Loading...
DS-DE 84 Gabrielle Redfern - Group II RECEIVED STATEMENT OF CANDIDATE ~FFICE USE : , 7 ITY CLERK'S OFf ICE (Section 106.023, F.S.) (Please Type) I, aABfZlt) 1.0 ~DP~ , 119/ ~ .G'T"-f 0'= candidate for the office of c.I1Y C~!$Slol,je..e.J M,A-tV!l B~Ntl , ~tU?uf? fr have received, read and understand the requirements of Chapter 106, Florida Statutes. x ~. . ature of Candidate ) - 'l-0-07 Date Each candidate must file a statement with the qualifying officer within 10 days aft€JI' 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, (55. 106.19(1)(c), 106.265(1), F1Clrida Statutes). ~ ~E 84 (Rev. 08103)