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Bole - DSDE 9- Appt. Deputy Treasurer- Bruce Bole - Change to depository 7-14-20
DSrIDE 9 (Rev. 10/10) Rule 1 Sm2.0001, I.A.C. �© IE I V D �� NINTH ; III t �_ C �, it =�j „ D C &\ '_� I:ffS U '=� I:� R ,2 .b\ N Diff,SHGVAATIIONIF CAhVJ OGI JUL 1 4 2020 D,=IPOSD T ORY FOR C N S II A u FS (Section 106.021(1), F.S ) (PLEASE PRIN OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): LI Initial Filing of Form Refiling to Change: Treasurer/Deputy 1Z1 Depository Office _ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip ' -2 >)>rir code) (� cle., SW ,C` di acrj 4. Telephone (qfP ) e4 OW i 5. E-mail address V.424c6-0- A �L F iL.„ j c-3 SDC-* U f' 215A7a, o . eks vic 7 6 Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: f.; Cta ;, i Dire/ ,<t_ CCS 1 My intent is to run as a Write -In candidate. 8. If a candidate for a .• artisan office, check block and fill in name of party as applicable: My intent is to run as a Write -In No Party Affiliation Party candidate. 9. I have appointed the following person to act as ren pp gy Campaign Treasurer Deputy Ma Treasurer 10. Name of Treasurer or Deputy Treasurer n Rim/ r age_ g' 11. Mailing Address et SSitt, e_ano)2itflr&9 12 Telephone 13. City 14. County 15. State 16. Zip Code 17. E-mail address !J b QM 7 '2-f� Oeiik16, !It r 3 13 % er, 0 :_ Pa 6 (e? (siv�' 1-�, s-' WI' 18. I have designated the following bank as my w' Primary Deposjtory Secondary Depository 19. Name of Bank 20. Address 63 , Itary -7 6, ST _&I A (-7? vo 21. City 22 County Pier 23. State 24. Zip Code P - inf r e, tiAtict 1 ewer iLD �' - ir 24t/3) 3 ‘,2y3 UNDER PENALTIES OF PERJURY, 1 DESIGNATION DECLARE THAT I OF CAMPAIGN HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Si •_ ,ure of Candidate PIc-- ---->-_----c--Th C412,-41 2 ;77_,/4) x "g"--ThIrv--ii_ 27. Treasurer' Acceptance of Appointment (fill in the blanks and check theappropriate block p pP ) , i__41_)"_ -A- % cU P��t 6 cg , do hereby accept the appointment (Please Print or TypeMame) designated above as: Campaign Treasurer 0 Deputy Treasurer. a CH Date Sig ture of Campaign reasurer or Deputy Treasurer DSrIDE 9 (Rev. 10/10) Rule 1 Sm2.0001, I.A.C.