DS-DE9
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T 'c ! /'<1: .v~~PPROPRIATEBOX
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER f(li~ Ori~'1 Appointment
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AND DESIGNATION OF CAMPAIGN DEPOSITORY " Treasurer
FOR CANDIDATES o Reappointment of Treasurer
(Section 106.021(1), F.S.) 0 Secondary Deposhory
(PLEASE TYPE)
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
S'cAV\ K. &r055> '1-Qoo. FIll"'" /~o 1)1'111<'.-
t'l'l1()AM.\, ~( F! /lV'/(1 '33fl/o
Telephone (optional) 2, Party (Partisan candidates only) 3. Office (add district, circuit or group number)
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( ) (Y)IlV>1M, gea&, CoWllM/SSIil'1- 6-Y'OJ/J 2-
I have appointed the following person to act as my ~ Campaign Treasurer o Deputy Treasure~
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4. Name of Treasurer or Deputy Treasurer
)' 0..0\ t:" G-v'osS
5, Mailing Address (If post office box or drawer add street address) 6. Telephone
112.5' LJClS~tnl1 A",Q.II1Il~ tI1 (~ Swd, flov(cL, 3eS- ~3'Z--731bk
7. City ~ 8. County 9, State 10. Zip Code
~(cuW. B~ /Ltc tLl1i\; ~ D~ fiGII' (~ 33131
I have designated the following named bank as my ~ Primary Deposrtory D Secondary Deposrtory
11. Name 01 Bank 12, Street Address
Co\ 0\,\ (J... ~~ 301 t1 f {f Jtve.J\
13. Chy 14. County 15R;~(~ 16. Zip Code
tr1l~~ Mla~; - (J ak, '33/1.{0
I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
17. Signature 01 Candidate Date
X S~K. - II ?'o/O/
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Campaign Treasurer's Acceptance !:If Appointment I (
I, i o.v1 K, G-t-v 5S , do hereby accept the appointment as
(Please P"nl '" Type)
0' Campaign Treasurer o Deputy Treasurer for 1he campaign ot Saul K. br-OSJ ,
who is seeking ~omination or election as a ,J l r\- candidate to the office of
(Party)
;)\I~. ~ CoWJMISSI~ 6-v-1lJf.l-, As a duly registered voter in r\t11~-f)cuk"
County, Florida, I am qual~ied to accept this appointment.
:
\\~of X S tUJ k: J.,... ,AJm-'
Date Signature of Campaign ,reasurer or Deputy Treasurer
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(Section 106.023, F.S.)
(Please Type)
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STATEMENT OF CANDIDATE
I,
~o.0\ K. &YO SS
candidate for the office of MI~ e,~ COWlWlis.slol'le'Y - Gro\Jf 2-
,
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
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I~Of
ate
Signature of Candidate
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. 8/99)