DS DE 9 1 LeveySTATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR C~INDIDATES
(Section 106.021(1), F.S.)
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
OFFICE USE ONLY
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Original Appointment ~ Deputy Treasurer ®X Reappointment~of Treasurer
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
LAURA RIVERO LEVEY 4777 PINE TREE DRIVE
MIAMI BEACH, FL 33140
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit, group number)
I have appointed the following person to act as my X® Campaign Treasurer ~ Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
LEWIS J. LEVEY
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
1688 MERIDIAN AVENUE, SUITE 902 305-672-5007
7. City 8. County 9. State 10. Zip Code
MIAMI BEACH --" ~~ MIAMI-DADE FLORIDA 33139
I have designated the following named bank as my Primary Depository Secondary Depository
11. Name of Bank 12. Street Address
MELLON UNITED NATIONAL BANK 1688 MERIDIAN AVENUE
13. City 14. County 15. State 16. Zip Code
MIAMI BEACH MIAMI-DADE FL 33139
17. Signature andidate Date
X ~ ~•
Campaign Treasurer's Acceptance of Appointment
I, LEWIS J. LEVEY , do hereby accept the appointment as
(Please Print or Type)
Campaign Treasurer Deputy Treasurer for the campaign of LAURA RIVERO LEVEY
who is seeking nomination or election as a
candidate to the office of
(Party)
Mayor of the City of Miami Beach
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE -ACTS STATED RE TRUE.
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Date Signatu Campaign Treasurer or "D uty Treasurer
DS-DE 9 (Rev. 01/08)