DS-DE 9 J. Libbin 09STATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER ~ ~ ~' ~ ~ ~:! F= ~
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES Zpp9 JAN ~ ~ A~ 10:55
(Section 106.021(1), F.S.)
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(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Original Appointment ^ Deputy Treasurer ^ Reappointment of Treasurer
Name of Candidate 1. Address (include post
office box or street, city, state, zip code)
/
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit, group number) ~,~®`
I have appointed the following person to act as my Campaign Treasurer ~ Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
~// ~ i ~~
5. Mailing Address (If post o lice box or drawer add street address)
~
~ 6 Telep one
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7. City 8. County 9. State 10. Zip Code
I have designated the following named bank as my Primary Depository ~ Secondary Depository
11. Name of Bank 12. Street Address
>/ ~ vv Cpl/~~s ~~e
13. City 14. County 15. State 16. Zip Code
17. Signature Candidate _
X Date
~
~
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Campaign Treasurer's Acceptance of Appointment
,r r
I, ~ /f f/ < ~ ~f
, do hereby accept the appointment as
(Please Print or Type)
Campaign Treasurer ~ Deputy Treasurer for the campaign of ..~e~~ ~~ ~~/ ~ ,
who is seeking nomination or election as a ~~~ candidate to the office of
(Party)
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE ~AD HE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND TH/~F T ACTS STATED ARE TRUE.
X /
Date Sig at of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 01/08)