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HomeMy WebLinkAboutM8 ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) YI vZAsf�_� OFFICE USE ONLY Name RF (Z) —,SO Address (number and street) City, State, Zip Code s ❑ Check here if address has changed (3) ID Number: SONep (4) Check appropriate box(es): C /� 9 Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers / Cover Period: From 08 / � � / 01 To � / ;31 / c201J Report Type: MB Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report od Cash & Checks Monetary o0 Expenditures $ Loans $_ �• CJb Transfers to Office Account $ �. Total Monetary $_ , _ Total Monetary $ /' � OD In-Kind $ U • _ SQL (8) Other Distributions \ U U G. $ - (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $) . 0 0 $ �' (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) AJ'ce._ (�, Cp�/ (Type name) Q.1, C!, �z ❑ Individual (only for IE Treasurer ❑ Deptdy Treasurer Candidate Chairperson (only for PC andPTY) or electioneering c ) l X X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Namec�o� 13 - co5/ (2) I.D. Number (3) Cover Period 0?) ! G 1 / aDjS through P& 1_3 L (4) Page _� of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address& City, State, Zip Code (6) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 08 45-/1,5, oO1 AC&K.' w- Zo % c; ( os DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES .AMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name—P„xcPcl� „�,/ / (2) I.D. Number (3) Cover Period QP/0_/ i7/Jthrough O 2/ /o?OI (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (6) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number CJ I C-0111 o''c' Je-�cs��ca,` C�.,,.�.c�a •� C) A) 00 a/ L CN c'yof O! c'��� Pbd s sf U OI,S 'c DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES