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DS-DE 9 Appointment of Campaign Treasurer Hermanr-ar-~.r~'~~1 ~1 t'~ l -~ STATE OF FLORIDA 20P~~~E~S~~~~~ ! APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN 'y ~ ~ " l~ i~' " ~ ~ ~~ ~~ ~ 1 `~°- 20D9 SEA' - 9 APB I ~ : 5 I DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) ~i~'t' r~. ~"~f`t°~ mss= F ~CE- (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) ~ ~ P~~~L l~,~i~.~i~/l~ ~'I,9o ~!VigGGT~LGL.,S DRlli~' M/AMf~ B~~chi ~L 33t~o Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit, group n ember) (3a~ 67 `~/ ,/'~i4 ©R aFM~~4.M1 B~~9 cr5~ I have appointed the following person to act as my ~ Campaign Treasurer ^ Deputy Treasurer 4. Name of Treasurer or Deputy Treasurer 5. Mailing Address (If post office box or drawer add street address) 6. Telephone 4~1..~o N~9 c~-Ti L ~ S OR ~ Yom" 3v S~-E 7~ - ~..5"y~-1 7. City MiAM~' B~i~ cJf 8. County Mi~.r`~<- DADS' 9. State ~'~ Ri o~ 10. Zip Code 33/x-0 I have designated the following named bank as my ~ Primary Depository ~ Secondary Depository 11. Name of Bank ~~^/~C ~L-N/ TAD 12. Street Address ~©o AR.Tf/~d.R ~bD~/p~' R©.4 D 13. City ~ 14. County ~ 15. State 16. Zip Code M~~AMI BEi4c-N M%AM1- DADS ~'LOR10~4 33/~a 17. Signature of Candidate X ._.. Date Campaign Treasurer's Acceptance of Appointment I ~ ~ r ~/'i G ~ ~~/~ /'- ~ ~V , , do hereb acce t the a y p ppointment as (Please Print or Type) Campaign Treasurer ®Deputy Treasurer for the campaign of /~~ P~/Q~~ ~~/~• / -~ /q ~ , who is seeking nomination or election as a candidate to the office of 4 -/~'1 ~/~ ~/- /"I ~A/"I 1 ,f~~J4 G ~ (Party) UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. 09--o9-ag x~~~ Date Signature of Campaign Treasurer or Deputy Treasurer us-ut a ~rtev. o~~os)