DS-DE 84 R. Arriola OF 1.Og,,USME�ONLTh
STATEMENT OF �: rt 13
CANDIDATE 2015 MAR 24 PM 3: 39
(Section 106.023, F.S.)
CITY CLE H`\" OFF iCFL
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candidate for the office of /IM II iAnAi 1,c-. C. 4,3 CoMM; ss►o 5-;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X /1/44-e c)y , D.015-
Sighature 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(05/11)