HomeMy WebLinkAboutDSDE84OFFIC UE ONLY
/VED
STATEMENT OF C
CANDIDATE SUN 26 P0�5
(Section 106.023, F.S.) City City
of Sebastian
(Please print or type) Clef
-k"
nffire
candidate for the office of (21 fyeoalxct L- ML= w b j��
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X
Signature of tdidate
G/2!%25'
/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)
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONI-'RFC,, �
JUG 31
�• Ciersebasti
City Cler "ua t s O ff�e
kS offi,,n
-ir
candidate for the office of Gyou rtct L (t Y&-Ae view-)
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
Signature of Candidate
r</26Ito zs
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)