DS-DE 9 (9/7/01) STATE OF FLoORIDA
APPO NTMENT OF CAM, Ppd~N,,TRE'ASURER
AND DESIGNATION OF CAMPAIGN ~DE~OSITOR'~
u~ ~ FOR CAN~.~AT~E,~',~ 3:
,....."") c:~ ,:,:, (Section 106.0~1(1), F.S.)
~_~ ',~' (PLEASE TY~PE)
· Z ~ Narn.e'of Candidate
T~ephone (optional) 2. Party ( is candidates only)
I have appointed the following person to act as my
~:~/Original Appointment
Deputy Treasurer
F"'lReappointment of Treasurer
"l Secondary Depository
1. Address (include post office box or street, city, state, zip code)
3. Office (add district, circuit or group number)
r_, ?by c C t4N,
~'Campaign Treasurer
4. Name of Treasurer or Deputy Treasurer
5. Mailing Address (if post office box or drawer add street address)
7, City 8. oun
I have designated the following named bank as my
14. County
11. Name of Bank
Of,
L"7'l Deputy Treasurer
9. State
F/
6. Telephone
.4::~Primary Depository 12. Street Address
15. State
D Secondary Depository
16. Zip Code
I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS,
. f Dat~./~ ~ /
// Campaign T~easurer's Acceptance of Appointment
I, M ~ , hereby accept the appointment as
(Please Pdnt or Type)
who is seeking nomination or election as a ; ' ' ~~~/- candidate to the office of
/ (Pa~y)
["~ (-O ~ ~ / ~f,~t¢- * As a duly registered voter in ~ ~
DS-DE 9 (Rev. 11/95}