DS-DE 9 J. Libbin 09 2305 6?3?254 P.02
JIJL-01-2009 1121 CITY MIAMI BCH CLERK DEPT
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STATE OF FLORIDA ~ o
• APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN ~--
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DEPOSITORY FOR CANDIDATES r- r-
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. (8eotlon 100.021(1) F.B.) ~ ~
• (PLEABE TYPE) fir' ~
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CHECK APPROPRIATE ®OX:
~prjgina! Appojrrhrtsnt ^ Deputy Treasurer ^ Reappr>inlment of Treasurer ^ Seowrdar~l~ee
Nsna of Candidate 1. Address (inGude post ciflce boot or sheet, city, sta0s, zip cede)
_ /~ !/ Z S ti~S.Co2e /Ji~-
TBlephone (optional) 2. Party (Partisan candldabs only) 3.Ot~ee (add district. circuit or group number) ~•2 v/~~
Campai n Treasurer ^ Deputy Treasurer
I have appointed the folbwing Person to act as my 0
4. Namo of Treasurer or Deputy Treasurer
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5. Meiling Address (tf poet OfAce bWr or drawer add street address) ~DJ ~ p C,_o7~0
S f~ ,@t' ~- 10. Zip trade
7. City / 0. County 9. Sfate
Primary Depository Secondary Dsposrtory
. I have designated the foNo~wing named bank a3 my
11. Nana of Bank 12~ Sheet Address
~e ~',`p,,~-~` ~~'~c 15. stale t6. zip cede
13. City 14. County /~
Date
17. Signature of Candidate ~ '~~ ~.
f~
Campaign Treasurer's Acceptance of Appointment
L 6 r/J~' , do hsrebY accept the aPPa-Nment as
t' ~V 6 (Please aTypel l
mpaign Treasurer ^ Deputy Treasurer for the campaign of J C2/z `9 L~ ~~`3~ • ~
. ~ /~ candidate to the office of
who is seek~rg nominatgn or elecction aS a
(Party)
- ~ ~ CGi1f7 % Il % v ~ As s dub reg~skred voter In /7! ~ n : - /x.30 e
r'l~irn, t'/f~ C%
County. Florida, I am qualified to accept this appointment.
UNDER PENALTIES O~F~Ap ~tIR~ APPOINTMENT AND TNAT~ FiAt:TS STATED AR~TR~N TREASURER'8
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I~ ~ r, Sign re 6F Campaign Treasurer or Deputy Treasurer
' OS-DE ! (Rev. OttlW)
TOTAL P.02