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Qualifying Checklist- Rojas2019 MIAMI SHORES VILLAGE ELECTION Candidate Name: 11 M jay ! V E -Mail Address: I a lllr aVl'� d ` f I. ca Add ress: _ 631f ,/(� E q5 :54&f Telephone Numbers: ( 305) gqg--l2 ,97 CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION ✓ Form DS -DE9: Appointment of Campaign Treasurer and Designation of Campaign Depository ✓ Form DS -DE 84: Statement of Candidate Form DS- DE302NP Candidate Oath -Non Partisan Office ✓ Form 1 Statement of Financial Interests with instructions 50 Signatures on Nominating Petitions Notice of Residency and Candidacy ✓ Ethical Campaign Practices Declaration (Miami -Dade County)