DS-DE 9-1 JLaroseSTATE OF FLORIDA ~,, ~F'~'~ t ~1~f~NLY
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APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN Z~U9 SEP _ ~ A#i j ~ : 40
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) `+T 'd ~;~t:i•~~~"5 C;~F~~~-
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Original Appointment ^ Deputy Treasurer ^ Reappointment of Treasurer
Name of Candidate 1. Address (indude post office box or street, city, state, zip code)
Joshua Larose 1111 Lincoln Road, Suite 400
Miami Beach, Florida 33139
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, dreuit, group number)
( 305 ~3~-~eso E-mail : j~hualarosefortnayorofmiamibeach~live.corn Mayor of Miami Beach
I have appointed the following person to act as my X^ Campaign Treasurer ~ Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
Valencia St Louis
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
P. O. BOX 681161 (305) 731-1860
7. City 8. County 9. State 10. Zip Code
MIAMI MIAMI-DADE FL 33168
I have designated the following named bank as my ^X Primary Depository ^ Secondary Depository
11. Name of Bank 12. Street Address
Citibank 1685 Washington Avenue
13. City 14. County 15. State 16. Zip Code
Miami Beach Miami-Dade FL 33139
17. Signature of Can ' Date
~ 08/31 /2009
Campaign Treasurer's Acceptance of Appointment
I Valencia St Louis , do hereby accept the appointment as
(Please Pint or Type)
XD Campaign Treasurer ~ Deputy Treasurer for the campaign of Joshua Larose ,
who is seeking nomination or election as a candidate to the office of
(Party)
Mayor of Miami Beach
UNDER PENALTIES OF PERJURY,1 DECLARE THAT I HAVE READ THE FOREGOING CAMPAKiN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
08!31 /2009 X V G?
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Date Signature of Campaign Treasurer or Deputy Treasurer
DS-0E 8 (Rev. 01/08)