DS-DE 9 Lee Weiss
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
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. 06 M^Y 23 PH 3;.00
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(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Original Appointment
Name of Candidate
o Deputy Treasurer
o Reappointment of Treasurer
o Secondary Depository
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1. Address (include post office box or street, city, state, zip code)
T;leohune (optionall.
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3)<ffice (~istrict.cirr.IJ~t. nroup number) ,
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N Campaign Treasurer 0 Deputy Treasurer
I have appointed the following person to act as my
.z.~asAr ep~ Treasurer
5. Mailing Address (If post office box or drawer add street address)
"3 b t? I N UtI I 7f2Rlfac:-e
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8. County
Da..l;>e-
9. State
rLoa-"'dCL
~Tele~ne
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10. Zip Code
33 J;J.....s-
71";-
7. City
I have designated the following named bank as my
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.
00\)
16. Zip Code
~3'139
Date
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17. Si nature of Candidate
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Campaign Treasurer's Acceptance of Appointment
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(Please Print or Type)
D Deputy Treasurer for the campaign of ~,E&
, do hereby accept the appointment as
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~ampaign Treasurer
who is seeking nomination or election as a
candidate to the office of
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f.)) (Party)
(::0 ~I ~ /S rQ ~~ R (', :2.2 ~'"'Y "'9;"."" vo..,;o M { a. /vI.,' .- f!a. de CO UA1lJ
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT T E FACTS STATED ARE TRUE.
~//g/t/(,
~/ I Date
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OS-DE 9 (Rev. 02/06)
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