DS-DE 9 Amended Deede Weithorn
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
O'R'~~~~'f! 0
2006 NOV -3 PM 3: 40
CITY CLEF\K'S OFF ICE
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
D Original Appointment
Name of Candidate
[{] Deputy Treasurer
D Reappointment of Treasurer D Secondary Depository
1. Address (include post office box or street, city, state, zip code)
Deede Weithorn
1130 Stillwater Dr. Miami Beach, FI. 33141
Telephone (optional)
305-864-8007
2. Party (Partisan candidates only)
3. Office (add district, circuit or group number)
Commissioner Group V
D Campaign Treasurer [{] Deputy Treasurer
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
Mark H Meltzer, CPA
5. Mailing Address (If post office box or drawer add street address)
1150 NW 72 Ave. Suite 760
7. City
Miami
8. County
Miami Dade
9. State
Florida
6. Telephone
305-592-9954
10. Zip Code
33126
I have designated the following named bank as my
11. Name of Bank
Bank United
13. City
Miami
Primary Depository Secondary Depository
12. Street Address
2410 NW 72 Ave.
14. County
Miami Dade
15. State
Florida
16. Zip Code
33126
17.xna~
Date
( 1- 3,. \:i
Campaign Treasurer's Acceptance of Appointment
I, Mark H Meltzer, CPA
, do hereby accept the appointment as
(Please Print or Type)
o Campaign Treasurer [{] Deputy Treasurer for the campaign of Deede Weithorn
who is seeking nomination or election as a
candidate to the office of
Commissioner Group V
(Party)
. As a duly registered voter in Lee
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.
A)oI6l17M 5/ c26D-b X CP4
Date
OS-DE 9 (Rev. 08/03)