HomeMy WebLinkAboutM7 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
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(1) f11 I'll �� / Val `�. O(lam OFFICE USE ONLY
Name 1 1 r CE/1/ED
(2) 7 zz `'�, I s �-si _ AUG - 9
A �irest��(n�uml?er and street CitY of �4
City C/e k Sb��ae
City, State, Zip Code
❑ Check here if address has changed (3) ID Number.
(4) Check appropriate box(es): —
' II I
Candidate Office Sought
❑ Political Committee (PC) r
❑ 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 7 / ir To •7 / "5 l 7&e'/ Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
Loans
Total Monetary
In -Kind
(7) Expenditures This Report
Monetary
Expenditures $ p .
$_ _ • _ Transfers to
Office Account $ _ _ , 0
$_
Total Monetary $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (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 ha P exed this reportanit is true, correct, and complete: /� c
(Type name) �.,n(7 "Fr (T� name
❑ Individual (only for IE ❑ Treasurer ! ❑Duly Treasurer Candlpate ❑ Chailperson (only for PC anAIM
or eleciloneering comm.) �\
X f�� A' � �`�X
Signa(ure Signatu
DS-DE 12 (Rev. 11/13) '�, EVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS I �FcF/Ir
gUG1 Fo
(1) Name �I(Y))VI� C� 1 \ S (2) I.D. Number �.`9���1
os��ao
(3) Cover Period "7 / I / ( through 7 / -511 / 2 k (4) Page of _ fl'Ce
(5) (7) (e) (9) (10) (11) (12)
Data Full Name
(5) (Last, Suffix, First, Middle)
Sequence Street Address & Cntributor Contribution In -kind
Number // CiState Zin C. Tvos Occupation Twe Description Am■+s^M" Amount
7
o �(/I'�c".� j
I 2 F.72 2 5'1 „9i,
z X 3z �s
11 i 2/ t
3
DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
41f
d30o'
,CAMPAIGN T EASUR�ER'S REPORT — ITEMIZED EXPENDITURES
(1)Name(Y11I
i 1
(3) Cover Period 1 LI through _�J_/-Ji/_L1
(S)
Date
Sequence
Number
(T)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, Stale, Zip Code
(8)
Purpose
(add office sought it
contribution to e
candidate)
(2) I.D. Number
(4) Page
(9) (10
R
q(1joFc���FO
9 Ccy Of �eba2027
mar,
CO
of
/ (11)
Expenditure
Type Arnfrdmerx Amount
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES