HomeMy WebLinkAboutM9 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) 1 G� l�`^CP t �( ��r/W�
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City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es): IN
f�
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19 Candidate Office Sought:1.t1 �/ coymc
❑ 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 / l l To
l of c') / / S' Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $_ , _ , IPJ• �c'
Monetary
Expenditures $ • b
—�–
Loans $_ _ , _ • _
Transfers to
Office Account $ ,
Total Monetary $_ , , �� CAD
_
Total Monetary $
In -Kind $
(8) Other Distributions
$ I
(9) TOTAL Monetary Cont ibutions To Date
(10) TOTAL Monetary Expenditures To Date
$ '
$ f, L
(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 and it is true, correct, and complete:
report
(Type name) ICAkYc�/�� CO/ /rtii0j�
/
(Type 11IO �� , llr/i2�l�
❑ Individual (only for IETreasurer ❑Deputy Treasurer
'n
Candidate El Chairperson (only for PC and PTY)
or eleclio comm.
X
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Signature Y 7
-
Signature
05 -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name T,C-{?4d d' e ( Ctz_ (2) I.D. Number
(3) Cover Period / / / through 0/ %S (4) Page / Of
(5)
(7)
(8)
(9)
(10)
It 1)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address 8
Contributor
Contribution
In-kind
Number
City. State, Zip Code
Type I Occupation
Type
Description
Amendment
Amount
C�
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Se, FL -
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RECEIVED
Ci
Ci
of Sebastian
Clerk's Office
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECEIVED
OCT 0 8 2095
City Of Sebastian
a ff AIGN T FTPSURER'S REPORT - ITEMIZED EXPEN19"19 IENS O��e
(1) NameI
JAM
PF(Iliil�� (2) I.D. Number
(3) Cover Period/ /_ through// (4) Page of y
(5)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Purpose
(add office sought if
(8)
Sequence
Number
Street Address &
City, State, Zip Code
contribution to a
candidate)
Expenditure
Type
Amendment
Amount
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alp s
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C'IAriac ChRDs
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DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECEIVED
OCT 0 8 2015
CitC4MPAIjG TR�ASuRER'S REPORT— ITEMIZED EXPEPIMI of fF.
(1) Name i�
1 ChA l �.
f /Ylvt2
(9)
(3) Cover Period
/�/
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/
/ 3 O / / 1
ce
(2) I.D. Number
(4) Page -,7- of�z
(5)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Purpose
(add office sought if
(6)
Sequence
Number
Street Address &
City, State, Zip Code
contribution to a
candidate)
Expenditure
Type
Amendment
Amount
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DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAjMPilgN TFJE/#PPRER'S REPORT- ITEMIZED EXPENDITURES
(1) Name 1 C A't' f2( MdYL-
(3) Cover Period 9 /1_/ I J- through c / ? o/ 1
(2) I.D. Number
(4) Page 3 of -7
(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
(s)
Sequence
Number
T07a(�hiur
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]RECEI
ED
OCT 06
CItY Of Se'
City Clerks
G.
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES