DS-DE9
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STATE OF FLORIDA CHECK APPROPRIATE BOX
APPOINTMENT OF CAMPAIGN TREASURER I!I Original Appointment
AND DESIGNATION OF CAMPAIGN DEPOSITORY 0 Deputy Treasurer
FOR CANDIDATES 0 Reappointment ot Treasurer
(Section 106.021(1), F.S.) 0 Secondary Depository
(PLEASE TYPE)
Name of Candidate t. Address (include post office box or street, city, state, zip code)
DAVID DERMER CAMPAIGN FOR MAYOR
DAVID DERMER POST OFFICE BOX 402307
MIAMI BEACH, FLORIDA 33140
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, clrcu" or group number)
( 305 ) 532-5804 N/A MAYOR OF THE CITY OF MIAMI BEACH
I have appointed the following person to act as my [iJ Campaign Treasurer o Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
YAFFA DERMER
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
2525 FLAMINGO PLACE (05)532-5804
7. City 8. County 9. State 10. Zip Code
MIAMI BEACH MIAMI DADE FLORIDA 33140-4318 J
1 have designated the following named bank as my D Primary Depository o Secondary Depository
11. Name of Bank 12, Streel Address
BANK OF AMERICA 407 LINCOLN ROAD
13. City 14. County t5. State 16. Zip Code
MIJMf- BEACH MIAMI DADE FL 33139
I I I ~LL NOTIFY YOU OF ANY ADDITlONS OR CHANGES TO THESE APPOINTMENTS.
17. S '~natu 'l/'j, ~Ldale Date
, .
~ / n/ , 01/18/01
V v Campaign Treasurer's Acceptance of Appointment
I, YAFFA DERMER , do hereby accept the appointment as
(Please Print'" Type)
~ Campaign Treasurer o Deputy Treasurer tor the campaign of DAVID DERMER " ..
who is seeking nomination or election as a N/A candidate to the office ot
(Party)
MAYOR.OF THE CITY OF MIAMI BEACH, As a duly registered voter in MIAMI BEACH, MIAMI DADE
County, Florida, I am qualified to accept this appointment. # ~
it~": lOA AA~
01/18/01 X .
./ ''''r yv
Date Si,atl(re f Campaign Treasurer or Deputy Treasurer
I
OS-DE 9 (Rev. 11/95) \../
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STATEMENT OF CANDIDATE
(Section 106.0~, F.S.)
(Please Type)
I, DAVID DERMER
candidate for the office of
MAYOR OF THE CITY OF MIAMI BEACH, FLORIDA
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
x
Signature of Candidate
01/ 18/01
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).
OS-DE 84 (Rev. 8/99)