DS-DE 9 Revised 3/17/3 STATE OF FLORIDA
~) AP.?t,,OrNTMENT OF CAMPAIGN TREA~:~, ~ j, / r- ~
~N~NATION OF CAMPAIGN DEPOSI~ ~ U
/~ ~ ,~ ' 'FoR CANDIDATES 03~R 17 PH 3:32
N~f C~a~e
ECK APPROPRIATE BOX
Original Appointment
[] Deputy Treasurer
[] Reappointment of Treasurer
[] Secondary Deposi,ory ,
1. Address (include post office box or street, city/state, -zip code)
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Telephone (optional) J 2. Party (Partisan ~andidates only) I 3. Office (add district, circuit or group number)
I have appointed the following person to act as my ~'"~ampaign Treasurer L_J Deputy Treasurer
Name of Treasurer or Deputy Treasurer
5. Mailing Address (If post office box or drawer add streel address)
7. Cily I 8. Coun. ty
have designaled the following named bank as my
9. State ~-~__._
r--~ Primary 'Depository
Telephone
I
10. Zip Code
---]Secondary Depository
11. Name of Bank
'~'. Cily
17. Signature of Candidate
~,,~/¢,/,/4~' 12. Street Address
14. County 115. State I 16. Zip Code
I
Campaign Treasure~s Acceptance of Appointment
(Please Prinl or Type)
'"Campaign Treasurer ~ Deputy Treasurer
who is seeking nomination or election as a
, do hereby accept the appointment as
for the campaign of
(Party)
~______~7' .~ ~ / ~c"~,~,'~'.,e,~ .- (~'~/¢¢~,,~ ~/~'('~,'~.~Asa d.uly registered voter in
County. Flodda. I am qualified to accept this appointment.
candidate to the olfice of
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DS-DE 9 (Rev. 11/01)
~,EASURER'S
puty Treasurer
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIG~,~
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Date / / Signa~re of Campaign Treasurer or D,