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HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY Name (2) .S© Address (number and street) /FL329 Z City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): OFFICE USE ONLY City of Cq1 C/o kebastie;t Crr.. (3) ID Number: Q Candidate 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 c 1 or l 2 - To iv / o v / Zo Report Type: C� ® Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , Loans Total Monetary In -Kind (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ / / rs" . - $ �' =— (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. $39.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: i // (Type name)Pt glWe �d-�(i/t�fn�r 0 k-' S_ (Type named/'/_j1tj4j0 N3' ❑ Individual (oNy for IE W Treasurer ❑ Deputy Treasurer ® Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Signature Signature DS•DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS (1) Name �FcF/�F CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS r, C.C�(2) I.D. Number (3) Cover Period /c�7/ / ! through /o / z ! z a (4) Page I (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, fate, Zip Code T na Occuoation -- Type Descriotlon Amendment Amount l l Il o vi DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ,r CC�1, 0/� • U J1 C/0,.� 0ba CS"r' CAMP' iGN TREASURER'S REPORT — ITEMIZED EXPENDITURES �/I%C /M (1) Name eJ M o 1- $ (2) I.D. Number (3) Cover Period /o / 1 / z o through /0 / �- /'z-� (4) Page of f (5) (7) (S) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought If Sequence Street Address & contribution to a Expenditure Type Amount Number City, State, Zip Code candidate) Amendment / ! 2 c TX ( er 74Pe/ 9cept�lie 5' C/+r DS•DE 14 (Rev, 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES me�