DS-DE 9 Appointment of Campaign TreasurerSTATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER ~ ° ~
AND DESIGNATION OF CAMPAIGN ~ ~ m
DEPOSITORY FOR CANDIDATES r`~-' ~ :'~
(Section 106.021(1), F.S.) ~ ;~ Tl
(PLEASE TYPE)
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CHECK APPROPRIATE BOX: - EA
Original Appointment ~ Deputy Treasurer ~ Reappointment of Treasurer ~ , Secondary Depository
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
Luis Salom 815 North Shore Drive
Miami Beach, FL 33141
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number)
305 710-3370 N/A Commisson Group III
I have appointed the following person to act as my ^/ Campaign Treasurer ~ Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
Alan Lips, CPA
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
666 71st Street 305 868-3600
7. City 8. County 9. State 10. Zip Code
Miami Beach Miami-Dade Florida 33141
I have designated the following named bank as my ~/ Primary Depository Secondary Depository
11. Name of Bank 12. Street Address
Bank United 300 Arthur Godfrey Road
13. City 14. County 15. State 16.2ip Code
Miami Beach M' ade Florida 33140
17. Si natur of Candidate Date
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Campaign Treasurer's Acceptance of Appointment
1, Alan Lips, CPA , do hereby accept the appointment as
~riease rnnt or i ype~
~/ Campaign Treasurer ~ Deputy Treasurer for the campaign of Luis Salom
who is seeking nomination or election as a N/A candidate to the office of
arm ~YJ
Commisson Group III . As a duly registered voter in Miami-Dade
County, Florida, 1 am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAV EAD THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND T AT TH FACTS STATED ARE TRUE.
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Date Si a ure of Campaign Treasurer or Deputy Treasurer
DS-DE 8 (Rev. 08/03)