DS-DE 84 R. Abramson OFFIC.E..0„SE O,NLV
STATEMENT OF `• v
CANDIDATE 2013 SEP -5 PH 3: 06
(Section 106.023, F.S.) C I T Y
(Please print or type)
candidate for the office of
as Oyl l
--L,
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X A5(�
Signature of Candidate to
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)