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DS-DE 84 Kristen R. Gonzalez OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) r N cn .� CD -'_` Tj y� n rn N r��P.ln �z r, e7L, candidate for the office ofhn� have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x � ( at re of ndidate 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-DF U(U5;'l t)