Ray -DSDE84- Statement of Candidate 2-18-20 STATEMENT OF � �
D
CANDIDATE
R FEB 1 0 2020
(Section 106.023, F.S.)
(Please print or type)
(' i ( L ,
candidate for the office of Cnp, � yr C,41C),0--Ac_cvitc
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X ,
ignature 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)