DS-DE 9 Revised STATE OF FLORIDA P, E C E IV E D
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN D~'O~YPH 2:1 5
FOR CANDIDATES
(Section 106.021(1), F.S.)
(pi FASE TYPE)
Name of Candidate
CHECK APPROPRIATE BOX
J'-'J Odginal Appointment
Deput~ Tr~surer
CITY CLERF,'S OFFICE Reappointment of Treasurer
Secondary Depository
I1. Address (include post office box or street, city, state, zip code)
tgLffNI)
Telephone (optional) J 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number)
I have appointed the following person to act as my [~ Campaign Treasurer J--'-J Deputy Treasurer
4. N.ame of Treasurer or Deputy Treasurer.
5. Mailing Address (If post office box or drawer add. street address)
7. City. . 9. State
I have designated the following named bank as my ~ Primary Depository
11. Name of Bank 12. Street Address
56L 0
6. Telephone
J10. Zip Code
[-]Secondary Depository
j:)O I ~1' 1)t'2.
17. S,~rlalt~~:LL NOate .~/~YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOiNDT::NTS'
- ,-
Campaign Treasurer's Acceptance of Appointment
(Please Print or Type)
Campaign Treasurer ~ Deputy Treasurer
who is seeking nomination or election as a
for the campaign of d J~O J~--'.
JNon-partisan) candidate to the office of
(Party)
~)M~%l~J~.~'~Jl'-q . As a duly registered voter in J~~i- ~1~"~.
County, Florida, I am qualified to accept this appoin
Date y Treasurer
DS-DE 9 (Rev. 11195) .