DS-DE 9 (Deputy Treasurer)
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)'
(PLEASE TYPE)
~:J i=
E USE ONLY
0& ~UG ' -1
. CHECK APPROPRIATE BOX:
o Original Appointment
Name of Candidate
I32f Deputy Treasurer
o Reappointment of Treasurer 0 Secondary DeposRory
1. Address (in;!ud,,~o~t office box or street, city. state. zip code)
blf50 ~ ~{:/I:..).O~
~~ ~J:c...33/ffl
C 0;;;0/; ;iStrlcl drcu~:,U~ ;mV
P. oG1E-1Z J46fifrHSON
Telephone (optional)
2. Party (Partisan candidates only)
I have appointed the following person to act as my Campaign Treasurer
4. Name of Treasurer or Deputy Treasurer
'KO)(F'lIVA Vt:&A-
5. Mailing Addre!!.s (I~p'pst office box or drawer add street address)
~~50~~, #J~05
7. City 8. County . 9. State
. .~ &-a.~ H;~-Da~ FL
Deputy Treasurer
6. Telephone
305) f5folf-ft> ;);).If
10. Zip Code
33/tfI
I have designated the following named bank as my
11.W~ ~
13. City 14. County
5
G'" Primary Depository D Secondary DeposRory
12. Street Address
155(;, Ha."ck-, ~
15. State
ck.
16. Zip Code
33/5lJ-
17. )tnalure of Candidate
Date
Campaign Treasurer's Acceptance of Appointment
I, ?'DXPrllift
VcG'Pr-
(Please Print or Type)
o Campaign Treasurer [R] DeputyTreasurer for the campaign of ~~
, do hereby accept the appointment as
fr~
who Is seeking nomination or election as a IJ / Ir
M~ 6uu!' . -
.~ p ~ 61 ~ V . As a duly registaredvoter In
candidate to the office of
(Party)
Hi~-[)cl(k
County, Florida, I am qualified to accept this appointment
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGO NG CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STA D ARE TRUE.
~/Jlf/O("
. Date
x
DS-DE 9 (Rev. 02(06)