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HomeMy WebLinkAboutM9 ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) N AUcec-- OFFICE USE ONLY Name FCEIVED (z) S7() \ Qa\ � , 1� � � ©rr Address (number and street) _G2 Clt CftY Ctf Sebas erk's City, State, Zip Code man ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 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: FromO�L/ �_ / �i/s To / / ao 15 Report Type: j'VL Original El Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report U C — $_ Monetary p'G Expenditures $ 0. Cash & Checks �� OO Loans $ Q Transfers to 067 Office Account $ G C7 Total Monetary $ O 00 Total Monetary $ �— In -Kind $ CJ (8) Other Distributions OU $ �. (9) TOTAL Monetary Contributions � Date (10) TOTAL Monetary Expenditures Date $ ---- , FB �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: (Typename) 4v\Ace_� C").Cp�1 (Type name) c.,� El (only for IE Treasurer ElDeputyasurer `Candidate Chairperson (o for PC an TY) / , or electioneerin .) X X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name �cvlc� �. COIR (3) Cover Period 6'7 /0 f /a6/,5rthrough / 30 (2) I.D. Number a6/�(M Page 1 of (5) (7) (S) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address& Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount 1531 te+ CK� ry/A A)IA $a06 00 s sk: 3 9 L d�l�alls �ecr�••\ Russell swo com VOIA rQI/A o-- "o- G 002 e\x Ste• �- `` a 3.2 U.4 / / 08/4 c�-1 r0�A N/A eo ��0 003 s `1 OCU .oe G5-7 e)._�.kK\Je L IZ,* G lA L /l IL���1 - 00 1--/ s��,�� :� .'� / ,14 c ��s asgan �oe G Gv DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C� MPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name �,� (3) Cover Period 0 4) 1 /,?0 rough x/30/ R0/ S (2) I.D. Number (4) Page_ I of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number CAe. 0 sf'an Cb O V DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES