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DS-DE 9 Elsa Urquiza STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 108.021(1), F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: I:tI Original Appointment D Deputy Treasurer OFFICE USE ONLY 0'> [-~' , a iTI o D Reappointment of Treasurer D Seconda/}' ~os~ Name of Candidate EIsA "-1: JI( ~ vi 2cz- 1. Address on~ude po~ office bo>s,or street, ~, state, zip code) f1. ~ 1 k.. f(; Vb If / h 1::),. /v1~ 'rn; 1i.tLe-4 ;C / 33/3' 2. Party (Partisan candIdates only) 3. 9ffice (add district, drcuit, groU~ber) (~"'>' ~ J~ -Si D Deputy Treasurer Campaign Treasurer Telephone (optional) 6:?s ) 5?)g-i?t>?J I have appointed the following person to act as my 4. Name of Treasure! or ~uty Treasurer kdcUl"lrd If. r/1AJ faS 5. Mailing A.ddreSS)!! post office box or drawer add street address) 4 I 4/ l'b /!; ~ sAve l 509 7. City /J. 8. ~ tIJ, ',q IV! " l:)z L) 4 J.... I have designated the following named bank as my 0' Prima/}' DepositO/}' D Seconda/}' Deposito/}' 12. Street Address /J A )c..Je.. ~ 1 rite 9rr 16. Zip Code .33/ '3 Date . ~ /:(/06 - Cam~ign ~u r, Acceptance of Appointment I, ~ ~{) (I r j If . LIl A.J f os , do hereby aJhe appointment as (Please Print or Type) . @Campaign Treasurer D Deputy Treasurer for the campaign of E /s ,4 A{. If 6{ U I' c..c:...... . who is seeking nomination or election as a candidate to the office of (~.4 114 r'SS 1\t7'7~FI_!1 . ~adUlyregiste:~terin 'bet. ~ County, Florida, I am qualified to accept this ap intment. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. '/12/0' Date x (G~1~ Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 02106) 63