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DS-DE9 ~ - STATE OF FLORIDA 1:' r.; (' IVED CHECK APPROPRIATE BOX APPOINTMENT OF CAMPAIGN TREASU'RER iii Original Appointment AND DESIGNATION OF CAMPAIGN DEFm$ITORY PH 2: 02 0 Deputy Treasurer FOR CANDIDATES 'S OFFiC~ Reappointment of Treasurer (Section 108.021(1), F.S.) -."" Secondary Depos~ory (PLEASE TYPE) Name of Candidate 1. Address (include post office box or street, city, state, zip code) JOSE SKITH 887 North Shore Drive Miami Beach, FL 33141 Telephone (optional) 2. Party (Partisan candidates only) 3, Office (add district, circuit or group number) ( 305 ) 792-0060 N/A Miami Beach Cit-~ -inn 1 I have appointed the following person to act as my [2SI Campaign Treasurer o Deputy Treasurer 4, Name of Treasurer or Deputy Treasurer Steven H. Rothstein, Esq. 5, Mailing Address (If post office box or drawer add street address) 6. Telephone I 3550 N.E. 169 Street, Apt. 411 305-323-7716 7, City 8, County , 9. State 10, Zip Code North Miami Beach Miami-Dade Florida 33160 I have, designated the following named bank as my EJ Primary Depository o Secondary Depos~ory 11. Name of Bank 12, Street Address Union Planters Bank 16051 West Dixie Highway 13, City 14, County 15, State 16, Zip Code North Miami Beach Miami-Dade FL 33160 ~ I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS. ~ 17rure ~f C~~diy-;t, Date ,In}o) /' /'/ f.A V Campaign Treasurer's Acceptance of Appointment I, STEVEN H. ROTHSTEIN, ESQ. , do hereby accept the appointment as (Please Prinl or Type) IXX I Campaign Treasurer D Deputy Treasurer for the campaign of Jose Smith who is seeking nomination or election as a (Non-partisan) candidate to the office of (Party) Miami Beach City Commission . As a duly registered voter in Miam ~"'Dade - County, Florida, 1 am qualified to accept this appointment January 17, 2001 X71tttviflt\~~ ' Date Signature of Campaign T easurer or Deputy Treasurer OS-DE 9 (Rev. 11/95) . / --'-'--- - ~ STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) I, ,JOSE SMITH candidate for the office of Miami Beach City Commission. Group 1 have received, read and understand the requirements of Chapter 106, Florida Statutes. ~ofCandldate January 17. 2001' Date 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. 8199)