DS-DE9
STA~EbF FLORIDA
AP;AOI~Tr-tEI'fTi qf ~MPAIGN TREASURERI"" ;1 J
ANDRESI~~~!IPIN,9rJ;:AMPAIGN DEPOS,Ir:9~X Ii
FOR C~DIDATES
(Section 106.021(1), F.S.)
(PLEASE TYPE)
',' C.tHECK APPROPRIATE BOX
f:: 1 !: 51 Original Appointment
"I:L Deputy Treasurer
, " ,,; i Cf Reappointment of Treasurer
o Secondary Depository
1, Address (include post office box or street, city, state, zip code)
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Telephone (optional) 2. Party (Partisan candidates only) 3, Office (add district, circuit or group number)
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I have appointed the following person to act as my IRI Campaign Treasurer 0 Deputy Treasurer
Name of Candidate
Je> ;rrA
(" J~,c) h#~/V4.
4. Name of Treasurer or Deputy Treasurer
.Jos.~- -;'-k..v~
5, Mailing Address (If post office box or arawer add street address)
r'lJ'"I'J 4,(t,. ~e. ~AI"~'~ ,,&(., 3VY'
7. City 8, Count~ 9, State
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6, Telephone
i3c:u"; J'I/- p"".rf/
10, Zip Code
3~ IY~
I have designated the following named bank as my
11, Name of Bank
&AI.
13, City
,/"; ~~;;d
14. County
'])~ 41~
Primary Depository 0 Secondary Depository
12, Street Address
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15, State
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I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17, xnature of Candidate
, ~~
Date
~-~~d
-:1
ampaign Treasurer's Acceptance of Appointment
f"<) 71
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I,
JOSAj~
.
h/.../A"'.A/#-
(Please Print or Type)
o Deputy Treasurer
for the campaign of
, do hereby accept tt\'~ ap\lllintni8il as
~i ;.:. 0
C) 0
/ - _ iT1
-.tP,L r~/v/#A/~.
00 Campaign Treasurer
G.....,..'V/f/,t&~
(Non-partisan)
(Party)
. As a duly registered voter in
candidate to the office of
who is seeking nomination or elaction as a
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County, Florida, I am qualified to accept this appointment.
J",I)? 2.,
/
~/
Date
x
Treasurer or Deputy Treasurer
OS-DE 9 (Rev. 11/95)
STATEMENT OF CANDIDATE
(Section 106.023, F.S.)
(Please Type)
I, _/o'SV~ (-1ClC) hA/U#~,
candidate for the office of
C~-..y.JZ-~ Q""pv.J2 77T'
v
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
x .~'~4/)
t1 Signatu of Candidate
~
~, ~/
Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c}, 106.265(1}, Florida
Statutes}. -
DS-DE 84 (Rev. 8199)
LOYALTY OATH
CANDIDATES WITH NO PARTY AFFILIATION
(SectiOns 876.Q5.876, 10, Florida Stal.-)
STATE OF FLORIDA
Miami-Dade
COUNTY
I, I Jd?~~~/~)>t I
First 118me
(PLEASE PRINT)
Middle NameIInltlal
h/l/ZrA/// '
Lest Name
a citizen of the S1ate of Florida and of the United States of America, . .. and a candidate for public office. .. do
hereby solemnly swear or affinn that I will support the Constitution of the United States and of the State of Florida.
OATH OF CANDIDATE
(_ 99.1121, Florida Stalutes)
"Je'L5.' hA/ 7;?#~.
(pLEASE PRINT NAME M YOU WSH IT TO APPEAR ON THE BALLOT - NAME MAY NOT BE CHANGED AfTER THE END OF QUALlFY1NG)
\
am a candidate for the office of ~"""#:3< .5/8- _
(ollIce)
Miami-Dade
I,
N/A
(group)
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 tenn of which office or any part thereof runs concu~t
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.
. I am a qualified elector of
,CR.>~ '
() (clrcult)
County, Florida. I am qualified
N1A
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF
CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE.
SIGN
~ER.E
Slgnetunl of C8nd_
.{"'} J6J ,Li'o /.-.1/ A/'..f
Melling Address
.fff'~
( St>;)
Day Phone
e,,/-tJp!7 ( )
Fax Number
~/;/"?; 73&~ I
City
?~.
-
3~/Yt7
Zip Code
J l/~) 2-, 2~/
Dele ned
OS-DE 248 (Rev. 8/99)