DS-DE9 6/26/1999 STATE OF FLORIDA :.I/, t CHECK APPROPRIATE BOX
APPOINTMENT OF CAMPAIGN TREAS..UR~R'':'/'''/"",~!,::,~ Original Appointment
FOR CANDIDATES Depu~ Treasurer
(Section 106,021(1), F,S,)
Seconda~ Deposito~
(PLEASE TYPE)
Name of Candidate
I have appointed the following person to act as my
Reappointment of Treasurer
1. Addtess (include post office box or street, city, state, zip code)
2. Pa~y (Fa~isan candidates only) 3. Office (add district, circuit or grou umber)
D Campaign Treasurer <~Beputy Treasurer
4. Name of Treasurer or D r u r
5. Mailing Address ¢f post office box or drawer add street address)
7. City 9.
6. Telephone
State 10. Zip Code
I have designated the following named bank as my
11. Name of Bank
13. City
14. County
~::~]:/'Primary Depository. D Secondary Depository
15. State 16 Zip Code
I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17. Sign,~.ur of Candidate Date
I, } d.... K h'~'~~ , do hereby accept the appointment as
(Please Print or Type)
D Campaign Treasurer J~ Deputy Treasurer for the campaign of ,~-~,_
who is seeking nomination or ejection as a candidate to the office of
(Party)
,m1 . ,o,., ,.,
ate Si ure'Of C;mpaign Treasurer or Depu~ Treasurer
DS-DE 9 (Rev. 11/95)