DS-DE 9 JExpositoSTATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN c-:
DEPOSITORY FOR CANDIDATES ~
(Section 106.021(1), F.S.) ~--
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(PLEASE TYPE) ~ ~- `~~
CHECK APPROPRIATE BOX: r'~ w
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.,
Original Appointment ~ Deputy Treasurer ~ Reappointment of Treasurer ~
Name of Candidate 1. Address (include post office box or street, city, st ~, zip~Ebde)
Jorge R. Exposito 2123 Meridian Avenue
Miami Beach, FI. 33139
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit, group number)
( 305 ) spa-as7a Not a licable Miami Beach Commission, Group II
I have appointed the following person to act as my X® Campaign Treasurer ~ Deputy Treasurer
4. Name of Treasur r or Deputy Treasurer
5. Mailing Address (If post office box or drawer add street address)
1 a', 3 /~~ -~ ; ~%~ ~ ~~ ,-E~ 6. Telephone
.305 l 74~ ~~ 7
7. City , ~
~`~il/r Lt !L1 / Gtl~ 8. County ' _ [ ~~
~ G~ kl .l/~~c 9. State
/~~ 10. Zip Code
3313
I have designated the following named bank as my ~ Primary Depository ~ Secondary Depository
11. N me of Bank 12. Street Addre s
13. C,it~yA 14. County ~~~ 15. State _/• 6. Zi2Cjod~~~
17. Signature of andidate ~ Date
Campaign Treasurer's Acceptance of Appointment
1. o ~ J ` ~ ~ p.~ ~ ` ~ , do hereby accept the appointment as
(Please Pri or Type)
~, p }~-
Campaign Treasurer ~ Deputy Treasurer for the campaign of ~) p/,-,~ ~ (\, (.,~ ~(Q o S ~~~p ,
who is seeking nomination or election as a candidate to the office of
,,/~ ~Q ~ A ~ (Party)
I i I c~ /'h ~ VJ ~ ~ c, ", ~ o /N !y! t S S1 ~/1 (.5 ~ o ~(~ 2 .
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
Date i ature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 01/08)