DSDE-9 HarrisAPPOINTMENT 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 opening the campaign account.
1- CHECK APPROPRIATE BOX(ES):
21 Initial Filing of Form Re -filing to Change:
2. Name of Candidate (in this order: First, Middle, Last)
Sandra Harris
4. Telephone 5. E-mail address
(786 ) 385-4560 Nileh1@aol.com
6. Office sought (include district, circuit, group number)
Miami Shores Village Council Member
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
I. HEREBY CERTIFY THAT THIS DOCUMENT IS A
TRUE COPY OF THE ORIGINAL OOCU)MENT FILED
IN THE VILLAGE OFFICES OF MIAMI, SHORES
CERTIFIED ON THIS 31th DAY OF
FEBRUARY 2021.
WITNESS MY HAND AND OFFICIALSEAL OF
MIAMISHO VI GE
YSABELY R RIG UEZ, CMC
HI E CLERK
OFFICE USE ONLY
Treasurer/Deputy 0 Depository Office Party
3. Address (include post office box or street, city, state, zip
code)
945 NE 98th Street
Miami Shores, FL 33138
7. If a candidate for a nonpartisan office, check if
applicable:
My intent is to run as a Write -In candidate.
8. If a candidate fora Partisan office, check block and fill in name of party as applicable: My intent is to run as a
Write -In [0 No Party Affiliation ❑ Party candidate.
9. 1 have appointed the following person to act as my
10. Name of Treasurer or Deputy Treasurer
Sandra Harris
11. Mailing Address
945 NE 98th Street
Campaign Treasurer Deputy Treasurer
13. City 14. County 15. State i 16. Zip Code
Miami Shores Dade FI 133138
18. 1 have designated the following bank as my
12. Telephone
( 786 ) 385-4560
17. E-mail address
Nilehl@ol.com
Z Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
Synovus Bank 113298 Biscayne Blvd.
21. City 22. County 23. State 24. Zip Code
Miami Dade �Fl 133138
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26. Signat of ndidate
02/10/2021 X Ca16"
2T Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, Sandra Harris , do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer rl Deputy Treasurer.
02/10/2021 X LA' �_/VLL--0
Date
%DI! f IGLUFU VI i.atnpalgn treasurer or ueputy I reasurer
Rule 1S-2.0001, F.A.C.
DS-DE 9 (Rev.10/10)