Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My Public Portal
About
Statement of Candidate
OFFICE USE ONLY STATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) 1, co r�r °Y-e-1 O ' candidate for the office of ORLCITYCL SEPI2'lS f%'s1i','c q CoiNt,vt,'s's,'oaa er- have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X ©q/o9 Sign re 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) ERKDO M1:35