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DS-DE9 STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER.. ' , : :: i:; AND DESIGNATION OF CAMPAIGN DEP'OSITOF,lY;C" '2' 52 FOR CANDIDATES (Section 1 06.021 (1), F.S.) CHECK APPROPRIATE BOX 1Xf Original Appointment '0 Deputy Treasurer o Reappointment of Treasurer ~ ,- 0 Secondary Depository (PLEASE TYPE) C,4,4- I. Telephone (optional) ,Lk/Z/-k;twca 2. Party (Partisan candidates only) 1, Address (include post office ~ox or street, city, state, zip code) ,/?///9/??/ Bec..ch F/ .7..5/39 /t ~r .JeFI-e4SCJA.J .Ave #<< 3. Office (add district, circuit or group number) $/9 t::?rC Name of Candidate (~s )C"1~-q31o 1 have appointed the following person to act as my Campaign Treasurer o Deputy Treasurer 4. Na~ of Treasurer or Deputy Treasurer /7 C:;;SC,cJt'Z. L. #ed.<Ja......,Cf./ez 5. Mailing Address (If post office box or drawer add street address) 1>1,0-;. Telephone /66(;; ..:r?,c,c~,.,),q-ve #/.1:" FI3.?/ Ii .$0.$-6'95-9390 7. City 8. County 9. State 10. Zip Code '//J/l7/ 'Rt!b~-4 IXl41/~/)ADe PIl);2,'d/6... $?3/3 I have designated the following named bank as my Primary Depository 0 Secondary Depository 11. Name of Bank 12. Street Address IJ}(. ~ AJ/h~/ZI'~ I / 14. County 15. State t11,' Bteo.L/, /?7//a/?7/ '-/)4DI& ~d:c-- I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS, '/ /-crJ /0./' /26' AD 16. Zip Code '/ Date 9- 7 - 6/ / Campaign Treasurer's Acceptance of Appointment C!J~A (Z... L-. f..fe4'Lwt:<...";&ec.. (Please Print or Type) , do hereby accept the appointment as I, ~CampaignTreaSurer 0 Deputy Treasurer for the campaign of ~CAt2- L., ~,..4"Z who is seeking nomination or election as a ---r;J~J'A<-,-~f)~,,- t- /1.//4 candidate to the office of (Party) , m A '1 D.L- . As a duly registered voter in tnl c...t?11 - ~ D if? County. Florida, I am qualified to accept this appointment. C)-7- 0\ Date x er OS-DE 9 (Rev. 11/95) .~.; r.:: (" ;~. ! ';J ;- ~ . , '.~ ~ STATEMENT OF CANDIBATEp;\12: S2 '...' '~ (Section 106.023, F.S.) . (Please Type) ),. [..1;',' :j..::( f; ICE. I, C])...sC-A f2- L. //a(2~dJec: /J7/f} yOIL candidate for the office of have received, read and understand the requirements of Chapter 106, Florida Statutes. e of Candidate 9- 7-0/ 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). OS-DE 84 (Rev, 8199)