DS-DE 9 Gabrielle Redfern - Group II
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)'
(PLEASE TYPE)
~~~,~~y
2001 JAN 26 AM II: 17
CITY CLE.RK'S OFF ICE
CHECK APPROPRIATE BOX:
~ Original Appointment 0 Deputy Treasurer
Name of Candidate
OA1!?:>rZU..I/u ~DPd2N
o Reappointment of Treasurer 0 Secondary Depository
1. Address (include post office box or street, city. state, zip code)
4-;>3'1 /.2kJyA'(.. p,..I".-, A-v~vL>
MIJI-tJ1; 8>.LA-<-I-I Plol'm4 ~/40
2. Party (Partisan candidates only)
3. Office (add d~circuit, group number)
uP >>--
o Deputy Treasurer
I ~ eppointed the following person to act as my E!f Campaign Treasurer
4. Name of Treasurer or Deputy Treasurer
1/tllJld- G. ~ I t;;sq.
5. Mailing Address (/f post office box or drawer add street address) 6. Telephone
aJ "7 J ~-flu:r -:;wre. 63u !306 8b~ 7b 2/
7.~' a.County g.s~ 10.Zip50de
/Vtl/l1v11 BM-U-J MIA1/Ji... r/~./JO"f"" 33/"tJ
I have designated the following named bank as my Primary Depository 0 Secondery Depos"ory
11. Na~Bank Ii ,AA '12 ^.." 12. Street Address
c,'J /VI11'1o/ll,.../ Vf-tfl.oK---' ~ SW~
13.~ jl/J1/1Mi ~ 14i0~7rM/_ ~ 15.fi, 16'!!31.e /
17. Xature f Candidate
Date
I- ~-5D
Campaign Treasurer's Acceptance of Appointment
I, VAN) de. ~A<::' . do hereby accept the appointment as
(Please Print or Type)
~Cempalgn Treasurer [J DeputyTreasurer for the campaign of b/te,e.,e..-lle....- /d::cJfCdJ
who Is seeking nomination or election as a
candidate to the' ,mea of
elf'! WtYJtnl?sIc.U::f2--
(Party)
. As a duly registered voter in /v11 frt-;I i -[)4OG. C ovv:.~
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY,' DECLARE THAT 1 HAVE READ THE FOREGOIN AlGN TREASURER,'S
ACCEPT,/HCE OF APPOINTMENT AND THAT THE FACT DARE TR .
(In /07
I ' Date
x
Signa re of Campaign Treasurer or Deputy Treasurer
-
DS-DE 9 (Rev. 02/06)