Harding- DSDE84- Statement of Candidate 4-22-2022STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY
Ai. • £322
1, !AA -LA -Nell `. ctiOctr��
candidate for the office of L,,A,Ss►o r,ef) S 5-
h a ve
-
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x 4/14,161/
/ t Sigriature of candidate
2Z14-10x,I Zozz
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)