DS-DE 9 Group II to Group III
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURES: ,- r
AND DESIGNATION OF CAMPAIGN DEPO~ITgRY
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FOR CANDIDATES ' '..., ". G
(Section 106.021 (1), F.S.)
CHECK APPROPRIATE BOX
~PPointment
o Deputy Treasurer
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' .. (L:J eappolntment 0 reasurer
, .' G c i i Ea Secondary Depository
(PLEASE TYPE)
1. Address (include post of/iye box or street, city, state, zip code)
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2. Party (Partisan candidates only)
Name of Candidate
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
G--campaign Treasurer
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o Deputy Treasurer
Telephone (optional)
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6. Telephone
7. City
8. County
9. State
10. Zip Code
J have designated the following named bank as my
11. Name of Bank
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~DePOsitOry
12. Street Address
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o Secondary Depository
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4. County
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0lT10NS OR CHANGES TO THESE APPOINTMENTS.
15. State
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16. Zip Code
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reasurer's Acceptance of Appointment
J,
, do hereby accept the appointment as
(Please Print", Type)
o Campaign Treasurer 0 Deputy Treasurer for the campaign of
who is seeking nomination or election as a
candidate to the office of
(Party)
As a duiy registered voter in
County, Florida, I am qualified to accept this appointment.
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Date
Signature of Campaign Treasurer or Deputy Treasurer
OS-DE 9 (Rev. 11/95)
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STATEMENT OF CANDlDATS'" ::,t I
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(Section 106.023, F,S.)
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\ ,,) FICE
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candidate for the office of
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have received, read and understand the requirements of Chapter 106,
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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) .
OS-DE 84 (Rev. 8/99)