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HomeMy WebLinkAboutM8 ReportCAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY Name V` 6 l RECEIVED (2) Address ( umber and'stree_t) SEP - 9 2019 City of Sebastian City Clerk's Office City, State, Zip Code ❑ Check here if address has changed (3) ID Number (4) Check appropriate box(es): ��ii� %! Candidate Office Sought: 2S�f //Y74T41 C, ❑ Political Committee (PC) 1 ❑ 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) Cover Period: From T' i /_ / Original ❑ Amendment (6) Contributions This Report Cash & Checks Loans Total Monetary (5) Report Identifiers C/ To Report Type: M —f— ❑ Special Election Report In -Kind $_ (01 (9) TOTAL Monetary Contributions To Date $ • d-OqK) (7) Expenditures This Report Monetary Expenditures $ . Transfers to Office Account $ Total Monetary $ _ 'q. -a (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $.0 (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 thi/srrep]Jq�jt aln�dd�it is true, correct, and complete:/ (Typename)�C'/r /`�kGr-! �YC�L/((7 jypepame)/ ❑ Individual (only for IE' Treasurir ❑ Deputy Treasurer El'Clandi>� ❑ Chairperson (only for PC and PTY) or electioneering comm.) signature Sign2ture / DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS �,.{{C�A�MPAIGN (1) Name�CC I Yi( I!i EASURER'S REPORT— ITEMIZED EXPENDITURES ��h ci fY Ce�cukc�( i)i(�-Lt (2) I.D. Number (3) Cover Period 02-/ O/��fhrough _/ _/ (4) Page 1 of Cly C� O'l (6) (/) (8) (g) (10) (11) Date I Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount v V r S AY; cov g//0 /ao V i 5+0 ccfm eaAA-P sebzy)'C X C Ohl - Z Cfi/Y S'ebas�a� C c jy COUA S `a �11'io-FrnMa&avaL uS -nw 3 Ve 3 a�ck, FL V12 o 'mac / FL Sa�i�o Yel oq(0U l FL -St� ext 5A C4, to l a g s �at4 , S E` DS -DE 14 (Rev. 11113) -7- 2VS - CIK ba-,?Aak, Cf -N ci fY Ce�cukc�( 1Q ��� My Cly C� O'l RA C'�yCQ}ca l SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name�Cz/j� [je- Cj' I�) (2) I.D. Number r I (3) Cover Period ©i / through JL (4) Page of (5) I (y) (6) (9)�y (10) (11) (12) Dale Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution _ In-kind. Number City, State, Zip Code Type Occupation Type Description Amendment Amount I0� r a9 r X019 CWA6 T. 0 r, Q'38C� em�citu t3h� t� �`aoo,IV I�caver 3 as s� pr,wfi"9 r r DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES