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HomeMy WebLinkAbout5th day prior,//CAMPAIGN TREASURER'S REPORT SUMMARY (1) LOUtSY. I�AuTevJ urq OFFICE USE ONLY Name RECEIVED (2) 9-73 t o lw'e A(Adress (number an r�meet) 41eb/}si'i fj,rf, /-106:1119 AA?ZzO Gry of Sebastian City, State, Zip Code City C!erk'c Office ❑ Check here If address has changed (3) ID Number: (4) Check appropriate box(es): /� /� Candidate Office Sought: a/ � CpUNe.r/ ❑ Political Committee (PC) V ❑ 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 he filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 8 / a9 / ao To / /0 / a..D Report Type: [`Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ _ , %(� Ulf Expenditures $ �j<%(o . Loans $ 394 . 00 Total Monetary $_ , ___A ,QQt( QO In -Kind $ (9) TOTAL Monetary Contributions To Date $ Transfers to Office Account $ . Total Monetary $ (9) Other Distributions (10) TOTAL Monetary Expenditures To Date $— I — (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) ❑ IndMitual (only for IE ❑ Treasurer Deputy Treasurer arelectim eying Comm.) Sign, ore DS.DE 12 (Rev. 11113) (Type name) Cantlitlace ❑ heirperton (only /or PC autl PTY) Sight SEE REVERSE FOR INSTF UCTIONS RECEIVED CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name ,LoU1�� T�L�✓%GA��dho (2) I.D. Numbeiii LY of Sebastian City �au�i � iaiw (3) Cover Period 60 1 2cly / AD through .L AO (4) Page _ of _ (5) I (7) (6) Dale Full Name (6) (Last, Suffix, First, Middle) Sequence Simel Address& Contributor Number City, Slate, Zip Code Type Occupation q / �p CArAlysr��r� "s',vGss Sgr✓�ecs. ea.UL'IfAM_ 91 12o ua4�1 /m✓s Pry P�b�Jra"T,eS-A46' ao ANd re,+ �t,c,tiazi c� �f lq o/le- d �(,q✓reN�d✓� 9, 9 ,ao ,Louie , sBzda �y✓7av�i✓J DS-DE 13 (Rev. 11l13) (9) (10) (11) (12) Contribution In -kind Type Description Amendment Amount CNE a,o. W GHE eye LF3.d*e kv4A) a5 6b d1t /9Td A--' SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES '200 o0 a#V. pc) Ago on RECEIVED CAMPAIGN TREASURER REPORT— ITEMIZED Cif, of Sebastian EXPENDITUI,�ESrk's cm ice / (1) Name .( /J, J t.S P_ 9'i�d�Gd/'6 (2) I.D. Number (3) Cover Period / a9 / GZ U through / p / A�� A 0 (4) Page of (6) 1 (T) (8) (8) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought If Sequence Street Address S contribution to a Expenditure Number City, State, Zip Code candidate) Type gmentlmant Amount 9/L ; -OTAI Pert r g/9/ao S64497-1nN �#, _� 9 /o I.Ao FAGe Lo& '5�,vs d'"i /9a, t o ad &AA46 MI aWI"" a C9/0 /-0,00 DS-0E 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES