DS-DE 9 MBowerSTATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN ~ a
DEPOSITORY FOR CANDIDATES -~<
(Section 106.021(1), F.S.) ~-; s'*~ ~ ~
(PLEASE TYPE)
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Deputy Treasurer 0 Reappointm~ of IT~7easurer
1. Address (include post office box or street, city, state, zip code)
~~ ~~EP~s OIJ ~~
~~AM ~ I {` ~ 3313 `~
CH PPROPRIATE BOX:
Original Appointment
Na e f Candidat
Telephone (optional)
2. Party (Partisan candidates only) 3. ff a (add district, cir u't, group ny~ber)
j{oR- ~~ ~I~t1l ~ r~
I have appointed the following person to act as my ~ Campaign Treasurer ~ Deputy Treasurer
4. Na''1 f Treas or Deputy Treasur
N ~~1-ATE-t ~ ~ u ~ ~ ~
5. Mailing Address (If post office box or drawer add street address
) 6. Telephone
~ 2 ~~~6~ ~v~ ~~ X13 ~ ~ ~
7. City 8. Cou
Y 9. State ~ ~ 10. Zip Code
~''~ 3313
I have designated the following named bank as my Primary Depository ~ Secondary Depository
11. Nam of Bank ~ 12. Street Address
13. City
~~~
17. Si nature of Ca
G
I,
15. State
Date
paign Treasurer's Acceptance of Appointment
16. Zip Code
3!
is/~9
' -~ `" ~ ~''~+-"-' ~ , do hereby accept the appointment as
(Please Print or Type)
Campaign Treasurer Deputy Treasurer for the campaign of O~~
who is seeking nomination or election as a
candidate to the office of
(Party)
-~Yv~- o~ ~M~ ~ .
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE
ACCEPTANCE OF APPOINTMENT AND THA
Z
DS-DE 9 (Rev. 01/08)
X
E FOREGOING CAMPAIGN TREASURER'S
CTS STA~ED ARE TRUE.
Campaign Treas rer or~~eputy Treasurer