DS-DE 9 - 2 Michael Góngora
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Seetlon 106.021 (1), F .S.)
OFFICE USE ONLY
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
o .O"ginal Appoi1trnent 0 Deputy Treasurer
Name of Candidate
MICH/ffL GON~IZA
o Reappointment of Treasurer 0 Secondary Depository
1. Address (indude post office box or street. city, state, zip code)
5"g>~ CoIIII)..r M(. t;>.?A;
{VIllml !1C'iJ.t1! Ii- ?3IVo
Telephone (optional)
(
2. Party (Partisan candidates only)
3. Office (add district, circuit, group number)
(Yl/AtrJ IfJdJ.lIj Corw.,JJ/..... Gtww> j/
Campaign Treasurer 0 Deputy Treasurer
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
ALA/J A. LIPS
5. Mailing Address (If post office box or drawer add slreet address) 6. Telephone
4MW.... __ t 1.' 5me&i 3oS-86l?'-:)~oo
7. City 8. County 9. Stale 10. Zip Code
/r1/~ I IltYJ(I-f tv'IAM I i),4Dc. fi.. J:j/ 'II
I have designated the following named banK as my ltJ Primary Depository 0 Secondary Depository
11. Name of Bank 12. Street Address
fVlt'LLoN UrJITP) ,,-,{J-f/~ ~ /6'U. M&lLtDI+f A-v6
13. City 14. County 15. StateL 163, Zi}, c,oct.; t7
.tvlIPwiI M, 1- '\) ~O<:" =,
17.;r D~ I 07
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Campaign Treasurer's
Li('S
[8J Campaign Treasurer
(Pi.... Print or lYpe)
o Deputy Tre8$Urer
ptance of Appointment .. ....
n =
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, dO hereby accept th;ippo~ent:R
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for the campaign of //VII C.H.4EL <soN<fvM ::0 -..I m
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candidate ~e 4e or:::.
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DADe' =ri :: 0
M)~/- <; _
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..who isseel<ing nomination or election as a
(Party)
N t'lc i+ ..,~,J,. n-
1.1.' rfovi I I y..i/Ie. 8fi,.fII">"~ ~ As a duly registered voter in
County, Florida. I am qualified to accept this appointment.
. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE R E REGOING CAMPAIGN TREASURER'S
. ACCEPTANCE OF APPOINTMENT AND THE F STATIm ARE TRUE,
1/11/09
I . Da18
x
OS-DE 9 (Rev. 02/06)
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GO'd OO:L~ LO, UG ue[ 960L~L9S0~:xe~ NOISSIWWOJ~~OA~~