HomeMy WebLinkAboutDSDE 84STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE UftRNLD
AUG 15 2023
City
Of Sebastian
Y Clerk's office
1, '�)A M(-e k I-� C L (-�, 4UA-C,
candidate for the office of _5-Cv A5-r L4',) C`
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x g-K-23
Signature of didate Date
Each candidate must file a statement with the qualifying officer within 10 days after 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, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84 (05/11)