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DS-DE 9-1 RobertsOFF~U~ ('~ STATE OF FLORIDA APPOINTMENT OF CAMPAIGN TREASURER 1009 JAN -6 PM 3:40 AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES ~ I T ~ (~ ~- ~. i~ t''~ , 7 (J != F ~ C f (Section 106.021(1), F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: Q Original Appointment Q Deputy Treasurer ^ Reappointment of Treasurer Name of Candidate 1. Address (include post office box or street, city, state, zip code) Sherry Roberts 100 Lincoln Road #PH-2 Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit, group number) ( 305 ) 205-2030 Non-Partisan Miami Beach Commission, Group II I have appointed the following person to act as my ~ Campaign Treasurer ~ Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer Sherry Roberts 5. Mailing Address (If post office box or drawer add street address) 6. Telephone 100 Lincoln Road #PH-2 (305) 205-2030 7. City 8. County 9. State 10. Zip Code Miami Beach Miami-Dade Florida 33139 I have designated the following named bank as my ®X Primary Depository ~ Secondary Depository 11. Name of Bank 12. Street Address Bank of America 401 Lincoln Road 13. City 14. County 15. State 16. Zip Code Miami Beach Miami-Dade Florida 33139 17. Signature of Candidate Date ~~~' p 1 /2/2009 Campaign Treasurer's Acceptance of Appointment I Sherry Roberts , do hereby accept the appointment as (Please Print or Type) Campaign Treasurer ~ Deputy Treasurer for the campaign of Sherry Roberts who is seeking nomination or election as a Non-Partisan candidate to the office of (Party) Miami Beach Commission, Group II UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. 1 /2/2009 0 Date Signature o Cam aign Treasurer o eputy Treasurer DS-DE 9 (Rev. 01/08)