Loading...
HomeMy WebLinkAboutM6 ReportCAMPAIGN TREASURER'S REPORT SUMMARY I' OFFICE USE ONLY Name Y RFC (2) � �� � � � ; , � c�nJ �f Y Address (number and street) U( FL 3.)-cj S:� cityaf City, State, Zip Code Crry Cle k�bastia ❑ Check here If address has changed (3) ID Number. (4) Check appropriate box(es): ® Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Ong. (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 : / / / .�� �t To ReportType: 11\ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $_C. C7) Expenditures $ _j Loans $ 1 Total Monetary $ In -Kind $ (9) TOTAL Monetary Contributions To Date $ C Transfers to Office Account $ Total Monetary $ (13) Other Distributions $ L) (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) 1�,.`, .� s ��.- . _ ;� , ,- . p,•> ./l%Ai" (Type namer ❑ individual (only for IE aTreasurer ❑ Deputy Treasurer Q CarKwate Q Chaeperaon (only for PC and PPY) or electioneering eomm-) X Signature Signature DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS R�CF/VFO JUG �I CAM AI�pJ TREASURER'S REPORT —ITEMIZED EXPENDITURES Ccy% ksbns (I)Name S C Vj101- N6 d II- (2) I.D. Number cn (3) Cover Period / / / through / 3©/ �( (4) Page i of (5) (7) (g) (g) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) Street Address & (add office sought if contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number /J`7/ 1 ii�11C��Ae 15`�Y/LI r�- T 1 / DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES F/VFW CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS JVf. ^ %L' N' I.D. Number CcO C/f Se a erk� �r4c� (1) Name (;tlPrS 1"��P �(' (2) e (3) Cover Period / / I J/ nn through (4) Page of (5) (T) (6) (9) (10) (»> (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number Citv, State Zio Code TYDe Occupation Tvoe Description Amendment Amount 3 a� r r To,-. s,Cr� i534 ��Nr K c N 51���'`� C'Ij 0 � DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES