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THE USE OF THE CITY OF HOMESTEAD OFFICIAL SEAL

Pursuant to Section 165.043, Florida Statutes, I, ca 
acknowledge that have read and understand Section 165.043, and agree to not
manufacture, use, display, or othen/vise employ any facsimile or reproduction of the City

seal without the express approval of the City Council.

Section 165.043, Florida Statutes:

?The governing body of a county or municipality may, by ordinance, designate an official
county or municipal seal. The manufacture, use, display, or other employment of any
facsimile or reproduction of the county or municipal seal, except by county or municipal
officials or employees in the performance of their official duties, without the express
approval of the governing body is a second degree misdemeanor, punishable as provided
in s. 775.083.?

Acknowledged by: A

Candidate?s Signature
Print Name of Candidate: (POM

 

Date: (Ci
Address: Misti Loon CT Homesml? 3720K
Telephone No.: Kai/617$ 8% at!

Email Address: Mecca/Vi

Created 8/22/2019