DS-DE 9 STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
~ Original Appointment
Name of Candidate
~ ~ t~, t~7. t ~-~I~E USE ONLY
05 13 PH
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F-'] Deputy Treasurer [] Reappointment of Treasurer [] Secondary Depository
I 1. Address (include post office box or street, city, state, zip code)
Richard g. Steinberg 900 Bay Drive #504
Miami Beach~ FL 33141
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number)
IM'~nm~ R~n~h Cnmm~nner Grp. TIT
I have appointed the following person to act as my [~ Campaign Treasurer [] Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
Richard L. Steinberg
5. Mailing Address (If post office box or drawer add street address)
900 Bay Drive #504
7. City J 8. County
~iiami Beach I Hiami-Dade
have designated the following named bank as my
J 6. Telephone
305-538~2344
9. State 10. Zip Code
Flo~da 33141
["~ Primary Depository ~] Secondary Depository
11. Name cf Bank I 12. Street Address
Union Planters Bank NA J 780. Arthur Godfrey Road
13. City 14. County 15. State 16. Zip Code
Miami Beach ~ami~-Dade FL 33140
17.
Date
Campaign Treasurer's Acceptance of Appointment
I, Richard L, Steinber~
(Please Pdnt or Type)
[~] Campaign Treasurer r~ Deputy Treasurer for the campaign of
who is seeking nomination or election as a
(Party)
~mi Beach Co]~r~issio~er G~rp, I[.~s a duly registered voter in
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ T MPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMEN.~THE FACTS STATED ARE TRUE.~-0~~
1/13/2005
Date Signatu~,Signatur Campaign T~ea~ur-~YOr~ut Treasurer
DS-DE g (Rev. 08~03)
, do hereby ac~cept the appointment as
Richard L. ~te~nberg
candidate to the office of
Miami-.Dade