DS-DE9
STATE OF FLORIDA CHECK APPROPRIATE BOX
--~~PPOtN~NT OF CAMPAIGN TREASURER . [1] Original Appointment
A~D DES,I<tN~lU)N OF CAMPAIGN DEPOSITORY 0 Deputy Treasurer
'.~) ~ l,,~ 'C,; . 1:5bR CANDIDATES 0
,::S CF~~Etion 106.021(1), F.S.) Reappointment of Treasur
~ ~ o -Secondary Depository
(PLEASE TYPE)
Name of Candidate 1. Address (include post office box or street, city, state, zip co
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Telephone (optional) '2. Party (Partisan candidates only) 3 Office (add district, circuit or group numb
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I have appointed the following person to act as my [8 Campaign Treasurer 0 Deputy Treasi'
4, Name of Treasurer or Deputy Treasurer
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5. Mailing Address (if post office box or drawer add street address) S'S/']9 6. Telephone
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7. City 8. County 9. Slate 10. lip CCI
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g te the following named bank as my
o Prrmary DepOSitory
o Secondary Deposit Jry
11. Name of Bank 12. Street Address ~
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13. City 14. County 15. State 16. lip Co
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I WilL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17. Sig~ature of canpidat~ Date
X /~~t~1-\ ~/~~CY' '11.-'-/77
.- CanMaign Treasurer's Acceptance of Appointment
I, 1.-.--' c; H .L ft ko~,u( c , do hereby accept the appointrTI
(Please Print or Type)
[SJ Campaign Treasurer /\, \ r1 2-r . <jj' \ -
o Deputy Treasurer for the campaign of i i'-' . 1.~1 P I 14'
who is seeking nomination or election as a candidate to the oft
(Party)
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,\\ ) ~ 11 \) ~,-, (".\ t 1- '/ '- (- As a duly registered voter in 1'1 I f::t l.( I
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l ,ounly, Floridai ~ :::/i';d to accept this app~tmen\
Date
OS-DE 9 (Rev, 11195)
re of Campaign
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.' _ _ _ _ (Section 106.023, F .5.) ..
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(PLEASE TYPE)
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can I a e or t e 0 Ice 0 , I , ':..- F- v
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have received, read and understand the requirements of Chapter 106,
Florida Statutes.
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Date
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 Financinf~
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)