HomeMy WebLinkAboutM8 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1)ICh��� r 6/f �I�1jj�� OFFICLY
Name 617
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ty
Ad s (num{Me�I IN ree L fi CCS cle d ash
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City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
r5 Candidate Office Sought: Coy �<
❑ 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 / / / j To l �l l `S ReportType: /r l
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ `
Monetary
Expenditures $
Loans $_
Transfers to
Total Monetary $L , ��
Office Account $
Total Monetary $ P3 YJ�
In-Kind $_ • _
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
gZs. a
(10) TOTAL Monetary Expenditures Tate
$ ,
$ , 113 f
(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 report and it is true, correct, and complete:
� /this
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(Type name) 1{ rc��///Yld:�L (Typename)
❑ Individual (only for IE (¢'Treasurer ❑ Deputy Treasurer I kcandidate ❑ Chairperson (only for PC and PTY)
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or electioneering comm.) 1
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Signatur Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) NameIGV1r4(/�( �10I (2) I.D. Number
(3) Cover Period through / / (, (4) Page of
(5)
(7)
(S)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address&
Contributor
Contribution
In-kind
Number
Cit , State, Zi Code
Type Occupation
Type
Description
Amendment
Amount
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DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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AaT A�JJ1RE�2'S REPORT- ITEMIZED
(1) Name
(3) Cover Period Z /t/ 1 through
RECEIVED
SEP 0 8 1015
City of Sebastierl
EXPENDITUR€E¢Clerk,$ 0fr1c,6
(2) I.D. Number
(4) Page I of /I
(5)
Date
DS-DE
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(g)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
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DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES