Nottingham - DSDE84 - Statement of Candidate - 8-18-22 OFFICE USE ONLY
STATEMENT OF
CANDIDATE R,r,e-1. V- D
(Section 106.023, F.S.) AUG 1 8 202
(Please print or type)
BY:.......................
\\\-1� ►'1Gr�.
candidate for the office of �; wrr�nn ,oner- _ Se,,v S—
have
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x Al2. 1 L2--
ure of Candidate 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)