DS-DE 9 Frank J. Kruszewski Group VI
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021 (1), F .S.)
OFFICE USE ONLY
RECEIVED
2006 DEe 2 I PM 2: 34
CITY CLERK'S OFF ICE
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
[{] Original Appointment
Name of Candidate
D Deputy Treasurer
D Reappointment of Treasurer D Secondary Depository
1. Address (include post office box or street, city, state, zip code)
Frank J Kruszewski
1800 Sunset Harbour Dr Miami Beach FI 33139
Telephone (optional)
2. Party (Partisan candidates only)
N/A
3. Office (add district, circuit or group number)
Miami Beach Commission Group VI
[{] Campaign Treasurer D Deputy Treasurer
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
David A Lammerding
5. Mailing Address (If post office box or drawer add street address)
1800 Sunset Harbour Dr
7. City
Miami Beach
8. County
Miami-Dade
9. State
Florida
6. Telephone
305-695-8571
10. Zip Code
33139
I have designated the following named bank as my
11. Name of Bank
Bank of America
13. City
Miami Beach
17. xnature of
./ Primary Depository Secondary Depository
12. Street Address
Lincoln Road
15. State 16. Zip Code
Florida 33139
Date
ign Treasurer's Acceptance of Appointment
I, David A LammerdinQ
, do hereby accept the appointment as
(Please Print or Type)
[(] Campaign Treasurer D Deputy Treasurer for the campaign of Frank J Kruszewski
who is seeking nomination or election as a N/A
candidate to the office of
(Party)
Miami Beach Commission Group VI . As a duly registered voter in Miami-Dade
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
1\t~/~ f)& ACCEPTANCE OF AP OINTMENT AND Tn THE ~CTS STATED ARE TRUE.
rfJ--J ' x ~ ;e~ I 1 z/'-I/Or..
Date Signature of Campaign Treasurer or~uty Treasurer
DS-DE 9 (Rev. 08/03)