DS-DE 9 Deputy Treasurer MBowerSTATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER ~.~
AND DESIGNATION OF CAMPAIGN =, °,
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DEPOSITORY FOR CANDIDATES ~ f!'',-,-, .~~
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(Section 106.021(1), F.S.) r
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CHECK APPROPRIATE BOX: -r, '"'" "~
Original Appointment ~ Deputy Treasurer ~ Reappointrt~t ofr3reasurer
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
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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 Treasure or Deputy Treasur
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
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7. City 8. County
/y~' 9. State
~ 10. Zip Code
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I have designated the following named bank as my ~ Primary Depository ~ Secondary Depository
11. Name of Bank 12. Street Addre s
13. City 14. ounty
' 15. State 16. Zip Code
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17. S' nature of Candidate Date
Campaign Treasurer's Acceptance of Appointment
I ~ , do hereby accept the appointment as
(Please Print or ype)
Campaign Treasurer ®Deputy Treasurer for the campaign of ~ ~ ~ ~~Q~Q ~ L~EiQ
who is seeking nomination or election as a candidate to the office of
jParty)
U DER P NALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
Date 'nature of Campa gn Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 01/08)