DS-DE 84 Mayert ~„' ~a_
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OFFICE US~QNLY P1~J 2; 3S
STATEMENT OF '~~~,~a` ,~
CANDIDATE C
(Section 106.023, F.S.)
(Please Type)
I, MARIA MAYER +
candidate for the office of T Y 0 MT Mr B .A .H COMMISSIONER GROUP II
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
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Si nature of Candi ate
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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 civil 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).
DS-DE 84 (Rev. 08/03)