The URL can be used to link to this page

DS-DE 9 JLarose Appointment of Campaign TreasurerSTATE OF FLORIDA OFFICE USE ONLY APPOINTMENT OF CAMPAIGN TREASURER ~= ~: ~-~r ~~ ~ ,~ ~ i_` AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES 2009 AUK ~ 7 PIS 2~ 4 I ti 106 021 1 F S S ec on . ( ), . .) ( (PLEASE TYPE) ~ I T'r' ~.; ~ ~ i f'1 ' ;,~ ',.~ ~' '= I (; r. CHECK APPROPRIATE BOX: 0 Original Appointment © Deputy Treasurer ^ Reappointment of Treasurer Name of Candidate 1. Address (indude post office box or street, dty, state, zip code) Joshua Larose 1111 Lincoln Road, 4th Floor. Miami Beach, FL 33139 Telephone (optional) 2. Party (Partisan candidates only) 3.Office (add district, arcuit, group number) Mayor of Miami Beach I have appointed the following person to ad as my X® Carr~aign Treasurer ®Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer Valencia St Louis 5. Mailing Address (If post office box or drawer add street address) 6. Telephone P. O. BOX 681161 (954) 640-8440 7. City 8. County 9. State 10. Zip Code Miami Miami-Dade FL 33168 I have designated the folbvring named bank as my ®Primary Depository ®Secondary Depository 11. Name of Bank 12. Street Address Chase Bank 1801 Alton Road 13. City 14. Courrty 15. State 16. Zip Code Miami Beach Miami-Dade FL 33139 17. Signature of Ca Date ~ 08/24/2009 Campaign Treasurer's Acceptance of Appointment 1 Valencia St Louis , do hereby accept the appointment as (Please Print or Type) X^ Campaign Treasurer ^ Deputy Treasurer for the carr~aign of Joshua Larose who is seeking nomination or election as a candidate to the office of (Party) Mayor of Miami Beach UNDER PENALTIES OF PERJURY,1 DECLARE THAT 1 HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. 08/24/2009 X ~~ A ~) ~- ~D~ A ~ ~ Date Signature of Campaign Treasurer or Deputy Treasurer wvc a ~rcvn. vuw/