Loading...
DS-DE 9 Deputy Treasurer Fred KarltonSTATE OF FLORIDA OFFICE USEpNIY , ; •. r' APPOINTMENT OF CAMPAIGN TREASURER 1094 `,. AND DESIGNATION OF CAMPAIGN - ~ U J'; i 2; ~ ~ DEPOSITORY FOR CANDIDATES (Section 108.021(1), F.S.) - (PLEASE TYPE) CHECK APPROPRIATE BOX: Original Appointment Deputy Treasurer ~ Reappointment of Treasurer ~ Secondary Depository Name of Candidate ~ 1. Address (include post office b~x or street, city, state, zip cotle) ~s-s- /-r fir' .rf~ z ~ '~ ~~ ~ ; ~ ~ ~~ > ~~. , .~.~~ / ~' 2. Party (Partisan candidates only) 3. Office (add disMCt. circwt or cup number) Telephone toptionalj ~ ~ 1 3~ 2 2 9 I ~ ` 2 /~/~,~' I have appointed the iollov~ing person to ad as my ^ Campaign Treasurer Deputy Treasurer 4. Name easurer or Deputy Tr a urea ~~ ~~ ~~~~-~~en) x or drawer ad street addre s}or drawer adgstreet addre s} 6. Tele hon 5. Mailing Address (li post OfficeoHice b s ~~ L- 3s~ ~3Z Zg o~~' ~J ` - ~ ~~° / ~,3,u~ L~~~Ev S ~ - _ 7. City 8. County ~ /-~~~ 5. State ~ Z~ Code ~/ S ~ 3 I have designated the following named bank as my nmary Depository Secondary Depository 11. Name of Bank // /-~ ~ ~ 1 "~ U V o- i2 Street Address q . ~~ 7~ 'T'0 G/n C e~ ~s/I/J ~~~ /~ s"_ / : /.r'A: ~/3~/lB , , t 13 City ~ 14, Cou ,~ ,J )p~y~ lu,~ i /}m1J ~ RC [/ '' 15. Sls ate ~ 17~Zip Co4e~ ~, I ~ i , // 17. Si nature o(Candidate ! _r' ~- ~ Date ~-,~ 9-~ s _o ~ m~ai rea~lurer's Acceptance of Appointment Ca / I ~L',d~ ~,`'ia~- ~~'d ~ , tlo hereby accept the appointment as (Please Print or type} rer f ~ D p t T as C _ /} ~ ~ or the campaign di ~~~ ~ ; )~rI 'fie' ~ e u y re u Campaign Treasurer . who is seeking nomination or election as a i i' ,,~7 ~/~~~~^- candidate to the office of (Party) /~ . ~~ ~r»JY} eH~o* t-{-~ As a duly registered voter in 1~~~~ _= ~w~~7 .- - i County, Florida, I am qualified to accept this appointment ~; UNDER PENALTIES OF PERJURY, I DECLARE T HAT I HAVE READ THE FOREGOING CAM~I~IGN TREASURER'S ' ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATEL) ARE UE. , Date ' _ ~= 3igrtet re of Campaign Ire surer or Deputy Treasurer DS•DE 9 (Rev. 08103)