Filing Papers
STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE USE ONLY
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
Original Appointment
ame of Candidate
o Deputy Treasurer 0 Reappointment of Treasurer
1 Address (include post office box or street, city, state. zip code)
71-/> f1'MI'~ Bey Of.
1>'("101/ (]1"4"1 FI :;lYJ5
:k>5hlA"\ Pad9e+fe
Telephone (optional)
53/- 177 (.
2. Party (Partisan candidates only)
3. Office (add district, circuit, group number)
~~i'r, BoY'" f.. ll1""'t,
o Deputy Treasurer
-.'
I have appointed the following person to act as my
4. Name of Treasurer or Deputy Treasurer
lot I,. y'(~f(
5. Mailing Address (If post office box or drawer a~ street address)
(I.( 3 M"fJ,d-<~ /Jar 1)(. {?.. ...1-0" (l,.,;i,. n J) If) 5
7. City 8. County 9. State
t3cl1hl\13"e1J, f,d~r3(A(~ r/
Campaign Treasurer
6. Telephone
S , ,- .3 7 '1- ';170"3
10. Zip Code
33r35
I have designated the following named bank as my
11. Name of Bank
Wt10lo u I c.
13. City
13.. " 1M
o Primary Depository 0 Secondary Depository
12. Street Address
bOD 5 r;.lro/
15. State
I
I/w
$Hh
16. Zip Code
~'J 1-5.5
-------- -
Date
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Campaign Treasurer's Acceptance of Appointment
y., 5 1-(
, do hereby accept the appointment as
~Campaign Treasurer
(Please Print or Type)
Ac~4lr .
-
o Deputy Treasurer for the campaign of J "7""
who is seeking nomination or election as a
candidate to the office of
(Party)
Y\lje'l Y" I B AI y,J\ t'\ r)-f" A
.
UNDER PENAL TIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND TH THE FACTS STATED ARE TRUE.
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Date
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OS-DE 9 (Rev. 01/08)
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ONLY
STATEMENT OF
CANDIDATE
09 HAR I 3 PH 12: 42
(Section 106.023, F.S.)
(Please Type)
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candidate for the office of JjJ. t1 '10 '1 13 0 Y V) .1-'<) Yl 13 1"C1 C h t=: \
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
x
/L,4a-
/ Signature of Candidate
3/;-VO r
t I 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 $1,000, (ss. 106.19(1 )(c), 106.265(1), Florida
Statutes).
OS-DE 84 (Rev. 03/08)
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RESIDENCY REQUIREMENTS
:JD5hlACl e.d~{'-H-c
I,
(Print Name)
MU<;lOf
(Mayor/Commissioner - District #)
. candidate for
of the City
Beach, have received, read and understand the
residency requirements of Article II of the Charter of
the City of Boynton Beach.
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(Date)
1/10/20063:02 PM
S:\CC\WP\ELEmON\year 2006 Elections\NOTICE OF ELEmON DISTRICT RESIDENCY REQUIREMENTS STATEMENT. doc
ONE VOICE
BECOMES
MANY
VOTEI
07101985 REP
VOTER CARD. PALM BEACH COUNTY. FLORIDA
TARJETA DE ELECTORAL, CONDADO DE PALM BEACH, FLORIDA
REGISTRATION NUMBER
Nllmero de Inscrlpc/on
111889173
REGISTRATION DATE
Fecha de Inscripclon
09-05-2002
PRECINCT
D/slrlto Electoral
3128
PADGETTE, JOSHUA AARON
500 VIA LUGANO CIR
APT 302
BOYNTON BEACH FL 33436- _ ~
~ Sig7~ade Volante
IV
, -- - ---- H___U _ _ .FOW HERE , DOOlEAQU\------
,
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;VOUR PRECINCT NUMBER Su Numero de Oistrito Electoral .
1 :VOUR POLLING lOCATION Su Centro Electoral
: THE UNITED WAY OF PBC
: 2600 QUANTUM BLVD
I : BOYNTON BEACH
; , YOU ARE ELIGIBLE TO VOTE FOR A REPRESENTATIVE IN. EACH OISTRICT LISTED
: USTEO PUEDO V07AR POR fJN REP~SENTANTE DE CAOA OI$TRITO NOM8RAOO
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us CONGRESS
SlATE SENATE
STATE HOUSE
Camara de OipUI8dos del Estado !
86 i
,
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CongTes~ de 105 EEUU
19
Senado de! Estado
30
COUNTY COMMISSION SCHOOL BOARD MUNICIPALITY
Comisi6n del Condado Junta Escolar Municipalidad
3 4 BB
REGISTRATION NO II> .111889173 .... NUMERO DE I,.,SCRfpelON
i DR ARTHUR ANOERSOH . SUPERVISOR OF ELECTIONS I SUPERVISOR DE ElECCIONfS '
, lONE VOICE
I I BECOMES
. MANY
VOTE!
07101985 REP
VOTER CARD. PALM BEACH COUNTY, FLORIDA
TARJETA ELECTORAL. CONDADO DE PALM BEACH, FLORIDA
REGISTRATION NUMBER
Numero riB InScrlpcion
111889173
REGISTRATION DATE
Fec:ha de Inscrlpclon
09-05-2002
PRECINCT
Dl#trltoElecto
4030
PADGETTE, JOSHUA AARON
743 MANATEE BAY DR
,BOYNTON BEACH FL 33435-
:X
,
I __ __ __ __ F'OI..!l HERE rOQBLE....OU1. ____
!YOUR PRECINCT NUMBER Su Nlimero de Djstrjto Electoral \ "'4030
:YOUR POLLING LoeA nON Su Centro Electoral
: BB BOAT CLUB
:U S 1 AND NE 21ST AVE
, BOYNTON BEACH
I YOU ARE ELlGtElLE 10 VOTE FOR A REPRESENTATIVE IN UC" DISTRICT LISTED
: uS1ED PlJEPE VDr AR POR UN REPReSENT ANTE DE CADA DISTRITO NOMSRADO
STATE SENATE
STATE HOUSE
US CONGRESS
_~ Congrsso de fos EE.UU
. 22
I
I COUNTY COMMISSION
I comls;n del Condado
Senado del Estado Camara de Diputsdos del Estao
25 87
SCHOOL BOARD
Junta Escola.r
4
MUNICIPALITY
Municipalldad
BB
.REGISTRATlON NO .. 111889173
..NUMEAO DE INSCRIPCIC
,
~------------------------------------------~----
. REMOVE AND SIGN VOTER CARD BELOW.
. SEPARE Y FIRME LA TARJETA ELECTORAL A CONTINUA CION
ONE VOICE
BECOMES
MANY
VOTE!
07231985 REP
VOTER CARD. PALM BEACH COUNTY, FLORIDA
TARJETA ELE;CTORAL, CONOADO DE PALM BEACH. FLORIDA
REGISTRATION NUMBER
Numero de In$cripclon
111893828
REGISTRATION DATE
pecha dB InscrJpclon
09-25-2002
PRECINCT
DllJtriw elector'
4030
YESTE. JULIO CESAR JR
743 MANATEE BAY DR
BOYNTON BEACH FL 33435-
:x Si9~~~otant. __
'~__U_H_~ __ __ ________FOLDHERE:OOBlEAOUI_______n_n_ --
:YOUR PRECINCT NUMBER $u Numero de Dlstrita Electoral 1 ~4030
:YOUR POLLING LOCATION Su Centro Electoral
: BB BOAT CLUB
:U S 1 AND NE 21ST AVE
: BOYNTON BEACH
, YOU ARE ELlGll!l-E TO VOTE fOR A RePRf;SENTATlVE IN EACH DISTRICT U$TEO
USTED PUEDE VOTAR POR UN REPRESENTANTE OE CADA D1STRITO NOMBflADO
US CONGRESS
STATE SENATE
STATE HOUSE
i Congrsso de ./os EE UU Senado del Estado CamBra de Diputados del Estad/;
\ 22 25 87
I COUNTY COMMISSION SCHOOL BOARD MUNICIPALITY
1 Comision del Condado Junta ESCO/B{ Municipalldad
I 4 4 BB
REGISTRATION NO .. 111893828 "II NUMERO DE INSCRIPCIOI
,
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