DS-DE 84-1 D Crystal OFFICE USE ONLY a
STATEMENT OF
CANDIDATE
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�:
(Section 106.023, F.S.) � c-n '
Please print or type)
I, DAVE CRYSTAL
candidate for the office of CITY OF MIAMI BEACH COMMISSION GROUP #2 ;
have been provided-access to. read and understand:the requirements of
Chapter 106, Florida Statutes.
X n8/mm 13
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)