HomeMy WebLinkAboutG1 Report DoellingTREASURER'S REPORT SUMMARY
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(1) ��QC�'Ge, OFFICE USE ONLY
Name
// S 1�A46yze F
(Z) Cq r/ -r
Address (number and str et)
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Chec 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 filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From (r / / / /L/' To /e, / % Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ (2. Ot>
Expenditures $ bo
Loans
Transfers to
Office Account $ (7 . 00
Total Monetary
Total Monetary $ p 17
In -Kind $
(8) Other Distributi-ris
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$�,5/ DU
$
�T
(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 comple
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(Type name) ,� L (�/O'�' �- J ^J (Type name
II»
i
hdi ' ual (only for IE reas rer ❑Deputy Treasurer—PfCantli to El Ch (only for PC and PTY)
'ore coon Bring comm.) `
Ignature
DS -DE 12 (Rev. 11/13) _� SEE REVERSE FOR iNSTkUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name '� L� D0 F-u-� (2) I.D. Number
(q�over Period 1 O / -1 / /Z through / / ( //4 (4) Page [ f —L
(5)
to
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
Ci State, Zi Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Descri t' n
1)
Amendment
(12)
Amount
(6)
Sequen
Number
DS-DE13 Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAM AI TR URER'$ PORT - ITEMIZED EXPENDITURES
(1) Name LW t— �%yL— �� / C-
(3) Cover Period �0 through /,o/ 7
(2) I.D. Number
(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
k4AZ44P(, I -CA f
a r9rL1C I y�
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES