DS-DE 9 Michael Góngora
OFFICE USE ONLY
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
Name of Candidate
fv1,'cl14el GD~f1!JOY~
1. Address (include post office box.;{'r street, city, state, zip code)
5833 CD/I,'V7S. /-tVe.# 3'A
H/4vv>i ~d-" FL 33/LfO
-~
-'0
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Original Appointment
o Deputy Treasurer
o Reappointment of Treasurer
o
I have appointed the following person to act as my
4. Nameta~~r;tepu(;~rer RU-
5. Mailing Address (If post office box or rawer add street addre~s)
,5'836 CD/I, Y1.s ~V)ue -::If 3n
7. f{; 11m; (kcL, BM'~~"~; _ OC;c'e 9 St,te FL 33 7'Y' 0
I have designated the following named bank as my g] Primary Depository 0 Secondary Depository
n _ 12. Street Address
1J~-ho;J41 'lyN K- J& B (l1Py/C!/C;J fl-veh tf-
~J"ty i 15. Sfr- 16~ /3'
Date
I 'JLf o~
Campaign Treasurer
3. Office (add district, circuit, group number)
Group JL
o Deputy Treasurer
Telephone (optional)
2. Party (Partisan candidates only)
6. Telephone
3iJ5'-%O-lol '
o
for the campaign of
/JIlt
(Party)
Jvf, e{J'f'l; f3edJ, ~ ,pt1r;,S1 .)r.J ~f'"Jl;..As a duly registered voter in
Campaign Treasurer's Acceptance of Appointment
{l1,1 ~ t.e I &='-011 JC2 ~
(Please 't't or Type)
~ Campaign Treasurer 0 Deputy Treasurer
who is seeking nomination or election as a
, do hereby accept the appointment as
I,
t11~ CfCI1~?--
candidate to the office of
/1,411;1(- tJ t:d~
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 STATE ARE TRUE.
.~
{ IJ-il tJ1'
I / Date
x
DS-DE 9 (Rev. 02/06)