DS-DE 84 JLarose Statement of CandidateSTATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please Type)
I,
candidate for the office of
OFFICE USE ONLY
Mayor of Miami Beach
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
X ___.
Ignature of Candidate
08/24/2009
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 avil 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).
Joshua Larose