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ReformMB.com DS-DE 6
RFC VFU) APPOINTMENT OF CAMPAIGN TREASURER 2010 OCT 27 PM 12: 06 AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CITY (;LL S OFF ICF POLITICAL COMMITTEES V (Sections 106.011(1) and 106.021(1), F.S.) CHECK APPROPRIATE BOX: OFFICE USE ONLY Original Appointment of Treasurer ri Reappointment of Treasurer EJ Deputy Treasurer 1. Committee or Organization 2. Telephone GrogAl (30S c f0 °9 a � 3. Name of Treasurer or Deputy Treasurer 4. Email (optional) 5. Telephone (optional) I WWI A eiA/A/oN — C(4)0 317g, PRES■Aei1t 6/041c.. Con ( ) 6. Mailing Address " c i-C (r, L U s/_S 4 311 ' t ? , M Ani 1 8£Ag1 t- .531 / 7. Street Address 8. The following bank has been designated as the ► mo t Primary Depository fl Secondary Depository 9. Name of Bank 10. Street Address 3? I tfotc-fwoo/J tka RAA/4 er= Iiftc1iea l r.c..Fwooll f%L 330 - 11. City 12. State 13. Zip Code 1-10k . viod6 � 33®0 -1 14. Signature of Chairman 15. Name of Chairman (Print or Type) \PLSCPf3 F5h'c Campaign Treasurer's Acceptance of Appointment I, ! ?it /.1C 4./ , do hereby accept the appointment as (Please Print or Type) treasurer or deputy treasurer for e .ro 'pi nd C ©/V) • (Committee or Organization) UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FO EGO NG CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND TH T THE F CT STAT D ARE TRUE. 82 a 4 OW X Date Signature of Campaign Treasurer or Deputy Treasurer DS -DE 6 (Rev. 7/10)