DS-DE 9
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D Reappointment of Treasurer 0 ~O~ry Depository
1. Address (include post office box or street, 'city, state, zip code)
.5"636 C1J II'~ Ave -::rl:- 3 A
/v1. it/fVJ f Eevd., I +t: 33/ <f 0
2. Party (Partisan candidates only) l ?~ce (,add district, circuit, group number)
MIU~II1, ~ rvu 3L
D Deputy Treasurer
I ha~e appointed the following person to act as my
4. Name of !reasurer or Depuvpasurer
, Cr e (:S-O 1'/ 0 r;
5. Mailing Address ~ post office box or wer add street addres~ '7 /\
5<632> Ccll,~ veh e.. '---/r -::>7\
7,c~t1W1; fb~ M;;:;; _ Deck- 9.Stat~ 10'~30J~V
Primary Depository D Secondary Depository
12. Street Address
ltotgf> MericVctN A-t.eI7U~
15. State
h-
I have designated the following named bank as my
11. Name of Bank , ~ I;
.e { 10 ~ Un itrd KJ~ h()),th I &c Vl /:::-
13. City 14. County (j) ., _
1'-1/ t1.NJ ; 2ee ct-, M it< rvJ i - ,J tf o..e.
17. ~nat
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE TYPE)
CHE~PROPRIATE BOX:
~ Original Appointment D Deputy Treasurer
N.H~~e f Q.;/'):-P'~
Telephone (optional)
Campaign Trea
i {J1t:~e J 90n
yo.....
(Please nnt or Type)
D Deputy Treasurer
who is seeking nomination or ejection as a
f::1. ittWl; ~ C.:JIVJ/'YI)-fSJ' ,~~
OFFICE USE ONLY
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6. Telephone
3:5) 262- '-!<..f 53
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Date
h
rer's Acceptance of Appointment
, do hereby accept the appointment as
for the campaign of
/1/ oh~e I G!DV1-'0r'~
candidate to the office of
(Party)
. As a duly registered voter in
}./114tn;... t)C7cLe-
County, Florida, I am qualified to accept this appointment.
UNDER PENAL nES OF PERJURY, I DEClARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STAT D E TRUE.
h / 2,3/0 ~
. ; Date
DS-DE 9 (Rev. 02106)
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