DS-DE 9 KarltonSTATE OF FLORIDA
RER
A OFFICE USE ONLY
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APPOINTMENT OF CAMPAIGN TRE
AND DESIGNATION OF CAMPAIGN 1809 MAR -4 Pit 3
DEPOSITORY FOR CANDIDATES t
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(Section 106.021(1 ), F.S.) ..ll" - _
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Origins' ApDOintment ^ Deput y Treasurer ® Reappointment of Treasurer
Name of Candidate 1. Address (include post office box or street, city: state, zip codej
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Telephone (optional] 2. Party (Partisan candidates only) 3. Office (aaC district, circuit, group number]
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I have appointed the following person to aM as my Campaign Treasurer ~ Deputy Treasurer
4, Name of Treasurer or Deputy Tre urer
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5 Mailing Adtlress (If post office box or drawor add sVeet aodressj 6. Telephone
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7. City 8. County 5. State 1G Zip Code
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I have designated the iollowing namec bank as my Primary Depository ^ Secondary Depository
11. Name of Bank ^ 2. Street Address
~/acf/od/a.. ~.qu~ /aao ~i~col~ .eogo `690
13. City 14. County 15. State 16. Zip Code
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Campaign Treasurer's Acceptance of Appointment
I -" ~~~ /~ !/~jt'ljyf , do hereby accept the appointment as
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Campaign Treasurer ~ Deputy Treasurer for the campaign of ~L°~ K/~2
who is seeking nomination or election as a candidate to the office of
IF'anY;
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UNDER PENALTIES OF E)= JURY, I DECLARE THAT I AVE RE THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AN THAT TH FA S STATED ARE TRUE.
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Date ianature o mpaion Treasurer or Deputy Treasurer
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DS-DE 9 (Rev. Ot106) `IUtJO RO r ty" v°U v I v U ~ "'
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