DS-DE 9 Sherry Roberts
OFFICE USE ONLY ; ; ~ P`~?
STATE OF FLORIDA ~~~ ~~~, ~~.~~
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APPOINTMENT OF CAMPAIGN TREASURER `
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AND DESIGNATION OF CAMPAIGN ~,
DEPOSITORY FOR CANDIDATES ,J__: ~''
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(Section 106.021(1), F.S.)
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(PLEASE TYPE) /"!
CHECK PROPRIATE BOX:
Original Appointment ^ Deputy Treasurer ^ Reappointment of Treasurer
Name of Candidate 1. Address (include post office box or street, city, state, zip code)
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Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district, circuit, group number
I have appointed the following person to act as my Campaign Treasurer ® Deputy Treasurer
4. Name of Treasurer or Deputy Treasurer
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5. Mailing dd ess (If post office box or rawer add street address)
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7. C~ 1,., a g.~un~ 9. State 10. Zip Code
I have designated the following named bank as my Primary Depository ®Secondary Depository
11. Name of Bank ~ 12. Street Addre
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13. City
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~~ 16. Zip Code
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17. Signature of Ca idate Date
Campaign Treasurer's Acceptance of Appointment
I 110.,c~ ~~ ~„~ V ;~ , do hereby accept the appointment as
(Please Print or Type)
Campaign Treasurer ®Deputy Treasurer fo the campaign of vS~ G,2f2-~ 1(o~ e v~_
who is seeking nomination or election as a ~ candidate to the office of
(Party)
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT HE FACTS STATED ARE TRUE.
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ate Sig t re of Campaign Treasur r Deputy Treasurer
DS-DE 9 (Rev. 01/08) ~/