DS-DE9 (9/6/01) STATE OF FLORIDA :~ '~*' !~!~'~': C...L-~ CHECKAPPROPRIATE BOX
APPOINTMENT OF CAMPAIGN TREASURE, p?:; . -~ ~;i ?: ~[~' Original Appointment
AND DESIGNATION OF CAMPAIGN DEPO~II~I'bRY '
FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE TYPE)
Name of Candidate
Jorge Rodriguez-Chomat
.... [] Deputy Treasurer
...... Reappointment of Treasurer
[] Secondary Depository
1. Address(i~lude postofice boxorstreet, c~,state, zip code)
7136 Bonita DriVe, Apt. 11
Miami Beach, Fla. 33141
Telephone (optional)
( ) N/A
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
Jorge Rodriguez-Chomat
5. Mailing Address (If post office box or drawer add street address)
2. Party (Partisan Candidates only) 3. Office (add district, circuit or group number)
Commissioner Group No. III
~'~Campaign Treasurer r"l Deputy Treasurer
825 Brickell Bay Drive, Suite
7. City 8. County
Miami Miami-Dade
6, 2001
6. Telephone
305-374-0056
10. Zip Code
33131
"l Secondary Depository
1750
I have designated the following named bank as my
11. Name of Bank
Eastern National Bank
13. City 14. County
Miami _ Miami~Dade
9. State
Florida
2~]Pdmary Depository
12. Street Address
799 Brickell Plaza
15. State 16. Zip Cede
Florida 33131
/ I' ILL NgTIFY YOUi~)F ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17. Si nature of~.~ . -.~/" .............. Date
""'~mpaign Treasurer's Acceptance of Appointment
I, Jorge Rodriguez-Chomat
(P~rse Pd~ ~ Type)
~Campoign Treasurer ['] Deputy Treasurer
, do hereby accept the appointment as
for the campaign of Jorge Rodr igue z -Chomat
who is seeking nomination or election as a
City Commissioner GroupIII
(Non-partisan)
(Party)
· As a duly registered voter in
candidate to the office of
Miami-Dade
County, Florida, I am qualified to accept this appointment.
September 6, 2001 X' ~'~
DS43E 9 (Rev. 11~95)