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HomeMy WebLinkAbout11th day prior AMPAIGN TREASURER'S REPORT SUMMARY Name Address (number and street) City, State, Zip Geode ❑ Check here if address has changed (4) Check appropriate box(es): 10 Candidate Office Sought: 4" OFFICE USEbNW, �,�J1/4�D City a ; 428 city Or Obashan Office (3) ID Number: ❑ 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 off" / /S 1 �✓ To u 1 1)iS ! �, Report Type: 141"tL— (/Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $_ 1 / I / • D� Loans $ Total Monetary $ / l `%� In -Kind (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ _ , _/ 'a j . /{, (8) Other Distributions � $ , �P, r!5 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ J ySL" $ _�,JSI (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: (Type name) c ���i (/� _ ) � �i ,(TTyype name) tyr ❑ Individual (only for IE 09ireasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY 1 or electioneering comm.) Signalu're Signature DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS .4i�, �cFiLtc CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS c4?I' ov ,�� 0,' ". ?0 (1) Name (2) I.D. Number cc, (3) Cover Period Qg / /J through G S / 8 / (4) Page of 3_ (5) (7) (6) (9) (10) (11) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number _ City, State Zip Code Type I Occupation Tvne Description Amendment Amount �ar14 /33y re / 1.20 1 h' Ac 3 I sees>�<✓�%�3�Y W 14A�,-�J 8P0/ %—b✓� Af'D ,Q rap a7 Aw DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number _ riff (3) Cover Period ,}� through ()¢' / ! 2< (4) Page of (5) (T) (8) (9) (10) (11) (1') Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In -kind Number City State Zip Code Type Occupation Tvoe Description Amendment Amcunt S�Wyzf�; 3AM f I r r r r DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period through _42j_/_/ (4) Page_ of (5) (7) (87 (9) (10) Date I Full Name (5) (Last, Suffix, First, Middle) Sequence Street Address & Number City, State, Zip Code yv� �Io✓tee p,�;� (11) Purpose (add office sought If contribution to a Expenditure candidate) Type Amendment Amount y�flAC°o��jacll/ P%tI✓ 2�D,g� Sy3✓©E19/ ew, ;Pq fJ 3201 �/�5/ �' 9 Sl �/fj E.✓ A //'� 1 Si�Ns C.¢.tJ - 5 ✓�� B% �/. 3�9G? DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES