Statement of Candidate BellinsonSTATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY
01-26-23P 12 : 13 RC VD
i, Andrew M. �elhnso(i 1
candidate for the office of M �w I 2hores t 4 -P, CbUC1(;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
Signature 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 (05111)
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
I. Andrew Bellinson
OFFICE USE ONLY
02-06-23P 03: 17 RC VD q),-,
candidate for the office of M'ami ' ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x 2 lo 6 / 1,o tj
Signature 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 (05111)