Filing Papers
The City of Boynton Beach
SC""'"
/(-_.~\,
1 '
( '.
'>'. '., ,'!
", \ \ J
I \ l..\'- ! --
"'-'-' -<~'
TO:
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www. boynton - beach. org
'J
(:) o~
--.: ~~--; -<
:t:.o
j- --." ..::J
G') .;; -'1
1'..) -- OJ
~;~~
:bo
->1" U) -i
....... _CJ
- ',,---' ---
<;> -'l~'-
""'1 co
N -fTl
N g>
()
:;::
PUBLIC NOTICE
CANDIDATES, POLITICAL PARTIES AND OTHERS
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the
voting equipment to be used in the November 6, 2007 General Election will
be held:
7
Friday, October 26, 2001: at 10:00 a.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
RECEIPT of this notice is hereby documented:
{2
v _ ~
, . ?t-:J ?V(A,A ~.
./ Signature
August 24, 2007
Date Received
-----------------------------------------------------
The City of Boynton Beach
TO:
City Clerk's Office
100 E BOYNTON BEACH BLVD
BOYNTON BEACH FL 33435
(561) 742-6060
FAX: (561) 742-6090
www. boynton - beach. org
':j
C C") =:j
--; .:=-~"i -<
J::.
'-~:':=t
c")
f'...>
.:; ~'q
PUBLIC NOTICE
OJ
o
..-::-
..~-,,.... -....
........, -,....
~ U)-,
-I.... ::) 52
9 -'l"~
'-"j =:~
f',j g>
S1
CANDIDATES, POLITICAL PARTIES AND OTHERS
NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing of the
voting equipment to be used in the November 6, 2007 General Election will
be held:
7
Friday, October 26, 2001: at 10:00 a.m.
Supervisor of Elections Office
240 South Military Trail
West Palm Beach, FL 33415
RECEIPT of this notice is hereby documented:
{20
'.?i.:J ?U-{'( ~ "
./ Signature
August 24, 2007
Date Received
-----------------------------------------------------
-------------------------------------~----
MATERIAL FOR CANDIDATES
TO: SeR3,n Cft5f/iNe DATE: S-/4-o7
YOU HAVE'INDICATED YOUR DESIRE TO BECOME A CANDIDATE; THEREFORE, WE HAND YOU THE FOLLOWING:
1. .,/ 2007 Qualifying Information & Municipal Election Schedule
2. /' Form DS-DE 9 Appointment of Campaign Treasurer and Designation of Campaign Depository for
Candidates (8/03) - TO BE SIGNED AND RETURNED TO CITY CLERK
3. ./ Form DS-DE 84 Statement of Candidate (Must be filed within 10 days after filing Campaign Treasurer
Appointment) (8/03)
4.
5.
6.
7.
8.
9.
10.
11.
~
../
/'
./'
State of Florida Election Laws - Chapters 99, 105 & 106 (09/05)
Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Directions for Posting Temporary Political Sign
a
-.J
:x
:tlloo
-<
C)
n::;
::::j-<
"-<c
0"
'-m
,T1CJ
~Q-<
':'/~2:
C../)-
,::;)~
""'1-
"CO
-ITJ
n:t>
1TJ('j
:r:
City Commission District Map
~ Part I Charter, Article VII. Elections - City of Boynton Beach
v
$
~
;
-$
+:-
-.L Poll Watcher Form & FS 101.131 - "Watchers at Polls"
:tlloo
:x
"9
+:-
0'\
~ Part II Code of Ordinances - Chapter 2 Administration, Article III. Elections
....,.-/ 2007 Election Dates to Remember
12. ~ Blank Campaign Report Summary Sheets, Contributions Sheets & Expenditures Sheets
2006 Candidate Handbook for Candidates (07/04)
Petition Form - Candidate for Commissioner - TO BE FILLED OUT, CERTIFIED BY SUPERVISOR OF
ELECTIONS AND RETURNED TO CITY CLERK DURING QUALIFYING
Form 1 Statement of Financial Interests 2005 - TO BE FILLED OUT, SIGNED & RETURNED TO THE
CITY CLERK DURING QUALIFYING
L&A TESTING NOTICE (SIGN AND RETURN AT TIME OF QUALIFYING.)
Loyalty Oath - Oath of Candidate (DS-DE 24B) (08/03) - TO BE RETURNED TO CITY CLERK DURING
QUALIFYING
Statement of Residency Requirements & Article II of City Charter - TO BE SIGNED AND RETURNED
TO CITY CLERK
5"-/ - ,,;JL}o 7
Date Signed
-~)
13.
14.
15.
16.
17.
18.
mp
March 19, 2007
S:\CC\WP\ELECTION\year 2007\MATERIAL FOR CANDATES.doc
'-.....,
5-/~-o7
CD
....
6
o
~
....
Ot
(")
~
en
~
Z
m
en
m
::0
G)
(5
c....
::0
o
m
s::
~
r-.l
r-.l
w
s::
~
o
o
~
en
"'0
~
::0
^
r-
Z
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE USE ONLY
-.J
""T'l
rrl
CO
("")
("")-1
=i-<
--<0
(J"
"-OJ
'~'lo
.J_,
.- '
_..-i,-,
..;~
Vo
~z
"TjOJ
-fTl
(""))>
f'Tln
::I:
N
(PLEASE TYPE)
"-0
:J:
N
..
N
o
CHECK APPROPRIATE BOX:
D Original Appointment
Name of Candidate
SERGIO CASAINE, JR.
D Deputy Treasurer
D Reappointment of Treasurer D Secondary Depository
1. Address (include post office box or street, city, state, zip code)
13 Meadows Park Lane
Boynton Beach, FL 33436
Telephone (optional) 2. Party (Partisan candidates only)
(561) 969-668
3. Office (add district, circuit or group number)
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
SERGIO CASAINE, JR.
IX] Campaign Treasurer
D Deputy Treasurer
5. Mailing Address (If post office box or drawer add street address)
13 Meadows Park Lane
6. Telephone
(561) 969-6684
7. City_
Boynton Beach
8. CQunty h
Pa.Lm Beac
9. State
Florida
10. Zip Code
33436
13. City t Beach
Boyn on
14, CountYB h
PaLm eac
Primary Depository Secondary Depository
12. Street Address
4793 North Congress Avenue
15. Stated 16. Zip Code
Florl a 33426
I have designated the following named bank as my
11. Name of Bank
Bank of America
17. "nature of Candidate
Date .:2 /2/07
Campaign easurer's Acceptance of Appointment
I, SERGIO CASAINE, JR.
(Please Print or Type)
, do hereby accept the appointment as
~ampaign Treasurer 0 Deputy Treasurer for the campaign of SERG 10 CASAINE , JR.
who is seeking nomination or election as a
candidate to the office of
(Party)
Commissioner District IV
. As a duly registered voter in
Palm Beach
County, Florida, I am qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT FA TS STATED ARE TRUE.
2 j2 ~ 7
. Date
x
Tr asurer or Deputy Treasurer
OS-DE 9 (Rev. 08/03)
(Section 106.023, F.S.)
(Please Type)
-u
:J:
r:?
-1
o
-.,.
OFFICE USE ONLY
C)
-...J
."
f"T1
O:J
STATEMENT OF
CANDIDA TE
N
CD
rr1
'.oJ>
()
::J:
I, SERGIO CASAINE, JR.
candidate for the office of Commissioner District IV
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
x
~;;cl-jz
f 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).
OS-DE 84 (Rev. 08/03)
RESIDENCY REQUIREMENTS
..-)
(:)
-_.1 ~~;
"-r '"
;x::.
c:
~).-) -'.';
N -- OJ
~ '~;~?
;p.
:x (.i).~
C5 ~:z
.. ~CD
N - fTl
N ~:;:>
"0
I SERGIO CASAINE
,
(Print Name)
Commissioner - District # 4
(Mayor/Commissioner - District #)
, candidate for
of the City
Beach, have received, read and understand the
residency requirements of Article II of the Charter of
the City of Boynton Beach.
ate)
August 24, 2007
(Date)
1/10/2006 3 :02 PM
S:\CC\WP\ELECITON\year 2006 Elections\NOTICE OF ELECITON DISTRICT RESIDENCY REQUIREMENTS STATEMENT. doc
CANDIDATE FOR OFFICE USE ONLY
NON-PARTISAN OFFICE c.-:)
(Sections 876.05-876.10, Florida Statutes) ~.l
J::"
STATE OF FLORIDA c
GJ
N
PALM BEACH , COUNTY +"
~
:x
C)
N
I, SERGIO CASAINE N
First Name Middle Name/lnitial Last Name
a citizen of the State of Florida and of the United States of America, . .. and a candidate for public office. .. do
hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of
Florida.
OATH OF CANDIDATE
(Section 99.021, Florida Statutes)
I, SERGIO CASAINE
(PLEASE PRINT NAME AS YOU WISH IT TO BE WRITTEN IN ON THE BALLOT -- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the office of Commissioner 4
(office) (district) (group)
My legal residence is Palm Beach County, Florida. I am qualified
under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected. I
have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent
with the office I seek; and I have resigned from any office from which I am required to resign pursuant to Section
99.012, Florida Statutes.
x
Daytime Telephone Number
,
/'
( 561) 969-6684
13 Meadows Park Lane
Bo nton Beach
FL
33436
Address
City
State
ZIP Code
Sworn to (or affirmed) and subscribed before me this ~L/ day of ~, 2ooL.
Personally Known: V"
or
Produced Identification:
Type of Identification Produced:
Sig ture of Notary Public - State of Florida
Pri ,Type or Stamp Commissioned Name of Notary Public
NOTARY PUBLlC-S"TATE OF FLORIDA
_"""""'" Janet M. Prainito
~ ~ } Co~mission # DD592173
'.,'...."".. Expu'es: SEP. 05, 2010
BONDED lHRL ATlA.';l1C BONDING co..lNe.
OS-DE 25 (08/07)
,
n .;
-
Go.)
c::>
-t'l
()
Pl
Palm Beach County
DR. ARTHUR ANDERSON
Supervisor of Elections
240 SOUTH MILITARY TRAIL
WEST PALM BEACH. FL 33415
POST OFFICE BOX 22308
WEST PALM BEACH. FL 33416
TELEPHONE: (561) 656-6200
FAX NUMBER: (561) 656-6287
WEBSITE: W'WVV. pbcelections. org
CERTIFICATION
I, DR. ARTHUR ANDERSON, SUPERVISOR OF ELECTIONS, for Palm Beach County,
Florida, do hereby certify that the 26 signatures on the Nominating Petition for CITY
COMMISSION, DISTRICT NO.4 of SERGIO CASAINE are registered electors within the
municipal limits of the City of Boynton Beach, according to the registration records on file
in this office.
This is to further certify that SERGIO CASAINE is a registered voter in Precinct 3122, in
the City of Boynton Beach, Florida.
,"-)
.R~~
-'<0
.., -.,
-OJ
'-"0
:AJ-<
:;::l;:z
> ui-l
:z 0
Oz
<;> ~CD
N -,."
N ():t>
m()
::I:
C) O-l
-.J --I -<
;%:::00
c::
G")
N
.;:-
Signed, this the 13th day of August, 2007.
DR. ARTHUR ANDERSON
SUPERVISOR OF ELECTIONS
PALM BEACH COUNTY
(SEAL)
r)
a C"")-
--J _~
:bo ~-<
~ -<0
NOMINATING PETITION
i _ ~
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do
hereby nominate:
SERGIO CASAINE
~4<'7
/'
to be a candidate for City Commission, DISTRICT NO.4 City of Boynton Beach,
Palm Beach County, Florida, for the term:
NOVEMBER 2007
to
NOVEMBER 2010
pursuant to the Charter and Ordinances of said City.
!
SIGNATURE
R ..If//tp,,. 1-, Y) ~ /
J(j)
j@
.(i)
'.J
\/:/(j)
,
"
5'
"
vnj
ADDRESS
-f' R.. t '1<:1. L"'t.l 3, ".&.... 8tw.
III Mu?~.r f{~ LfI
/0/ UMOat{Js k LN ~
/ j (J J S..JA1!J a/ide U1~
fb Sa! ,3 33Lj'b ~
. Iv, c- 11 J1If:J/
(
~ ~oKb'
) 7 J) w{)~ d Ffrr'l Dr-J>~d
/j5-/1.7l.lWb'JA.&)~ &~J;~1;t;l,.~
/00 Uc4t20lJ So f1t1. k. (.4.-)(" 13 t5 33t.{'S!J
~ C\ l\\~~~ ~'< ~ 18 3313(0
- .
1'IlJ1edrw/rvt~
IdA- ~47c~{ /~ L4-'.<-.~..4.~V~
1114t~ 4 J3 [j il,33'Nrp
t7 (YlCl{Jk UU1 J bD F I S5L/~
f)(r All t{Xe- &i~ .= __
-.....
8i ~1p1C ~t~ ~ E~; ?i'
'7b M'frfJe.- L~e 1 B. i?~ g~
-
7 Y fr1/9r~ /A-j .{) /3
&J !U(;~/e L~ E{J
'~
q /~'~v~~,,-k ~
NOMINATING PETITION
We the undersigned, duly qualified voters of the CITY OF BOYNTON BEACH, do
hereby nominate:
SERGIO CASAINE
~ .r
/~'U
to be a candidate for City Commission, DISTRICT NO.4 City of Boynton Beach,
Palm Beach County, Florida, for the term:
NOVEMBER 2007
to
NOVEMBER 2010
pursuant to the Charter and Ordinances of said City.
J) oJ? /2 rP O().-l.5 /?tl' k ~ 0 /J .s<...-
q~ Mt"/+'7J6lYS ? MUe' L1fv L
2- 1...- M 6R:;J) (;Jl-</ j P ~ LlJI
). 1.. J/ed db 1 ~ ~fJ-1L LflI '
.p~v )(L 11 M~/\D6(,\J fA-a;( Uv;,
Stephen J ,R(tNi-~h '" !vJ A #d .) D J) i/ L
I t..k:4, D W.J f q II( " '( ill ~
/3 H~!+uows P!t-f2IL /4N(; gb"73,/?k
ADDRESS
I'< =:g ^ Y7C- \
~. e;~do~ :~:&_
~j)-' IZUTI.itNlJ In
if j?J ~41t/ ~ .
5v /(U/.tM//J L. tJ
s.~ ,,'-'\ L ^ liV lQ L}-(,
-!3~@
;;4 _ _' _ w ~ _ L ClAle..-
2'l, \~d",,,.') EJgb
;). B ttQ(~dt)ws ~ ~
22 :01 HV ~z :Jnv LO
i11~~O S.~IHl::j ,'.: i~)
H:JV38 HDll: nJ8 .:Ji )J-',
I, the undersigned,
-Se.rGI'O CA-SAiNE
, do solemnly swear
(or affirm) that I am duly qualified to hold office under the Charter and Ordinances of the
City of Boynton Beach, Florida, and I do hereby accept the foregoing nomination as a
candidate for the office of City Commissioner for the City of Boynton Beach, Florida.
/gffM7J .
o
-J
:P"
c::
G">
N
&"
C)
:->-1
:::;-<
~<o
C1 -,.,
;-co
010
-:.0 -<
:::;:Z
- -1
J;IIO (/>0
::r.: 0%
C5 ""co
.. ::! r'1
N ("")::>
Ul ['Tl ("')
::I:
Sworn to and subscribed before me at Boynton Beach, Florida, this
day of ~ud::' A.D. 2007.
aL/
m. ~
,,~
"i~
Rttved at the
J.~~~
City
Hall in
, 2007 at
Boynton
IO:t). 7
Beach
~4
day
of
this
A.M.
~
~T' 7n. p~
City Clerk
S\CCIWP\ELECTIONIYear 2006 ElectionslPETITION ' Nominating Pelltion - DISTRICT 1 ' YEAR 2006.doc
JMP
FORM 1 STATEMENT OF 2006
Please print or type your name, mailing I FINANCIAL INTERESTS I
address, agency name, and position below:
LAST NAME - FIRST NAME - MIDDLE NAME: FOR OFFICE '^')
Sergio Casaine USE ONLY: 0 n =--i
--.I -1-<
MAILING ADDRESS: ;:0. -<0
13 Meadows Park Lane c ':) -'1
c.
,- OJ
ID Code N ;cT1o
c- ;::?-<
-,",-~ '.-'-'"
:0- ~::"~
(I) --<
CITY : ZIP: COUNTY : :::r:: :;~
Boynton Beach 33436 Palm Beach ID No. B
NAME OF AGENCY: "leD
N -.Pl
Conf. Code N (-)>
Pl()
NAME OF OFFICE OR POSITION HELD OR SOUGHT: P. Req. Code :J:
Commissioner District # 4
You are not limited ~space on the lines on this form. Attach additional sheets, if necessary.
CHECK ONLY IF CANDIDATE OR D NEW EMPLOYEE OR APPOINTEE PDF 2006
""BOTH PARTS OF THIS SECTION MUST BE COMPLETED""
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISC~AR. PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
DECEMBER 31, 2006 QB D SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
D COMPARATIVE (PERCENTAGE) THRESHOLDS QB ~ DOLLAR VALUE THRESHOLDS
PART A - PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person]
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
Sergio Casaine 13 Meadows Park Lane
Boynton Beach, FL 33436 Interpreter/Translator
PART B - SECONDARY SOURCES OF INCOME [Major customers, clients, and other sources of income to businesses owned by the reporting person]
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
Pension Benefit PR Marine ~fanagem nt PO Box 5149 Pension
Boston, Mass 0220
PART C - REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when
and where to file this form are locat-
13 Meadows Park Lane, Boynton Beach, FL Single Fa ed at the bottom of page 2.
Home INSTRUCTIONS on who must file
Lot-Cambridge Greens, Citrus Hills this form and how to fill it out begin
Lot 18 Blk. 2 on page 3.
Hernando County, FL OTHER FORMS you may need to
file are described on page 6.
CE FORM 1 - Eff. 1/2007 (Continued on reverse side)
PAGE 1
PART D - INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR
Bank of America
American Express
Country Wide Home Loans
Lantana, FL.
ADDRESS OF CREDITOR
Van Nuvs. CA
'.
'. .I<
.
PART F - INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses]
BUSINESS ENTITY # 1
BUSINESS ENTITY # 2
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
.'
BUSINESS ENTITY # 3
...
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE nI
SIGNATURE (reqUire~ ,;~: _
//.J
WHAT TO FILE:
After completing all parts of this form, including
signing and dating it, send back only the first
sheet (pages 1 and 2) for filing.
If you have nothing to report in a particular
section. you must write "none" or "n/a" in that
section(s).
Facsimiles will not be accepted.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Form 1 for a
calendar or fiscal year is not required to file a
second Form 1 for the same year. However, a
candidate who previously filed Form 1 because
of another public position must at least file a copy
of his or her original Form 1 when qualifying.
CE FORM 1 - Eff. 1/2007
DATE SIGNED (required):
8/23/07
FILING INSTRUCTIONS:
WHERE TO FILE:
If you were mailed the form by the Commission
on Ethics or a County Supervisor of Elections for
your annual disclosure filing. return the form to
that location.
Local officers/employees file with the Supervisor
of Elections of the county in which they perma-
nently reside. (If you do not permanently reside
in Florida, file with the Supervisor of the county
where your agency has its headquarters.)
State officers or specified state employees
file with the Commission on Ethics, P.O. Drawer
15709. Tallahassee, FL 32317-5709; physical
address: 3600 Maclay Boulevard, South. Suite
201, Tallahassee, FL 32312.
Candidates file this form together with their
qualifying papers.
To determine what category your position
falls under, see the "Who Must File" Instructions
on page 3.
WHEN TO FILE:
Initially, each local officer/employee, state
officer, and specified state employee must
file within 30 days of the date of his or her
appointment or of the beginning of employ-
ment. Appointees who must be confirmed by
the Senate must file prior to confirmation, even
if that is less than 30 days from the date of their
appointment.
Candidates for publicly-elected local office
must file at the same time they file their
qualifying papers.
Thereafter, local officers/employees, state
officers. and specified state employees are
required to file by July 1 st following each
calendar year in which they hold their posi-
tions.
Finally, at the end of office or employment.
each local officer/employee, state officer, and
specified state employee is required to file a
final disclosure form (Form 1F) within 60 days
of leaving office or employment.
PAGE 2
r
Account No.
W4
~\-rYo".
IllO ~J~
J- . V"
"'7'"ON 0~
~
~hecK.. oqqJ
No. 46845
Miscell~neous Cash Receipt
CITY OF BOYNTON BEACH
$ 25.00
AUGU5T aY_,2002
Dept.
Received of SERGIO CASAINE
13 MRAnow~ PARK T.ANR, BOYNTON BRACH, FT. 33436
CITY FILING FEE FOR QUALIFYING Fp~ ~F~~ON -
DISTRICT 4 SEAT - NOVEMBER 6, 20D!''';, P/La.J;"U /;; ,_
CITY CLERK' S OFFICE By ~ 'In .
Address
For
~lTY QL BOYNTCN BEACH .
,-' C.Uf.;THI'IEf< RE.[;GP~ ~H .
~H _ . ~- . 01. Dr-awe:: 1
"'uwt4~' I ype." - iA
Oper-: ~~ ~. :,,~ 01 Receipt no: 35bcl~
Date: C!h..,.I~1
- .. t. .;..., Amount
p~scription I'1lSdL~AHE06s H1COI'I[-0~.~
Wq 1 00 $~~.00
. 3248065
!Tans numbe',':
tilL account numbeT:
0010000~b91080
StRGIO CASIt4E
Tender detail
CK CHECK
Tot,," tendeTed
Total payment
CITY OF BOYNTON Bt:ACH
~~* CUSTOMER RECEIP~ *~*
, '. "Jj"r:"J'WNP Type: 0[; ili"il\1ier: 1
dpe r . 1\\ . . t -,c- C :l11
~ate: 8/24/01 01 Recelp no: j~u~.
DescTlption [La~lti ~l , ,_ "" BfiI?unt
\1)4 flr3U.LLflNluu::: lHL;U!'lE~~~~
1.00 1~~b.76
3248866
lTans number:
G/L account number:
00100003691000
SERGIO CASINE
'3'3~
$25.00
$25.00
$25.~fl
Tendel detail
CK CHECK
Total tendeTed
Total payme:lt
992
$226.76
$226.76
$22&.7b
TY'ctllS datE:
~/ 24/0/
rime: 1\1:":\1:,3
THAt-lJi, YOU f Ok WUR Pf<uIWT PAYME.HT
Trans date: 8/2~/07 Tiie: 10;20:54
THANK YUU fOR YOUR PROMPT PAYMENT
Miscellaneous Cash Receipt
CITY OF BOYNTON BEACH
"0 tf( t
~J
"'7'"ON 0~
Chec-I( -::t:I- oqq d
No. 46844
Account No. W4
$ 226.76
Butlhsr 614,
, 20.tLl
Received of SERGIO CASAINE
J
Address 13 MEADOWS PARK LANE. BOYNTON BEACH. FL 33436
For 1% STATE ASSESSMENT FEE FOR QUALI~XI~_l,f'()R ELECTION _
..:(,\...~~ . "1 . "J'" .-~....J....;1
COMMISSION DISTRICT 4 SEAT - NOVEMB1I:R~''6:F.':::;2~07 - ; ." ._~.
D",,_ CITY CLERK'S OFFICE By~.r_ljfj.""~_,t,L"_: