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DS-DE 9
dsde9 *1 2001 OCT -9 A~ 9~ 28 ~iTY C~C.C '~ Uf is iLi. STATE OF FLORIDA OFFICE USE ONLY APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: ~ Original Appointment Deputy Treasurer ~ Reappointment of Treasurer ~ Secondary Depository Name of Candidate ~,~B~ic l~ /2e~~~ 1. Address (inGude post office box or street, city, state, zip code) q ~ y~ ~~ ,~~~ ©~'~ ~~6 ~ ~d 1~~ 3 4~ Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, i or group number) ~ro~~ 1; 1 have appointed the following person to act as my Campaign Treasurer ~ Deputy Treasurer 4. Name of Treasurer Cy Deputy Trea rer 5. Mailing Address (If post office box or drawer add street address) O C~ ~ ~ 51~2.t-.s~~ 6. Telephone 7~ _~ ~ /1~1/ ~}I?'11 f~ 8. oun'~~' ~ ~~ 9. Sta~~l~~ 10. Zip Co ~2'~/ ~J' I have designated the following named bank as my rimary Depository Secondary Depository 1~/r~ank~~~~~~~ 1221~eeOtAddres/s ~~ 13~ ~ ~~ 1 ^ ~ 14. Cou ~ ~ / 15. St~ 1~6~Zip C ~ ~ / J 17. Signature of Ca idate /V, Date to ,0.07 . Campaign Treasurer's Acceptance of Appointment 1 ~ ' 1, !f 1tp~71 v I C I /,~/_ ~jti ~~ , do hereby accept the appointment as " "" triease runt or ~ypel {i " )' ~ I ~Q ~ ampaign Treasurer ~ Deputy Treasurer for the campaign of ~~ ~~, ,; ~~ ~-i~ l~~~ TTT ~~ who is seeking nomination or election as a ,~ candid t ~ e ~- _ As a duly registered voter in ---~ County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I H VE READ THE FOR OING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND AT THE FACTS ATED ARE TRUE. ~~~ 1 ~ ~ X ^ alate Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 013!03) 10/04/2007 11:30 AM ~~ http://web.miamibeachfl.gov/WorkArea/showcontent.aspx?id=13460 Page 1 of 2