DS-DE 84 Florez OFFI bsE Nl
STATEMENT OF
2013 JAN 22 A1411: 01
CANDIDATE
CITY CLLI;ri'S OFFICE
(Section 106.023, F.S.)
(Please print or type)
1, Christine Florez
candidate for the office of Commissioner Group 1 (2013)
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X January 22. 2013
Signature of Candidate Date
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-DE 84(05111)