DS-DE 9 Appointment of Campaign Treasurer Amended 1
STATE OF FLORIDA OFFICE uSE ot1~ ~ ~
APPOINTMENT OF CAMPAIGN TREASURER ~,4 'G
AND DESIGNATION OF CAMPAIGN ;~ ~
DEPOSITORY FOR CANDIDATES ~, ~ ~
(Section 106.021(1), F.S.) p ~
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(PLEASE TYPE) ~
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CHECK APPROPRIATE BOX:
Original Appointment ~/ Deputy Treasurer ~ Reappointment of Treasurer ~ Secondary Depository
Name of Candidate 1. Address (indude post office box or street, dty, state, zip code)
Luis Salom 815 North Shore Drive
Miami Beach, FL 33141
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, dreuit or group number)
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
loria Salom
5. Mailing Address (If post office box or drawer add street address) 6. Telephone
815 North Shore Drive 305 868-8125
7. City 8. County 9. State 10. Zip Code
Miami Beach Miami-Dade Florida 33141
1 have designated the following named bank as my ~/ Primary Depository Secondary Depository
11. Name of Bank 12. Street Address
Bank United 300 Arthur Godfrey Road
13. City 14. County 15. State 16. Zip Code
Miami Beac Miami-Dade Florida 3140
17. Signature ndidate ~ Date
Campaign Treasurer's Acceptance of Appointment
1, Gloria Salom , do hereby accept the appointment as
~riease runt or i ype)
Campaign Treasurer ~/ Deputy Treasurer for the campaign of Luis Salom
who is seeking nomination or election as a N/A candidate to the office of
~r ai ~y/
Commission Group III _ , As a duly registered voter in Miami-Dade
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE R T RIEGOING C PAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THA T E oTATED A RU J~...~
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Date Signa ure of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 08103)