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Candidate Checklist Harris2021 MIAMI SHORES VILLAGE ELECTION Candidate Name: �cxnl rq E-Mail Address: I k e- �A�-Q�-?. C4 0 L• r c' 3 vn Address: G l-t S Al z=, cP�? 91 S'h")P_c1 'l- f3Q Telephone Numbers: —7 F�lS-41 S Q CANDIDATE INFORMATION REQUIRED FOR QUALIFYING FOR VILLAGE COUNCIL ELECTION y 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 ( 0 q ) Notice of Residency and Candidacy Ethical Campaign Practices Declaration (Miami -Dade County) Caedi do, NandLm)< *1