HomeMy WebLinkAboutDSDE 84STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY
RECEIVED
MAY 17 2019
City of Sebastian
City Clerk's Office
candidate for the office of
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
K4
Signature of
[-] - 1 °I
Date
Each candidate must file a statement with the qualifying officer within 10 days after tf e
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willf11
failure to file this form is a first degree misdemeanor and a civil violation of the Campaicn
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Floric a
Statutes).
DS-DE 84 (05/I.1)