Appointment of Campaign Treasurer Saint FleurAPPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before oDenlna the camDaicn account.
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
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
Katia Saint Fleur
code)
9314 NW 2nd Ave
Miami Shore FI 33150
4. Telephone
5. E-mail address
( 404 ) 4518922
katya515@hotmail.com
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonpartisan office, check If
Miami Shores Village Council
applicable:
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 ® No Party Affiliation Party candidate.
9. 1 have appointed the following person to act as my ® Campaign Treasurer Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Cassandra Arnold
11. Mailing Address
12. Telephone
425 NE 142 STREET
( 305 ) 917-3279
13. City
14. County
15. State
16. Zip Code
17. E-mail address
North Miami
Miami -Dade
FL
33161
c theramene@yahoo.com
18. 1 have designated the following bank as my ® Primary Depository Secondary Depository
19. Name of Bank
20. Address
Wells Fargo
9899 NE 2nd Ave
21. City
22. County
23. State
24. Zip Code
Miami Shores
Miami -Dade
FL
33138
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOI FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND T THE FAC D IN IT ARE TRUE.
25. Date
26. C n Idate
2/11 /2021
SMitof
x
27. Treasurer's Acceptance of Appointment (fill in the blanks and check ria block)
Cassandra Arnold
I , do hereby accept the appointment
(Please Print or Type Name)
designated above as: ® Campaign Treasurer I eputy Treasurer.
.�,;
2/11 /2021 L
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10110) Rule 1S-2.0001, F.A.C.
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
COUNTY OF MIAMI-DADE
AND DESIGNATION OF CAMPAIGN
1. THEREBY CERTIFY THAT THIS DOCUMENT IS A
TRUE COPY OF THE ORIGINAL DOCUMENT FILED
DEPOSITORY FOR CANDIDATES
OFFICES OF MOO SHORES
IN CERTIFIED
CERTIFIED ON THIS Slth� DAY OF '
(Section 106.021(1), F.S.)
FEBRUARY 2021
WITNESS'MY HAND AND OFFICIAL SEAL OF
MIAMI SHO7E&Vf4AGE
(PLEASE PRINT OR TYPE)
YSABELYRPDRIGUEZ,CMC
NOTE: This form must be on file with the qualifying
fECLERK
officer before opening. the cam al n account.
I OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
® 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
Katia Saint Fleur
code)
9314 NW 2nd Ave
Miami Shore FI 33150
4. Telephone
5. E-mail address
( 404 ) 4518922
katya515@hotmail.com
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonpartisan office, check If
Miami Shores Village Council
applicable:
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 ® No Party Affiliation Party candidate.
9.1 have appointed the following person to act as my ® Campaign Treasurer Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Cassandra Arnold
11. Mailing Address
12. Telephone
425 NE 142 STREET
( 305 ) 917-3279
13. City
14. County
15. State
16. Zip Code
17. E-mail address
North Miami
Miami -Dade
FL
33161
c theramene@yahoo-com
18. 1 have designated the following bank as my ® Primary Depository [] Secondary Depository
19. Name of Bank
20. Address
Wells Fargo
9899 NE 2nd Ave
21. City
22. County
23. State
24. Zip Code
Miami Shores
Miami -Dade
FL
33138
UNDER PENALTIES OF PERJURY, 1 DECLARE THAT I HAVE READ THE FOREGOI FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND T THE FA 0 IN IT ARE TRUE.
25. Date
26. SI t e of C n date
2/11 /2021
X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check ria block)
Cassandra Arnold
1, , do hereby accept the appointment
(Please Print or Type Name)
Campaign Treasurer eputy Treasurer.
designated above as: ®
2/11 /2021 X`
Date $' nature of Campaign reasurer or Deputy Treasurer
DS-DE 9 (Rev, 10/10) Rule 13-2.0001, F.A.G.