HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY
1 �2t �-{ !�J l OFFICE USE ONLY
Name
(2) / 0 �e 7JI VY
Address (number and street)
rL 37'-f sr city 2416
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City, State, Zip Code cit' Ci SebaSti
arl
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate W)1*fjL"P rL/ IvG' t-
E Office Sought: CfC L C
❑ 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 /0/ 3J I To Report Type: •�
[Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Expenditures L
Cash &Checks $
$
Loans $
Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ �_�, %fin.
$
(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 heNe examined this report and it is true, correct, and complete:
t�g6/L`
(Type name 14rz4., iT e name
[I Individual (only for IE easurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC and PTY)
or electioneering corn
X X
Signature •`" Signature
DS -DE 12 (Rev.11113) SE's REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name 6/Wl//044-1
(2) I.D. Number
(3) Cover Period �through I 3o 1 /1v (4) Page _� of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
F�
F
evi
�
916
,
s aS1id
Once
I I
1 I
DS -DE 13 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
,, CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
n
(1) Name `07-Z fl�o-s^ (2) I.D. Number
(3) Cover Period /* / 3 J / f Xthrough _tel_ 3v/ i �r (4) Page j of - I
(8)
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
(8)
Sequence
Number
30 /�Aoo"
�w e! .' ,//, *-t. f
1<0>'3 Vf `4/7
RF
Q1
04b. 16
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DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES