HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) C�(�Ufo4�iv(%IJiOFFICE USE ONLY
Name
kECEVED
C I
(2) e/ `%3 of it)Z� ��f� /� 1�L. r,(ov _ 9
Address (number and strut) Cit �ti4'.�
Cit Cj""' a.
City, State, Zip Code G
❑ Check here if address has changed (3) ID Number
(4) Check appropriate box(es):
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 61 To %c) / / / _;�_o Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary /�.y/7
Cash & Checks $_ Expenditures $ /,7"/ ; 6
Loans $
Total Monetary $_
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ ,2 &2,
Transfers to
Office Account $
Total Monetary $ I 2r � v L,O_
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
(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) �CJ �(�t' 1 "� A/ lz'r ' ) f^E� (Type name) LGIJ/
❑ Individual (only for IE ❑ Treasurer Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
Si nature
Signature i 9
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
RECE: /V�.D
Alt) V -8
CrtY ?Of
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CAMPAIGN TREASURER'S I�yEP®RT—
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ITEMIZED EXPENDITURES
of
CtYCte keSb0 r
'�oe
(i)Name
(2)LD.Number
(3) Cover Period through /d
/ 9 1 Z�G (4) Page J of
(5)
(7)
-. (8) (9) (10)
(11)
Date
I
Full Name
Purpose
(6)
Sequence
(Last, Sufis, First, Middle)
Street Address &
(add office sought if
contribution to a Expenditure
Number
I
City, State, Zip Code
candidate) Type Amendment
Amount
-
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%�' rii3�lt��O �✓
DS-DE 14 (Rev. 11113) SEE REVERSE FOR 9NSTRUCTI®NS AND CODE VALUES