DS-DE 84 Luis Salom Group IV
STATEMENT OF
CANDIDATE
RECEfVED
OFFICE US N~ PH ~: II
CITY CLERw'(': 0 '
T\ v FF ICE
(Section 106.023, F.S.)
(Please Type)
I,
Luis Salom
candidate for the office of
Commission Group IV
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
x
1/05/07
Date
~
Signature of Candidate
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84 (Rev. 08103)