HomeMy WebLinkAboutDS DE 84OFFICE USE ONLY
STATEMENT OF RECEIVED
CANDIDATE
AUG 16 2024
(Section 106.023, F.S.)
(Please print or type) C Y Sebastian
e
Y clerks pffiro
candidate for the office of
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x
Signature of/Candidate
A
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 (05111)
OFFICE USE ONLY
STATEMENT OF RECEIVED
CANDIDATE
(Section 106.023, F.s.) AUG6 1�24
(Please print or type) City of Sebastian
City Clerk's off,(-,.
candidate for the office of Sr' `� ^� C' `r " rj r l `
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
rki
Sign
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)