DS-DE9 (2)r
STATE OF FLORIDA
APPOINTMENT,, ~,F~ ,,Ct AIGN TREASURER
AND DESIGNATION" O~ ~V~PAIGN DEPOSITORY
.,, ~. ,F,O~ C~, .I TES
:;: (SeCtion "'l~!~.l~l~(~), F.S.)
CHECK APPROPRIATE BOX
~ Original Appointment
E~Deputy Treasurer
EZ:3Reappointment of Treasurer
D Secondary Depository
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
Telephone (optional) Party (Partisan candidates only) 3. Office (add district, circuit or group number)
I have appointed the following person to act as my ["'1 Oampaign Treasurer E~3 Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
5. Mailing Address (if post office box or drawer
7. City 8. County
9. State 10. Zip Code
3~313,,9
I have designated the following named bank as my ~ Primary Depository I"1 Secondary Depository
11. Name of Bank 12. Street Address
(Oc r,vL /' 41'
13 City 14. County 15. State 16 Zip Code
t.k,c+ H,, % V°
I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17 of Cand ate~e ,~ Date
asurer's Acceptance of Appointment
I A r.~C-7...~ ~P')(~CI~ ~) ~~~5~ , do hereby accept the appointment as
(PieCe Print or Type)
~Campaign Treasurer ~ Deputy Treasurer for the campaign of ~U~
who is seeking nomination or election as a ~/~ candidate to the office of
(Party)
County, Florida, I am qualified to accept this app%~me:~
eD t m pu~ Treasu~
DS-DE 9 (Rev. 11/95)