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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)