HomeMy WebLinkAboutM8 Report(1)
(2)
CAMPAIGN TREASURER'S REPORT SUMMARY
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Name
Iuz7,
Address (number and treet) g o
City, State, Zip Code(
OFFICE *E,It NLY
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cty D ?�>
City Cte k aslia
sbOf�co
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought:
❑ Political Committee (PC) 1
❑ 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 Identifiersg
Cover Period: From To I `?L' l ,� � Report Type:
17ROriginal ❑ Amendment ❑ Special Election Report
�(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
IVL Jc
Loans $
Total Monetary $_ �a� • Oc
In -Kind &-
(9) TOTAL Monetary Contributions To Date
$
Transfers to
Office Account $ —
Total Monetary $ C,
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
L
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that
—irhave examined this report and it is true, correct, and complete:
(Type name),' C AV e_ v\ L1 I l� l Q (q/t > (Type name) Q [/i/t" (-e C',
❑ Individual (only for IE ATreasurer ❑ Deputy Treasurer [ Canditlale Chairperson (only for PC and PTY)
or electioneering cornrn ! '
X j X
Signature I Signal re
DS-DE 12 (Rev. 11M) SEE REVERSE FOR INSTRUCINONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS S RFC�E�/C�E
O
I Name (2) I.D. Number Ct0%1
r� n -,baslia0
(3) Cover Period bt) / b / Zl through L t / (4) Page 1 of
0
(5)
I (7)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address&
Number
City, State, Zip Code
(6) (9) (10) (11) (12)
Contributor Contribution In -kind
Tvpe Occupation Type Description Amandm nt Amount
wwl'uo Loavl /( G
0�
Sewct q \
��-
, N i4- ja60
J
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR 14STRUCTIONS AND CODE VALUES
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SEP-9�
city Of
cirY C,0 k�basrian
CAMPA1GN/TREASURER'S REPORT— ITEMIZED EXPENDITURES Oy`O
(I)Name tU/Lteu� (-'f (w cWk� (2) I.D. Number
(3) Cover Period Ui> / / ZA through i fQ 0 / � (4) Page l of
(5) (T) (6) (9) (1e) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought If
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
jj/lA,ul 5+ S-�trca
Se�csfitarv� C'� }Exl( 1- �a�
5<)oasttah FLziZgS( I�a�
DS-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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