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DS-DE 84 Sherry Roberts
STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please Type) ~~ elf !2 ~e ,~ 2-I~~~S candidate for the office of ~'Q~n ~-%S~~`~ -' ~©c(~ ~ ; have received, read and understand the requirements of Chapter 106, Florida Statutes. X Sianat~re of Candidate 0 ~ aoo~ 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. 03/08)