HomeMy WebLinkAboutM9 Report DoellingCAMPAIGN TREASURER'S REPORT SUMMARY
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❑ Check here if address has changed (3) ID Number.
(4) Check appropriate box(es):
andidate 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 fled
individual making electioneering communications)
(5) Report Identifiers )
Cover. Period: From / / �6 To -9/3o/ ! ReportType:
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Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ —
Monetary
Expenditures $
Loans $_ — l
Transfers to
Office Account $
Total Monetary $
Total Monetary $ 179 -
In -Kind $ ' J
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures ToDate
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$ �, 0q3. S-6
(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:::
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(Tynname) A L LL / A/ 6 (Type name) iL`.—�0'�f
nd' ' al (only for IE El Treasurer ❑ Deputy Treasurerandida ❑ Chairperson (only for PC and PTI)
or el "on ring comm.)
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DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
/�C.AMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name bV ���pC�C (2) I.D. Number
(3) Cover Period 9 / /14 through J_ / 0 //6 (4) Page / of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(tt)
Amendment
(12)
Amount
(6)
Sequence
Number
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DS(DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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(3)CoverPeriod 2/// /�-through30/ (4)Pageof
(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
(5)
Sequence
Number
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DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES