DS-DE9
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STATE OF FLORIDA CHECK APPROPRIATE BOX
APPOINTMENT OF CAMPAIGN TREASURER ~ Original Appointment
AND DESIGNATION OF CAMPAIGN DEPOSITORY 0
FOR CANDIDATES Deputy Treasurer
(Section 106.021 (1), F .5.) 0 Reappointment of Treasurer
(PLEASE TYPE) D Secondary Depository
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
Lv/oS K 6~,ee/.4 ,fk. /!t!7. ~ ~~U>cfy 3815/0
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Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number)
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I have appointed the following person to act as my BCampaign Treasurer D Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
",(V/.5 /C ~/CqA ~.
5, Mailing Address (if post office box or drawer add street address) 6, Telephone
;:J. (:), ~ ,. 9'(:);;!.6 J'y ~ <7~),-/~ $//
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7. City 8. County 9, State 10. Zip Code
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I have designated the following named bank as my B" Primary Depository 0 Secondary Depository
11. Name of Bank 12. Street Address
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13. City 14. County 15. State 16. Zip Code
,/t1/A#/-/ -:1~AC# A/Am) ~AIJ E FL .3 3 IY?J
I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17. SiQnatU2:;Z"didate Date
X ~~ ,;. ~-l-~~ 7 9'
,
Campaign Treasurer's Acceptance of Appointment
I, ~/~ .;t? r;:) ~ t:Zi" ~ ~. , do hereby accept the appointment as
(Please Print or Type)
~ Campaign Treasurer 0 Deputy Treasurer for the campaign of 4/..:J AI? c;::'/~# vl'A-
,
who is seeking nomination or election as a - candidate to the office of
(Party)
a...H,#/" SJ/t? L/ 4t!. - C ,.e....~ Y r;"v~ . As a duly registered voter in dA~/ -;'#P'AIE
County, Florida, I am qualified to accept this appointment. c:L~
y.-,}-/ - <77 X ~
Date Sigrrature of Campaign Treasurer or Deputy Treasurer
OS-DE 9 (Rev. 11/95)
STATEMENT OF CANDIDATE
(Section 106.023, F.S.)
(PLEASE TYPE)
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candidate for the office of a;'ll1""IS'.J'IO"u~~ - Cj?'7 C9"" ~,4"1 6~(}#;
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
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€r~'
Sig ature of Candidate
~);;-77
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 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)