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:
a~meOriginal Appointment [---] Deputy Treasurer
of Candidate
Telephone (optional)
OFFICE USE ONLY
~ Reappointment of Treasurer ~ Secondary Depository
I1. Address (include post office box or street, city, state, zip code)
2. Party (Pa~isan candidates only) 3. Office (add district, circuit or group number),
I have appointed the following person to act as my ~Campaign Treasurer ~ Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer Z~ (~.,~=~
5, Mailin9 Address (If post office~:~ 7 ~b°x or drawer ~add street9~>~'~addresS) ~~ ~ 8.~Telephone
I have designated the following named bank as my ~rimary Deposito~ ~ Seconda~ Deposito~
11. Name of Bank 12. Street Address
750
1~. ~ty , ~ 14. County , 15. State ~ 16. Zip Code
17.~natureofC~~ . Date /'
~ ~ ~ampaign Treasurer's Acceptance of Appointment
(Please Print or Type)
E~campaign Treasurer ~ Deputy Treasurer for the campaign of
who is seeking nomination or election as a
, do hereby accept the appointment as
candidate to the office of
, (Parly) ,
C./,~[ /Yl PiA.,J6 5.//3/'~ _~. (~ · As a Ou'y registereo v°ter in ~7~., O..m ; -'
County. Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE ~AD THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND ?/HE FAC~ED ARE TR~E.
- I ' I Date ~ Signature of Ca~ai~n Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 08/03)
jA~--21--2005 05 ~44 PM ~ABRiELLE. REDFERH $05 695 9989 p. 02
RECE!VED
STATE OF FLORIDA 05
APPOINTMENT OF CAMP~GN TREA~U~,I?p¥ 'S OFF ~CE I
AND DEEIGNATION OF CAMPAIG~
DEPOSITORY FOR CANDIDATES
(~o=tion 1D$.0~1 (1), F,8.)
(PLEASE TYPE)
CHEGK APPROPRIATE BOX:
Orlgln.I Appmntment
Name of Oindld.te
Telephone (optional)
Deputy Treasurer
Party (Partisan candidate~ only)
Reappointment of Trealumr ~ondary Depo~ory
Address (include post of~c~ box or street, city. ~-,~. zip code}
I have appeinted the f~llMng person to set ss my [] Campaign Treasurer
4. Name of Treasurer or Deputy Treasurer
5. Mailing Address. (If post offioe box or drawer add street address)
7,.c~ ...... I 8. Cou~.~ ..... , " I 9....~'~e
Treasurer
.6' 'Telepl~one '"
J 10. Zip Code
,,,,,, I
"--I Secondary Depository
12, Street Adclres~
U (~) ~ Campaign Treasurer's Acceptance of Appointment
.,, g
(Plosive Print or Typo)
[:~ ¢emp~ig. Tmnumr ~ Deputy Tm~urer ~or the r. arnpatgn
v~o ~s aaskJ~g nomination or e~on aa a
O~u~. F~a, I ~m ~u.l~ ~ a~t th~
, do hereby ac=apt the appointment ss
candidate to the office of
UNDER PENAL'nEB OF PERJURY, I DECLARE THAT I H~el~'~O THE FO~R~OING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND'~.~ACTS STAleD ARE TRUE.
~ Date Signature of Campeign Treasurer or Deputy Treasurer
OS.OB I (Rev. 0ama)