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HomeMy WebLinkAbout11th day prior AmendmentFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ISM H . C-/` L{I iA_L - r OFFICE USE ONLY Napte (2) l le _3 V S 14"1_ l v4 -s Address (number and_street) SEr31hSTtrtrs A`-3a,St-8' City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED RECEIVED ccp 18 70n SE City of Sebastian City Clerk's Office (3) ID Number: (4) Check appropriate box(es): n ❑ Candidate (office sought): u ` G&A L L_lug--- ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Parry Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From r/ / i l z, To / -4Z/ 2, ReportType ❑ Original EgAmendment [34 Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ -2° o Expenditures $ Loans $ Rr70w-e Z Total Monetary $ In -Kind $ ( ebb Transfers to Office Account $ Total Monetary $ (8) Other Distributions ,4F'IX'".) $ emu. (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date t!'IoiA� Iv .22K'Ar _ (11) CERTIFICATION It is a first degree misdemeanor for any pars 0n to falsify a public record (ss. 839.13, F.S.) I certify that_I, have examined this report and it is true, I certify that I have. examined this report anddt is true, ` correct, andcomplete.. correct, and camp'llete, - (Type name) Yr'/�'lM Ku. , <..-i (Type name) //UTAa K'- �� L-r, p,....- f ❑Individual(anlytar asurer ❑Deputy Treasurer Candidate ❑ Chairperson(only for PC, PTYE eledioneenng cam eled.neenng wrnmun. organization) X:., X �_ Signature - Signature. _._.113AE72(Rev_08104) RECEIVED CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS �l4µc� //• 6. w try/ SAP 1 8 ?m, (�) Name (2) LD. NumberCyot Sebastian Cap Clcrk'e Office (3)Cover Period through / Zi/ zo (4) Page / of / (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Gntribular Contribution In -kind Number CiN. State. Zio Code Tvoe Occupation Tvoe DescriptionAmount r�nl �000, SE9N;sTiw+� ASS —/aY Stozz a <; d cr�tN �oKa 11 It— ?i SEyhST/+•Fi, Fij,,rer-K` ��/ ?rAPNr�r 34+XF RECEIVED ��--- CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDI-99EV) 20?9 (1) Name j4 • &,&e,,' l (2) I.D. Nuri of Sebastian City gerk's Cffco (3)Cover Period /S/ 20 through / 281 2''' (4)Page of 1 (5) (8) 191 Ite) (11) Date Full Name Purpose S (Last, Suffix, First Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount z b 1os Qejy)' f . Lo j Mi@AI DSDE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES