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Filing Papers pro -- ` _ --4 PPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN ©= DEPOSITORY FOR CANDIDATES c =ern (Section 106.021(1), F S.) c Fi (PLEASE PRINT 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): rzs Initial Filing of Form Re- filing to Change ❑ Treasurer /Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order First, Middle, Last) 3. Address (include post office box or street, city, state, zip code) (2/ lK Ni.AN CA 4 Telephone 5 E -mail address (7 1 ) 5)_14 ,10ri9anaecvi;mc"ast ,7ef 6 Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: 0_,vmrv1) 5 �lv� k. , ` e. ' ❑ My intent is to run as a Write -In candidate 8 If a candidate for a partisan office, check block and fill in name of party as applicable: My Intent is to run as a ❑ Write -In 154 No Party Affiliation ❑ Party candidate I have appointed the following person to act as my +� Campaign Treasurer ❑ Deputy Treasurer J Name of Treasurer or Deputy Treasurer L'144.61Etik - 6&I 11. Mailing Address 12 Telephone 1 5 C° 116) s . uACt (51-4 ) '>>>) - 6 7 ) 13 City 14. County 15. State 16 Zip Code 17 E -mail address TO/ j ri t:� �`K,44 PA-LW\ 6EACIA- �(. 33+3(p trlgn-Izvoac c.kryK;ust • rlek 18. I have designated the following bank as my [vim Primary Depository ❑ Secondary Depository 19 Namof Bank / , 20 Address �, Ai C bAwis `f8 35 C1�1�C'L' L-G� ('�t� r) ( I-) Ai 21 City 22 County 23 State 24 Zip Code Sr it ALAI/ 0t1,4C _ PALM )3 . c. 1 1(2 t l ! 7 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25 Date 26 Sig4ature of C • ndidate ,->// (7 I X,. - I 27 Treasurer's Acceptance of Appointment (fill in the blanks and chec the appropriate block) Z N Th AI , do hereby accept the appointment (Please Print or Type Name) 'ignated above as Eir Campaign Treasurer Deputy Treasurer J7 1 / X �� 4 1 / l�L Date Sign , ture of Campaign Tre =surer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. APPOINTMENT OF CAMPAIGN TREASURER r: OF CLERK'S OFFICE AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES 13 FEB 1 ( AM 9: k2 (Section 106 021(1), F S ) (PLEASE PRINT 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): ❑ Initial Filing of Form Re- filing to Change ❑ Treasurer /Deputy adDepository ❑ Office ❑ Party 2 Name of Candidate (in this order First, Middle, Last) 3 Address (include post office box or street, city, state, zip h2 ( - 7.4 i2 &773/1" code) / 'i a Sic S g 4 Telephone 5 E -mail address t to 7) )'�e'Cteli F-7__ 33 6Sg ( —to 7 7(,f / C4 0).016a ,116 - f 6 Office sought (include district, circuit, group number) 7 If a candidate for a nonpartisan office, check if applicable: L-0/P /r / SS tt)/∎)� =; . V ❑ My intent is to run as a Write -In candidate 8 If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write -In IS No Party Affiliation ❑ Party candidate 9 I have appointed the following person to act as my Er Campaign Treasurer ❑ Deputy Treasurer 10 Name of Treasurer or Deputy Treasurer L4 /e-d71 - l A/64 11 Mailing Address 12 Telephone 13 City 14 County 15 State 16 Zip Code 17 E -mail address /30-i NT?) r OA 6 C 3 5 ( 4j 17cp)knClccej) Lorikasi , /)et 18 I have designated the following bank as my 3 J" Primary Depository ❑ Secondary Depository 19 Name of Bank 20 Address 1 � 197' /2.,r)Aik- / . )/ / t SS Al 21 City 22 County 23 State _ 24 Zip Code tI /v'z w J /- P,4 1.61 Pit C V D,q- > "3 ti 2 Co UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25 Date 26 Si ture of Candidate 27 Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) 12 n I c2 + ? - Ab9A)TZ)'V , do hereby accept the appointment (Please Print or Type Name) designated above as El Campaign Treasurer , ❑ Deputy Treasurer Date 'Signature of Campai• n Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S- 2.0001, F.A.C. RESIDENCY REQUIREMENTS .,-4 rn g3 co 1 cmc —4 It X = N — q2 W C7 I, agonnA ' +-iN �vtJ , candidate for (Print Name) C:.OM►rv1.15 - bi 5T4; C i of the City (Mayor /Commissioner — District #) Beach, have received, read and understand the residency requirements of Article 11 of the Charter of the City of Boynton Beach. (Signs • -:f Candidate) (Date) 9/27/2012 11:03 AM S: \CC \WP \ELECTION\Year 2013 \RESIDENCY REQUIREMENTS STATEMENT.doc The City of Boynton Beach City Clerk's Office f y' 100 E BOYNTON BEACH BLVD BOYNTON BEACH FL 33435 (561) 742 -6060 FAX: (561) 742 -6090 E -mail: prainitoj @bbfl.us www.boynton-beach.org PUBLIC NOTICE TO: CANDIDATES, POLITICAL PARTIES AND OTHERS NOTICE IS HEREBY GIVEN that the Logic & Accuracy (L&A) testing qt th� voting equipment to be used in the March 12, 2013 General & Scincii4 Elections will be held: CO r c, Friday, February 22, 2013 @ 3:00 p.m. _ i; Supervisor of Elections Warehouse ox 7835 Central Industrial Drive w Riviera Beach, Florida -- � RECEIPT of this notice is hereby documented: §-/ ) Signatu _ Date Received DETACH IF YOU AND /OR YOUR REPRESENTATIVE(S) plan(s) to attend the Logic & Accuracy (L&A) testing on Friday, February 22, 2013, please detach and return the lower portion of this notice to the City Clerk. f Sign re #Attending S: \CC \WP \ELECTION \Year 2013 \INFORMATION PACKETS \L&A Testing Public Notice - For Candidate's Signature.doc Catch a Wave, Catch a Fish, Catch Your Breath - Breeze Into Boynton Beach America's Gateway to the Gulfstream a d s , VOTER CARD • PALM BEACH COUNTY, FLOR TARJETA ELECTORAL, CONDADO DE PALM BEACH, FL1 P , REGISTRATION NUMBER REGISTRATION DATE PREC Numero de lnscnpcon Fecha de lnscnpcion Distrito 112545652 08 -02 -1996 NANTON, CARMELA R 139 CITRUS PARK CIR BOYNTON BEACH FL 33436 Signa re of Vgge a de S tan /0 X / 4-F HER' OOB_E ?OUP YOUR PRECINCT NUMBER Su Numero de Distrito Electoral ' 3 YOUR POLLING LOCATION Su Centro Electoral BOYNTON BEACH FIRE STATION #3 3501 N CONGRESS AVE BOYNTON BEACH YOU ARE ELIGIBLE TO VOTE FOR A REPRESENTATIVE IN EACH DISTRICT LISTS USTEO PUEDE VOTAR POR UN REPRESENTANTE DE CAOA DISTRITO NOMBRAL US CONGRESS STATE SENATE STATE HOUSE Congreso de los EE UU Senado del Estado Camara de DLputados de 22 34 90 COUNTY COMMISSION SCHOOL BOARD MUNICIPi Comisx n del Condado Junta Escolar Mun,clps 3 4 Bl REGISTRATION NO ► 112545652 • NUMERO DE INSC SUSAN BUCHER • SUPERVISOR OF ELECTIONS / SUPERVISOR DE ELED