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CAMPAIGN TREASURER'S REPORT SUMMARY
(1) k/.'� /' "
Address L
(numand streetJ)pse- r t'� �n n �z .� � t/� C[
City, State, Zip Code
OFFICSUZ�PPIO
Ocr2 0
C%� of S 2415
C� C�e,ks ast"I
Oft;ce
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
andidate Office Sought: -� Amy
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From /Q / 3/ To / / / j<" Report Type:
Original 0 Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 9700* oo
Loans $
Total Monetary $�• OQ
In -Kind $ ,
(9) TOTAL Monetary Contributions To Date
$ 1 /1 70Y.
_3
(7) Expenditures This Report
Monetary
Expenditures $ ego
Transfers to
Office Account $ ,
Total Monetary $
(8) Other Distributions
$ , ,
(10) TOTAL Monetary Expenditures To Date
$ 1 1 , s15. g
3-
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined thisreport and it is true, correct, and complete:
(Type name) o i (Type name) /1,ez-Icn? vv-
10
❑ Individual (only for IE Z;�freasurer ❑ Deputy Treasurer andidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
XWX
Signature Signature
u5-ut 1z (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) NameZ�Z:�(2) I.D. Number
(3) Cover Period 1(91-3 / through / Q / / / S (4) Page of
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In-kind
Number
City, $tate, Zip Code
Type Occupation
Type
Description
Amendment
Amount
/
40A,
-171 IV, , 0
20/ I %
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00
sf/AZ 3 s
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DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
A PAIGN T ASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3) Cover Period ? 0 / I l through ) D / ) (4) Page 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
&Z
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vol
1011311.5'5
i a 90 a -^ S-�
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Oct
C162 of
C/�r
S astir
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DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES