DS-DE 9 Appointment of Campaign Treasurer Orig
STATE OF FLORIDA OFFICE USE ONLY
ZQQ1 NOV ~ 5
APPOINTMENT OF CAMPAIGN TREASURER PM 4: 06
AND DESIGNATION OF CAMPAIGN OITY CL.E~~K'S OF'F ICE
DEPOSITORY FOR CANDIDATES
(Section 108.021(1), F.S.)
(PLEASE
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Original Appointment Deputy Treasurer ~ Reappointment of Treasurer ~ Secondary Depository
Name of Candidate 1. Address (inGude post office box or street, city, state, zip code)
Luis Salom 815 North Shore Drive
Miami Beach, FL 33141
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit or group number)
305 710-3370 N/A Commission Group III
I have appointed the following person to act as my ~ Campaign Treasurer /^ Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
Gloria Salom
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
15 North Shore Drive 305 868-8125
7. City 8. County 9. State 10. Zip Code
Miami Beach Miami-Dade Florida 33141
I have designated the following named bank as my Primary Depository Secondary Depository
11. Name of Bank 12. Street Address
Bank United 300 Arthur Godfrey Rd
13. City 14. County 15. State 16. Zip Code
Miami Beach Miami-Da a Florida 33140
17. Si nature of Candidate ~ ~ Date
11 1 ~{ I ~~
C aign Treasurer's Acceptance of Appointment
I Gloria Salom , do hereby accept the appointment as
C~riease rant or i YPe)
ampaign Treasurer a Deputy Treasurer for the campaign of LUIS $alOm
who is seeking nomination or election as a N/A candidate to the office of
~ra~ ~y/
COmmisson Group III _ . As a duly registered voter in Miami-Dade
County, Florida, 1 am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE R T, EGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THA STA A~IRUE.
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Date Sign ture of ampa~gn Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 08/03)