DS-DE9
STA TE.q~~ORIDA
APPOINT~'C5R ttA;MPAIGN TREASURER .
AND OESIG~,A TI.,ON, OF ..~4l:MAAIGN DEPOSITORY
~~ \~C~A~~16ATES
(Se.9t!~~,~OJ-8~f(roa= .5.)
"_, _...1.-'"
(PLEASE TYPE)
APPROPRIA TE BOX
Origmal Appointment
Deputy Treasurer
o Reappointment of Treasumr
O'Secondary Depcs;(cry
Name of Candidate U;;; 1 Address (Include post office box or street, City, S:3t~. Zip cc (je
^ ~ (.... ,:rf- /23/
jVjttc"U~L-'(/V/Prr~ II!; ~7-;rvsk~.,. 'OVi1~-r;~c.. qM ltB'yl ~ IV J :3
Telephone (optional) 2, Party (Partisan candidates only) 3 Office (add distriCt, CIrcuit or gr2\.;0 numb ~r)
13]
3:2J- (;,;;2 - 31 33
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I have appointed the following person to act as my
o Campaign Treasurer
o Decl.:j Treasure
4. Name of Treasurer or Deputy Treasurer
/7:l1/l4k4/'J ..2). L.A Jlc-/1/..)C;;?,
5. Mailing Address (if post office box or drawer add street address)
3Lf~ [()C@-(i,c"D/2\VV, N~-4t-1iJ I
7. City
I~f f~'1l J ,f)~~
3 )i(~l}
JV1 .~
6. Telephone
3{).[-53/-81l.f3
8, County
I~I / A<1\ I - ~e.....
9. State '::>
.~
\-l--v~ I t/\
10. Zip Cede
c..33i31.
, have designated the following named bank as my B Primary Depository
D Seconcarf Depcsitl1rf
11. Name of Bank
12. Street Address
~O f .- 41 S,~'T'
14. County 15. State
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f\;\iA--fV\I-"D~ . ~IM
16, Zip Code
QJAt~
13, City
~ I~\ (j81~
33 I Lji:)
I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
~ .
. Date
~t'1
I,
, do herecy accept the 3cpointmen as
(P!ease Pnnt or Type)
o Campaign Treasurer 0 Deputy Treasurer for :he campaign Of~1,'(/dG'L.
N VS'rOJ
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Lt.~/j1? /.f'-0'O N' ~
7
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/
/11/-1
(P~rty)
As a duly registered voter in~>~/r/~~/'l)6~_
candidate :0 the office 'Jr
wno is seeking nomination or election as a
-:ounty, Florida. I am qualified to accept this appolntmer:t.
l-rfA/1/ ,,(;4A)"" /9; /7>;;> c;
Date
~
ignature of Campaign Treasurer or Deputy Treas er
DS-DE 9 (Rev 11/95)
..-
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03 1\ \ :::I"J ,~', '"
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r~ F: eEl V E 0
SJ 1;~'llt1 Af110:StATEMENT OF CANDIDATE
,',' i).i:E;,'S OFFICE (Section 106.023, F.S.) ,:
(PLEASE TYPE)
I, ~rJueL-
candidate for the office of
~vsk7..
CCo fV\.M I ~ S~d b12 d u~ =IJ.- v
have recei,v.ed, read and understand the requirements of Chapter 1C6,
Florida Statutes.
JerlU4f0
Oat
Each candidate must file a statement with the qualifying officer within 10
days after he files his Appointment of Campaign Treasurer and
Designation of Campaign Depository. 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).
OS-DE 84 (Rev 11/95)