DS-DE 9 Amended 1
(PLEASE TYPE)
RECFfVED
2001=HtUt:~E~ur. 28
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en Y CLERK'S OFII~ ~
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STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
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CHECK APPROPRIATE BOX:
'J8l Original Appointment
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o Deputy Treasurer
o Reappointment of Treasurer
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o Secondary ~poR3ry
Name of Candidate
1. Address (include post office box or street, city, state, zip code)
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P-A PHAEL- HE~ HAy'+'(!3 0, /VA~T/LLL.s /JI<IJ/E
HIAHI ~ ell FL. 33J 1/-0
2, Party (Partisan candidates only) 3, Office (add distric , circuit, group number)
4/. A ' M ~R CJr" ~i.AH/B6 cl-/
I have appointed the following person to act as my ~' Campaign Treasurer D Deputy Treasurer
4, Name of Treasurer or Deputy Treasurer R A f H A E 1-
I-IFI<-)fA~
6. Telephone
30567Lf&,S'l-1
5, Mailing Address (If post office box or drawer add street c::ddress)
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'-1-/30 /V'AUnL-ILS JJI<IVE
7, City ~ 8. County g, State ,
f f ,
MIAI1I B6 e..J/ hJAHI.-j)AOE FtflRlfJA
I have designated the following named bank as my ~ Primary Depository D Secondary Depository
12. Street Address
A/':A~ 90/ ARTHUR GoDF/(,F; ROAl)
14, COljnty. 15. State 16, Zip ode
111 A/t1/.- D,11JE FLORi/)'3 '3 J /fl7
10, Zip Code
93/ 0
11, Name of Bank f
LCJLotVIAL- BAA/I<
13, City ,
.M IA}f1 Bf;/}CI!
17, xnature of Candidate R.-
Date
HARCfI 23 2Do7
Campaign Treasurer's Acceptance of Appointment
I,
RAPHAEL HF/<-HA~
(Please Print or Type)
, do hereby accept the appointmE'nt as
~ Campaign Treasurer 0 Deputy Treasurer for the campaign of RA f II AEL- JI E j( H A
who is seeking nomination or election as a ~~ A ,. candidate to the offiCE' of
, . (Party) +
.HAVOI< 6F HIA",A1/ BEi1CII, As a duly registered voter in i1/AH/ - [JAPE
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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 STATED ARE TRUE.
Date
HAP-c....H Z3 I 2-00 7 X
OS-DE 9 (Rev. 02/06)