifying_elections_paperwork_201908CITY OF CAPE CANAVERAL, FLORIDA QUALIFYING PACKET FOR PERSONS WHO ANNOUNCED CANDIDACY PRIOR TO QUALIFYING PERIOD � � eCIJ*ACOQ-aI, , previously announced my candidacy for City Council and do hereby acknowledge receipt of additional materials as follows: • April 18, 2019 Candidate Information Memo (Amended August 8, 2019) • 2019 Election Information (Amended) • Form DS-DE 302NP (Rev. 11/17), Candidate Oath — Nonpartisan Office • City Oath of Candidate • CE Form 1 (Effective January 1, 2019) Statement of Financial Interests and Instructions • Election Laws of the State of Florida as of as of August 2019 • 2019 Municipal & Special Districts Canvassing Board Dates I understand to have my name appear on the November 5, 2019 Municipal Election Ballot, I must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins on August 9, 2019 at noon and ends August 19, 2019 at noon. '6CDCN4cit C?)-0%.‘"CQQ—‘1J-- Signature Date Enter Date : Time Received c-------)2226 and Initials of Clerk's Office Staff Member CANDIDATE OATH —. NONPARTISAN OFFICE (Do not use this form if a Judicial or School Board Candidate) Check box only if you are seeking to qualify as a write-in candidate: ❑ Write-in candidate RgEgTIE AUG 0 9 2019 ID 1) ! BY OFFICE USE ONLY Candidate I � Section 9�21(1 I� 0 C 9 AN Oath (�lorida Statutes) (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 C-j4-y Ca 0 INGAL Cam, 0.yp�J�- 1 (0 ice) - (District #) , ; I am a qualified elector of ( (2,V 19V- 7 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): . OQ 9 53833 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.] Rm.--ky az., \ Xsoc1t� (3..+r..ek, (32i 53 b - ZS bil Signature of Candidate Telephone Number Email Address 'bo 9 £A5% CQ"-A- al RA. Core_ Lao oNl ii?'L f- 31.9?-V --2J10lo Address City State ZIP Code 1 STATE OF FLORIDA Signature of Notary lic COUNTY OF •'rQ-✓fi -,ei) Print, Type, or Stamp Commissioned Name of Notary Public below: Sworn to (or affirmed) and subscribed before me this 9 Ma . Mia Goforth .o aQ fiik NOTARY PUBLIC day of j v5 T , 20 / 9 . o STATE OF FLORIDA l i Comm# GG083783 Personally Known: '' or Produced Identification: '''CE VI Expires 5/16/2021 Type of Identification Produced: DS-DE 302NP (Rev. 11/17) Rule 1S-2.0001, F.A.C. OATH OF CANDIDATE I, g 0 C2N ',kJ d Q—\--s' , do solemnly swear or affirm that I am qualified under the Cityof Cape Canaveral p Charter and Ordinances to hold the Office of Council Member, to which I desire to be elected and I will support the City of Cape Canaveral Charter and Ordinances. GZo ky Qa.-AQAz Signature of Candidate State of Florida County of Brevard City of Cape Canaveral Sworn to (or affirmed) and subscribed before me this day of August, 2019 by /-y ,L.11,J /s , who is personally kno produced <i/ice Identification. Signature of Notary Public ARY • Mia Goforth `° NOTARY PUBLIC • ' S. STATE OF FLORIDA �� Comm# GG083783 Expires 5/16/2021 Print, type or stamp Commissioned Name of Notary Public �� � �� �l�� 2018 - ---'- - STATEMENT �� ���' Please print or type your name, mailing mmns and�n°vmvw- FINANCIAL FOR �E�EON� �-`..^�~v � '��^/ NAME c FIRST�������W��' ` �~`�~�� ��� � MAILING ADDRESS: ~ I& Iola CITY:' ZIP: COUNTY: � CtN.� d�x ��w���%� - ' I I _ ^ � ~ - -- - - --'-- - V-\- &U� � � ����-- ,°~_--t~�a" _ _ ^� NAME OFOFF�EORPOS�0NHELD ORSOUGHT:~ _ You are not limited to the space on the ones'vnthis form.. Attach additional CHECK ONLY |p % CANDIDATE on J N�m'EMpLOvssoeApPo|wTsE _ *�aBOTH PARTS OF THIS, SECTION MUST BE COMPLETED *�* DISCLOSURE PER]OD:- TM|DD7ATEMENTREFLEClSYOURF|NANCIAL|NTEREGTOFDRTHEPRECED|NG7AXYEAR.VVHETHERBAGEDONACALENDAR YEAR ORONAFISCAL YEAR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (must check one): ' DECEMBER31.2818 OR O SPECIFY TAX YEAR U=OTHER THAN THE CALENDAR YEAR: MANNER OFCALCULATING REPORTABLE INTERESTS: ` ' FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THATARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further datoi|o).CHECK THE ONE YOU ARE USING (must check one): ^�� COMPARATIVE (PERCENTAGE)THRESHOLDS OR O DOLLAR VALUE THRESHOLDS 'r ^ PART A - PRIMARY SOURCES OF INCOME (if you have nothing to report, mm»o NAME OFSOURCE OF INCOME [Major sources ufincome tuthe reporting person ' See instructions] ''nvne" v,'Wa') oouncsm- . �� '� .' ' xooRs8G �- DESCRIPTION oFTHESOURCES PRINCIPAL BUSINESS ACTIVITY r-XICA V- CA"V_ 0�L » - ._, _ ^���� exmTo-SsoOmoAmYSOumosS [Major customers, clients, (if you have nothing »m NAME OF BUSINESS ENTITY OF INCOME and other sources of income to businesses report, write ''nnne'o,^mu^> NAME oFMAJOR SOURCES OFoU0wEG8'|wComs owned by the reporting person - See xoonsoa opaounos instructions] PRINCIPAL aua|msao ACTIVITY opSOURCE n-_- PART C - REAL PROPERTY [Land, buildings owned by the reporting person - See instructions] (If you have nomtinguun,pu,w,ue^nune'p,^nla''> FILING INSTRUCTIONS for when and where tofile this form are located at the bottom of page 2 ' INSTRUCTIONS on who must file this form and how tp fill it out begin onpage 3. -- � �' � � ��*^����w�v�e�� ~�- ^ �� ��-=��� ' �- (Continued on reverse side) Incorporated by reference in Rule 34-8.202(l), F.A.C. PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, (If you have nothing to report, write "none" TYPE OF INTANGIBLE bonds, certificates of deposit, etc. - See instructions] or "n/a") , BUSINESS ENTITY TO WHICH THE PROPERTY RELATES PoS % 4-i►6tte4 Spre.ji Atcow 9b54 ritOr . Aeirn44 bceou..4 wL,'.)e Oegroi p143Ye.63 ar v®ter '0 see_ t ASK C40 EiGto Fear') Fait 1 eaSt % CP,St coo v le&k, w Cte T► /kr-cj° g.1. ...,v)14:74-- %Pv.4i r Red PART E — LIABILITIES [Major debts - See instructions] (If you have nothing to report, write "none" J s 7L'i r '.NAME`OF-CREDITOR ;:,' or "n/a") :' .:. , ; •.- :. 4 ADDRESS OF CREDITOR 7 V .. - - , .lam/• '.t ';i/-= .. --' - - _ PART-F INTERESTS IN SPECIFIED BUSINESSES (If you have nothing to report, write "none' BUSINESS ENTITY-- Ownership -or positions -in certain -types of businesses or "nla") BUSINESS ENTITY # 1 -_See-instructions]•'- , BUSINESS ENTITY # 2 . .. . '" •NAME"OF ADDRESS OF BUSINESS ENTITY —2.-------....______I %....-----4" PRINCIPAL BUSINESS ACTIVITY - ve..10.—CP.----- POSITION HELD WITH ENTITY 0 NATURE OF MY OWNERSHIP INTEREST PART G — TRAINING For elected municipal officers required to complete annual ethics training pursuant to section 112.3142, F.S. A I CERTIFY THAT I HAVE COMPLETED THE REQUIRED TRAINING. IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑ SIGNATURE OF FILER: CPA or ATTORNEY SIGNATURE ONLY Signature: C:440C-44...{ If a certified public accountant licensed under Chapter 473, or attorney in good standing with the Florida Bar prepared this form for you, he or she must complete the following statement: I, prepared the CE N Form 1 in accordance with Section 112.3145, Florida Statutes, and the t ;,Date `:Signed:..., , :gw " .. - .. ,;; .y . _s _' instructions to the form. Upon my reasonable knowledge and belief, the disclosure herein is true and correct. QPA/Attorney .Signature: . ti .., £.. r ,m Date Signed: FILING'INSTRUCTIONS, -.- • E If you were mailed the form by the Commission on Ethics or a County Candidates file this form together with their filing papers. Supervisor of Elections for your annual disclosure filing, return the MULTIPLE FILING UNNECESSARY: A candidate who files a Form form to that location. To determine what category your position falls 1 with a qualifying officer is not required to file with the Commission under, see page 3 of instructions. or Supervisor of Elections. • Local officers/employees file with the Supervisor of Elections WHEN TO FILE: Initially, each local officer/employee, state officer, of the county in which they permanently reside. (If you do not and specified state employee must file within 30 days of the permanently reside in Florida, file with the Supervisor of the county date of his or her appointment or of the beginning of employment. where your agency has its headquarters.) Form 1 filers who file with Appointees who must be confirmed by the Senate must file prior to the Supervisor of Elections may file by mail or email. Contact your confirmation, even if that is less than 30 days from the date of their Supervisor of Elections for the mailing address. or email address to a ointment. ' use. Do not email your form to the Commission on Ethics. it will be pp returned. Candidates must file at the same time they file their qualifying State officers or specified state employees who file with the papers. Commission on Ethics may file by mail or email. To file by mail, Thereafter, file by July 1 following each calendar year in which they send the completed form to P.O. Drawer 15709, Tallahassee, FL hold their positions. 32317-5709; physical address: 325 John Knox Rd, Bldg E, Ste 200, Finally, file a finaldisclosure form (Form 1 F) within 60 days of Tallahassee, FL 32303. To file with the Commission by •email; scan leaving office or employment: Filing'a`CE Form 1 F (Final'Statdment your completed form and any attachments as a pdf (do not use any of Financial Interests) does not relieve the filer of filing a CE Form 1 other format) and send it to CEForm1@leg.state.fl.us. Do not file by.. `if the -hi -or her December 31,.2018.• filer was in position on both mail and email. Choose only one filing method. Form 6s will not be accepted via email. CE FORM 1 - Effective: January 1, 2019. Incorporated by reference in Rule 34-8.202(1), F.A.C. PAGE 2 City of Cape Canaveral Cash Receipt #: Received From For 76/9 /2707/c/ Payment Received Cash Check 105 Polk Avenue P.O. Box 326 Cape Canaveral, FL 32920 (321) 868-1220 www.cityofcapecanaveral.org gashRecegt • • Date: ;2/1/ /9 do' 4r/2 - Total_ArritiUriebye 39. oo Amount Received. L.39 .o o co'orpriCe Due City Employee CAMPAIGN TREASURER'S REPORT SUMMARY (1) GLV. i GR..../..„„u_x_..N@Rgonii Name (2) 3 0 9 f.4aSIV CiQnA-R.R1- L`-v Q• • - - ---- ----- S E P 0 G 2019 Address (number and street) dip Q- -t4 RA/ Q, L, f•L 3291.0 eGo 9i,v Z:o p City, State, Zip Code By: ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): lit Candidate Office Sought: C. i M C'Dv14c_1 \ l� - CoV & C(v1..1 (l,j 4arz0.,., ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers ZO iq Cover Period: From 0 8 / 0 1 / r q_ To d$ / 3 1 / tiq Report Type: G-I Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report $ (7) Expenditures This Report Monetary .00 Expenditures $ - 39• , 1p = Cash & Checks - , , • Transfers to Loans $ --, 3 )000 . �� Total Monetary $ po �' 3 J SOD•ge Office Account $ - , . Total Monetary $ 60 In -Kind $ , , • ,A39 • (8) Other Distributions $ , • (9) TOTAL Monetary Contributions To Date $ 3 te J (10) TOTAL Monetary Expenditures To Date $ °° ,— , , , , vo o ____ .. (11) Certification It is a first degree misdemeanor for any person I.certify that I have examined this reportandit is true, correct, (Type name) „ OfAM C(RFi tad � to falsify a public record (ss. 839.13, F.S.) and complete: Q /�lQ� (Type name) IRflGV � ` _ PI 14 1.-C ■ Individual (only for IE %Treasurer • Deputy Treasurer or electioneering co�mm.) 'Candidate ■ Chairperson (only for PC n and PTY) X `oc)Q0..r+ D,L_ X to , �D -�J%.0.t_ Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name CCU M E Q (2) I.D. Number (3) Cover Period D / Q 1 / 1 Q through 0 8 / 3 1 / 1 q (4) Page � of ! (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 08 / o / 1(21 g61-h4d else go ck y 3D8 6 Cir�s' 44+ 04;1 R( 'P1- s `, cA4.afhv - - R-i- GO nc'A- Lo APq _ / 1/ 3?� Ate / / / -----.......A. / / -----.....-.--"..%%."\,......., / / \\*.'-"------- / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name �OG�\`� 4 ANd (2) I.D. Number (3) Cover Period 08 / C) /1 through fl9 / . ) / ) 9 (4) Page of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 141/nct/1q GrTIf4)IF- LP99 CAI.%1:1~- tt‘- 6 a eel. IC' % te cprpe. e..i4N A %/ .l 1— VI-- '3.2Jgraora Qw12)‘..ef-yp n G14K CR-0 �_ / / ....-\. / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) ocg, to\ Qcj..rQ€Ls Name (2) 3 68. tN•sk Z. Address (number and street) City, State, Zip Code (4) ❑ Check here if address has changed Check appropriate box(es): (3) SEP 202019 ID Number: Candidate Office Sought: Ci 1 - ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (Ave. Cr ,,ewd v ,q l- ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report Identifiers ®(A Cover Period: From O q' / Q I / tl et To 40 9 / \,'7S / \ C Report Type: 6. 2. 'Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ Loans $ 0, • `ter Total Monetary $ 0• In -Kind $ C' , C 1Z5.00 (7) Expenditures This Report Monetary Expenditures $ V , , y ate. a o Transfers to Office Account $ Total Monetary $ p , p 6-4 Ga (8) Other Distributions (9) TOTAL Monetary Contributions To Date $ a )003j1Z•S a 43,0 (10) TOTAL Monetary Expenditures To Date $ GO , a a � �► b�+, 0 0 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and ,iittt is true, correct, and complete: \ \ (Type name) Roc.. � SZ 1 � 2-�{Gi► (Type n�C)7Gi, W�N BLS ❑ Individual (only for IE 1Treasurer ❑ Deputy Treasurer e<Candidate or electioneering comm.) X 0 Cd 4M 2O 14. X Q Signature Signature ❑ Chairperson (only for PC and PTY) eY„,(3.0.,„&492-- DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name 4N-CPCAEZNC:%cQ442a.-. (2) I.D. Number (3) Cover Period a / D) / 19 through f g / ) :3 / �q (4) Page of 1 (5) Date (7) Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ii"-.' 097 O 1 / i 9 Luc a JR 150411.14401 Ex fPL.1712.or�' c�t►g c'40eih„s �ZIN' 1 1.114--i ...----- ea 1Z5 0- e ) 9�.zfNQ eaw Nt-Q %S 1 / / goga03..1:3773 GQ c-C144 PS aft. 'VA, 3 7-4 3'21--- rV4 1-5 r$4:10/1►..y w+aq��tN . / / / / - / / // / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN T SURE FPORT - ITEMIZED EXPENDITURES (1) Name Cg ® -,- i1 (2) I.D. Num er (3) Cover Period a 9 / ®7 / through C7 9/ 13 / %Ai (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (9) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number z' 9/ 1 t Al 9 'COOD Fa- � 1� vvpw-get •xs•:,.��14 y?ov C'4 v"C‘ 'C a-g P•ID.'FSayc 31_0773 C-c=c goo. g Q.c !c)A t-1 A g "1k si w r�I / / / / / / / / / / / / .,..„__„) DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT _»' ARY (1)©LEA Name (2) 3 08 C ' t k J Address (number and street) C4 96_ C R- J1 A A - (r1-- 3 '› cp.0 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): `Candidate Office Sought: C rs--1G' 1� Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) By: v IOCT 04 2019 I D er..A7 496 2:Sz, (3) ID Number: (5) Report Identifiers Cover Period: From 29 / '.4 / Nei, To , ct / 2,1 / 19 Report Type: l7 - 3 [9' Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks Loans Total Monetary In -Kind $ $ $ (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ 0 3 tics Total Monetary $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ Do3,riS •00 (10) TOTAL Monetary Expenditures To Date $ `'�'�')L494L (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) (Type name) �c7cICZ IN1 ❑ Individual (only for IE l Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X ®C—V-Cg CL94 X soC., Signature Signature CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name C)Cg. 0& (2) I.D. Number (3) Cover Period 09 / / 1 fj through Q / "7,7 / 19 (4) Page of p (5) -- Date (7) Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code / / / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER' R ORT - ITEMIZED EXPENDITURES (1) Name o G.e.t..k (2) I.D. Number (3) Cover Period t1 / 1 /'C through O q / 77 / `S (4) Page of 1 (5) Date (7) Full Name Suffix, First, Middle) Address & State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number (Last, Street City, 09/2-GY a / C'÷v) ®0 C4',pso Cpo-apvtagrA 0 hid- - Cp..cag9 ¢-�i CL — `--e ' a t °' 3.a.% \�\/ V i _\1 _ � _ ' O _\�� / / / / / / (''..**-------------' -N / / / / / / / / i DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) 4.0c..<%1 CR---ce-,-+ clO.A.-S r-DRgrg75WL E Name (2) %O Fr4SY C4 �— `�Uv�. OCT 1 I ?019 • Address (number and street)Li, C. A- e— C Ca4-T.1 isr J4 -& -1 VFL C /� ©A City, State, Zip Code • IRy:. �'� "-1-5 Xi ___n_ ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ix Candidate Office Sought: C 1Z v Govok ve CAN., .n F C i'Q C.41..*3-14 ❑ Political Committee (PC) VL 3�4 ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover. Period: From 0 '3 / ze / iq To yip / 0 y / 19 Report Type: .6- -4 'C5nginal ❑ Amendment ❑ Special Election Report (6) Contributions This Report Checks $ (7) Expenditures This Report Monetary Expenditures $— Cash & , , • 1Z26 41 �y Loans $ , , • Transfers to '(,, , Office Account $ , , •— Total Monetary $ , • '` Total Monetary $ , , In -Kind $ , , • (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date -72-2. $ , 00 3, \ 76-. to 0 $ .._____7______, .9 L1 (11) Certification It is a first degree misdemeanor for any person I certify that I haveeexamined this report and\it is true, correct, (Type name) z0cy, i , Ai Nr Q: ®-�s to falsify a public record (ss. 839.13, F.S.) and complete: ` (Type name) S0C.�� IR 0tJ AILS • Individual (only for IE UrTreasurer ■ Deputy Treasurer or electioneering comm.) (� f' aL•2�A.. X QZ 0 GV vi Ca Gu• ig Candidate ■ Chairperson (only for PC and PTY) n X Q o GY vsCa� iS-Q- 1L--J- Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name G7c.\4 o-�Q& (2) I.D. Number (3) Cover Period 09 I . / l ct through IV / O y / I (4) Page I of) (5) Date (7) Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) A fount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code / / / / / / / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN EASUR R' REPORT - ITEMIZED EXPENDITURES (1) Name �L7+ - (2) I.D. N� umber (3) Cover Period 'OQ / 2•9 / 1 g through Y0 / ► 9 (4) Page .1 of (5) Date (7) Full Name (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ofl/oY/1 Ca1d%TA1 612,0.041cs 3 z L R as b.$�1 1 zs 3 tziaReJ ch�Z 'llrip�L Rbrr?R Val.�� 3z9.0 / / / / / /('' / / _ / / / / / C- _ DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Q O c J4 �G J Q caoch... DEC El- gig r- Name (2) 308 F.,ca-st �..�. -L ��..��. OCT 18 2019 Address (number and street) V cores Cc. a -a• ve.0 3 y�•7a G� g City, State, Zip Code i :104, BY:y" ❑ Check here if address has changed (3) ID Number: �(4) Check appropriate box(es): Candidate Office Sought: C. fl a) V1 1CAL. O V- C.Q'PE_ CA- n 0.31---- - ❑ Political Committee (PC) 3 1•42.p ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers .,?..p9q Cover Period: From 1 D / 0,5 / iq To 1 p / j 0 / 1 Q Report Type: G-d' 'Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , , . (7) Expenditures This Report Monetary Expenditures $ , , Loans $ , • Transfers to Office Account $ • Total Monetary $ , , • Total Monetary $ In -Kind $ , , (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ --, fps cro $ 9y n° > 006 r , 72.2 . (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name) gOC.iV.4 Q 1gtdaQ-X.4 to falsify a public record (ss. 839.13, F.S.) and complete: \\ ww (Type name) RC) C.�\1L), . R cv,..i'( 'PJ13 .idividual (only for IE %jTreasurer ■ Deputy Treasurer or electioneering comm.) Candidate • Chairperson (only for PC and PTY) XQ ©c CO XC)-417 </\2. CCI Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name ® (2) I.D. Number (3) Cover Period 1 O / O S / 1 °l through ► v / I. / 1 (3% (4) Page 4 of h`5) (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment " (12) Amoi1nt (6) Sequence Number / / t/ )- _ / / / / l / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURE 'WORT - ITEMIZED EXPENDITURES (1) Name C7--4:04...V..n - (2) I.D. Number (3) Cover Period 110 / dS / fraj through I'D / ►1 / 1� (4) Page t Ct-s) (5) Date Full (7) Name First, Middle) - Address & Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type yP (10) Amendment (11) Amount J (6) Sequence Number (Last, Suffix, Street City, State, / l / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Cig)bC ‘.11c3C; k& Rffigli Name Er) (2) ©C, 'E las5� C 1 'g\v 9 Address (number and street) OCT 2 5 2019 C-- '41- CO.4-, i -X-- -z°1a:v City, State, Zip Code dee 1"4 filif • ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): i ` iii Candidate Office Sought: L )"T\' C4- ( 4 - t4w, C.. { 4;ci, ,L, Ca v m C-i - ❑ Political Committee(PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 10 / r- / 1 q To 1v / ‘'j / ‘s Report Type: 6-to Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report - Monetary Cash & Checks $ Expenditures $ Loans $ , , Transfers to Office Account $ �-,, Total Monetary $ , ��� � Total Monetary $ .......) . In-Kind $ ;�/ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ' ,0v , 17 . $ , —' , 72-7. ed--1 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have( examined this report and it is true, correct, and complete: \1 (Type name) CC_\4. RAI.) a DVI•-S (Type name) t) (\ .%.-1 'g....4-8-t.Aels ❑ Individual(only for IE ,Treasurer ❑ Deputy Treasurer SC3 Candidate El Chairperson(only for PC and PTY) or electioneering comm.) (� x c, oca.w & x.c: vc, e ,(20- Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name ad761. S.Q..946- (2) I.D. Number`'� � - - (3) Cover Period 111 / N,-2.- / %e1 through tQ / lig / \ at (4) Page k of I (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount CA spa 1244Nc (0) ro i t' /%4 Cour- soo] 0 v CZ 141 5syre,bL 35)3 Cstaca 90 i N i.•ft0._ ?, Ua,5 Fti-3`i e3 9 J's;is P►A C.n vLs o/0 (-47-) / / / / / \............____ / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � �MPA TRE SURER'$ R� FPORT - ITEMIZED EXPENDITURES (1) Name �[f2� (2) i (3) Cover Period i 0 / `Z / % C1 through i.-../ re / rci (4) Page ( of ) (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State,Zip Code candidate) Type Amendment Amount 10/i4/ ►q (4:'(-4. S :'(-4. S {�(-4N d"--5 ray Sea,F 5.5,-,-..s 1/4.;_dzC�2 _ L-ir-z`*+ ' �..�+� 44z 4.-'''''' ''''''.."...'°". it<./. - / / ;moi a ,ray Otit. N s vain c ,, .es v� ‘c1 7 6©.a 62,P-- o S) N Q. t 441,ai— f ik; Viz VV•241.cerci CO— :S / / :SAL c§i -Z-„ “:1 / / / / / / 7------Th /Z"---------4-------------- (----2 / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 6-1 (1) (2) CAMPAIGN TREASURER'S REPORT SUMMARY Name Sur et sAr C-4.c,t- -.v Q. Address (number and street) e`Pt-p Q_ Lc c).-Q, 'L �L `3�� City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): O NEEENT) NOV 01 2019 If c� /zP (3) ID Number: Candidate Office Sought: Ci4t. � mac,; '�, C 110 Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee.(PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) • (5) Report Identifiers Cover Period: From t c, / ' / j oi To 1 0 / 3) / 1 Ci Report Type: 6-1 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks Loans Total Monetary In -Kind $ $ (7) Expenditures This Report Monetary Expenditures Transfers to Office Account $ Total Monetary $ _), ,vs 00 (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ Q )��S ®® f ill G) utr a! 4A-,el t ‘5;4' c 4S ® (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) R S ( ❑ Individual (only for IE Treasurer ❑ Deputy Treasurer or electioneering comm.) (10) TOTAL Monetary Expenditures To Date (Type name) Candidate ❑ Chairperson (only for PC and PTY) X' Signature Signature CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (3) Cover Period It-) / lA / through L 0 / 3 1 / 1 C (4) Page \ of (5) Date (7) Full Name Middle) & Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) A •unt (6) Sequence Number.:. (Last, Suffix, First, Street Address ity, State, Zip / / / / / / / / • / / / / / / DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 6 -i MPAIGN THE SURERO REPORT - ITEMIZED EXPENDITURES (1) Name �/�,1',, 2) LD. ItIImber (3) Cover Period 1 / 1 / 1 9 through 10 / 1 / i (4) Page 1 of I (5) Date (7) Full Name Middle) & Code (9) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount 1 (6) Sequence Number (Last, Suffix, First, Street Address City, State, Zip I I /z4/ J c? 5 “,per vkiiaai=. v' i c.9 ,6191 %42cA- i s W ii LN-- Lis 1i 1 is 3-).w ci ' / / r / / / / / / / /,,2 / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) (laCi C.K, e.� Qc,,,,„.09 �.Y�.,�,) D( . Name (2) eA 47__ 'B\ ► FEB 0 4 2020 Address (number and street) Lj-n1 'VI-- � 2.� City, State, Zip Code i Ry CZ-0 P2_,--- ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): [Candidate Office Sought: L. C.C.I0CPMC%L. j( ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers -2.0 l�,q Cover Period: From 1. I / © ( / 1 g To \ / 3) / 1 C) Report Type: 1--•- 2_ ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Expenditures $ .. , OD .., ileiti o 5-- Cash & Checks $ , Loans $ , • Transfers to Office Account $ , , Total Monetary $ , • Total Monetary $ - -- -214) In -Kind $ , • , (001.) 0 slc (8) Other Distributions $ • (9) TOTAL Monetary Contributions To Date $ '------", 603i I1To, ®(1 i (10) TOTAL Monetary Expenditures To Date 6b5, . 003 e 0 0 Nor- rig C.tia,t6 rvc i 15 o00 i'N 4-) P I) tog- VN 0- 71 4 i`� 'VKI `Zvr.' d Floe. Pc- ityisiigP� f-9v- $'S y (11) Certi It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name) C2-‘064 V, RAN l � ion ''''') i ci "- -q •iN,pve-e46 to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) W. 0 C.)41.A Pr4/C S. • Individual (only for IE 'Treasurer • Deputy Treasurer or electioneering comm.) NI Candidate • Chairperson (only for PC and PTY) ((�� X �eS41 &A' X (e) CV `�`OL,,t�C}JL Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name C../14 agtAJ 69acC 2 I.D. Number (3) Cover Period 1,:) / 1 / i q through 1 Z / 3 1 / (4) Page of (5) Date (7) Full Name Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code / / / / / / / / .....---- _- 0 / / / / / / 7 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN Ti3.�tal '�S REPORT - _ IJ _ 9 (3) Cover Period \') / a i / `dGl through 1 Z / 3 1 / I E PENDITUR (2) I.D. Number (4) Page ) of 1 (5) Date (7) Full Name & (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number (Last, Suffix, First, Middle) Street Address City, State, Zip Code iSNL L ¥ - =0 v N -r(.o ..A6)-6 Day C A- 14 `• Y1 f.c e(.wZ41. Cie Ca,.-c---4-re-re 324 11 /tD5/ 19 r�-F}N C,1.S \..ennq zzyi Ca. @.-I v� likftAcgApi n 1.3 5 `rG,0.- z �c� �a-�+c&e- L --2-72.g 1, as 414.71-144-4 19 1z-le;o4 .,o Ftly o t3 o oce ec �1) Z Audi 0 DI S 2. ocus-id I o tz LAeim / / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES City of Cape Canaveral February 4, 2020 VIA CERTIFIED MAIL & E-MAIL Rocky Randels 308 East Central Blvd. P.O. Box 308 Cape Canaveral, FL 32920 Re: 2019 Campaign Treasurer's Report TR, Due 02-03-2020 Dear Mr. Randels, The City Clerk's Office received your Campaign Treasurer's Report, 2019 TR, covering activity from 11/01/2019 to the date the report is submitted, due Monday, February 3, 2020, on Tuesday, February 4, 2020 via hand -delivery. Per Section 106.07(8)(b), Florida Statutes, a fine of $50.00 per day for the first 3 days late and, thereafter, $500.00 per day for each late day, not to exceed 25 percent of the total receipts or expenditures, whichever is greater, for the period covered by the late report, must be paid to the filing officer (me) within 20 days after receipt of the Notice of Payment Due. In accordance with Florida Statute, you are hereby assessed a fine of $50. This fine must be paid using your personal funds within 20 days of the receipt of this notice. You will need to submit a personal check made payable to the City of Cape Canaveral by mail or via hand delivery to the City Clerk's Office at 100 Polk Avenue. If you have any questions regarding this letter, please do not hesitate to contact me at 321-868- 1220 x207 or via e-mail at rn.goforth@cityofcapecanaveral.org Sincerely, Mia Goforth, CMC City Clerk/Elections Qualifying Officer Cc: Todd Morley, Interim City Manager John DeLeo, Administrative/Financial Services Director Anthony Garganese, City Attorney THE SPACE 100 Polk Avenue — P.O. Box 326 • Cape Canaveral, FL 32920 BETWEEN' (321) 868-1220 • Fax (321) 868-1248 Visit us at www.cityofcapecanaveral.org • info@cityofcapecanaveral.org . • #TheSpaceBetween n n n D D u I. . ' osta ervice CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com' . F F l C E r s Fee Certified Mail $ Fees check box edd/eeese rop t Extra Services & ( pp � ❑ Retum Receipt (hanicopy) $ ❑ Return Receipt (electronic) $ ❑ Certified Mall Restricted Delivery $ ❑ Adult Signature Required $ �_ ❑Adult Signature Restricted Delivery $ Postage Total Postage and Fees $ Sent To 4NhaS ? Street andt. No., •' qr ftfo. 0 2 cf bstmarC C•. Here t7 { 'i•�r City, of ZIP A 32gz y, ENDER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can returnthe card to you. ■ Attach this card to the back of the maiipiece, or on the front if space permits. 1. Article Addressed to: Rocky Randels 308 E`Central Blvd. P.0. Box 308 Cape,Canaveral, FL 32920 IIIIII1I'I IIIIIIIIIIII IIIIIIIIIIIIIIIIII 9590 9402 4753 8344 1700 15 COMPLETE THIS SECTION ON DELIVERY A. Signature e ❑ Agent ►'- ddresse B. Received by(Printed e) Rotg 12017 -.S C. Date of Deliver D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 0 Priority Mail Express® ❑ Adult Signature 0 Registered MaiITM 0 Adult Signature Restricted Delivery 0 Registered Mall Restrict ❑ Certified Mall® Delivery ❑ Certified Mail Restricted Delivery 0 Retum Receipt for ❑ Collect on Delivery Merchandise 2. Articles Number (Transfer from service label) i i i Di Collect qn Delivery Restricted Delivery • 0 Signature Confirmation' 3 ; •._� I d(Insured Mail i i • i i i i I❑ Signature Confirmation '017 2680 0000 6580 7653 !\ ❑ Insured Mall Restricted Delivery '' Restricted Delivery F _ (over $500) DC Cnrm gft11 _ha*, 9nir•. Dem 7g•an_m_nnn_onwa nn.,,oc+ir ao+..., ao..oin i i USPS TRACKING # 1111 11111 i i 11111 II I 9590 9402 4753 8344 1700 15 :United States Postal Service First -Class Mail. Postage & Fees Paid LISPS. Permit•No. G=40 •'Sender: Please.printyouur name, address, and ZIP+4® in this box' CITY OF CAPE CANAVERAL City Clerk's Office P. 0. Box 326 Cape Canaveral, FL 32920-0326 7017 2680 0000 6550 7653 U.S. Postal Service v CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.come. F Certified Mail Fee T� Extra Services & Fees (check box, add fee as epprop di? ❑RetumReceipt frardcop� $ di? ElReturn Receipt (electronic) $ El Certified Mail Restricted Delivery $ El Adult Signature Required - $ \,...p ❑Adult Signature Restricted Delivery $ Postage Total Postage and Fees Sent TO ;elNAGI S street andAl t. No., AD Box Aro ary, tate CZtG6 32l24 0 2 1bstmark f�fere 1 ` PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instruction - City of Cape Canaveral 100 Polk Avenue P.O. Box 326 Cape Canaveral, FL 32920 (321) 868-1220 www.cityofcapecanaveral.org Cash Receipt Cash Receipt #: Received From 0 G For LATE I /LIN& EE :4/t/L6z,c Date: Z 5, 2oZO 00 Payment Received Cash Check # Z.359 Total Amount Due Amount Received stye co Balance Due City Employee SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return -the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Rocky Randels 308 E.`:Central Blvd. P .0. Box 308 Cape. Canaveral, FL 32920 Imuuuw mu iiin uniiimimim COMPLETE THIS SECTION ON DELIVERY A. Si nature 1 e B. Received by(Printed a e) ❑ Agent ddressee C. Date of Delivery ►) `1 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 2. Article, NGmbel (Transfer from service label) 7017 2.660 0000 •6550 76.53 PS Form 381.1,_July 2015,PSN 7530, 02-000-9053. 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Certified Mall® ❑ Certified Mail Restricted Delivery ❑ Collect an Delivery D,Co)lect on Delivery Restricted Delivery Oilnsured ❑Insured Mail Restricted Delivery' (over $500) 0 Priority Mail Express® ❑ Registered MaIITM ❑ Registered Mail Restricted Delivery ❑ Return Receipt for Merchandise . ❑ .Signature Confirmation"' El Signature Confirmation Restricted Delivery Domestic Return Receipt 11 USPS TRACKING # 1111 lull 11111 lu II I 9590 9402 4753 8344 1700 15 • United States Postal Service FirSt-Clast Mail Postage & Fees Paid USPS• Perri* tijo. G-10 • Sender: Ple.ase print:your name, address, and ZIP+4® in this:13W CITY OF CAPE CANAVERAL City Clerk's Office P. O. Box 326 Cape Canaveral, FL 32920-0326 i 1 i ;II El