DS-DE 84 Bower Statement of Candidate • -. riLY
i STATEMENT OF
CANDIDATE 2010 NOV 19 AM II: 38
(Section 106.023, F.S.) CITY CLERK'S OFF ICE
(Please Type)
I, Ali Al/ 04'.6
candidate for the office of / ®, 3
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
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Signature of Candidate ate
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS -DE84 (Rev. 03/08)