DS-DE 9 Appt. Campaign Treasurer Joshua Larose STATE OF FLORIDA OFFICE USE ONLY
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN ~ ;
DEPOSITORY FOR CANDIDATES ~ir c. n
(secilon ~oe.ozl(~1, Fs.1 a4 vP' 10 PN 2c 2U
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
? Original Appointment ?X Deputy Treasurer ? Reappointmem of Treasurer
Name of Candidate 1. Address (indude post office box or street, cky, stale, zip code)
Joshua Larose 1111 Lincoln Road, Suite 400
Miami Beach, FL 33139
Telephone (optional) 2. Pally (Partisan candldafes only) 3. Office (add disfrid, cirart, group number)
305 7s+-+eso E-mail: joehualaresebm~ayorotmamtreach~live.mm Ma or of Miami Beach
I have appointed ttre following person to ad as my ~ 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 191328 (305) 731-1860
7. Gty 6. County 9. State 10. Zip Code
MIAMI BEACH MIAMI-DADE FL 33119-1328
t have designated the folk>rnng named bank as my QX Primary Depository ~ Secondary Depository
1 t. Name of Bank 12. Street Address
SUNTRUST BANK 1576 NE 163rd Street
f3. City 14, County 15 State i6. Zip Code
North Miami Beach Miami-Dade FL 33162
17. Signature of Candidate Date
X - - 09!09/2009
Campaign TreasurePs Acceptance of Appointment
l Valencia St LOUIS , do hereby accept the appointment as
(Please Pn~ a Type)
Campaign Treasurer QX Deputy Treasurer for the campaign of Joshua Larose
who is seeking nominatan or election as a N/A candidate to the office of
(Party)
Mayor of Miami Beach
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
09/09/2009 X ~
k~..tta_.~. ;~t._ ~~~-ut.-_~
Date Signature of Campagn Treasurer or Deputy Treasurer
DS-0E 9 (Rev. 011081