DS-DE 9
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE USE ONLY
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(PLEASE TYPE)
CHE~PPROPRIATE BOX:
g Original Appointment D Deputy Treasurer
Name of Candidate
L-au rn
4. Ls v~
D Reappointment of Treasurer D Secondary Depository
1. Address (include post office box or street, city, state, zip code)
.0. Bof- 398fb~
Hi~i &a.~ l.fl 33 ~ '61
Telephone (optional) 2. Party (Partisan candidates only)
qg~-fo -'65~
I have appointed the following person to act as my Campaign Treasurer
4. Name of Treasurer or Deputy Treasurer I
ana ~ ~\HJL ~ Coo tL I 1-~_c. ,
5. Mailing Address (If po office box or drawer add street address) . \
~ 1- d- \ f.)(eCM.~ '4(2.. ~tl.t- \) L\ "J e St..t \ it:'
7. City 8. County 9. State
vJts.1ON
6. Telephone
CfSlf. 3B1- \'3. '33
10. Zip Code
I,
1~3irdd~N4: k lu~ ~~
15. State 16. Zip Code
'- 33\
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Treasurer's Acceptance of Appointment
G. P, A- _
, do hereby accept the appointment as
~ampaign Treasurer
D Deputy Treasurer
for the campaign of
~r~
A. LeI!jtL
who is seeking nomination or election as a
M\QMA~~ticL ~'~<i>;b~
~ If candidate to the office of
(Party)
. As a duly registered voter in ~C2.tM)a. a..{)
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 THE FACTS STATED ARE TRUE.
<'61~:.:o ~ X ~a:i laii;;::ff~pu~ Treasurer
OS-DE 9 (Rev. 08/03)