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HomeMy WebLinkAboutM9 Report 4) CAMPAIGN TREASURER'S REPORT SUMMARY ame (2) /G?5f Address (number and street) City, State, Zip Code ❑ Check here if address has changed Check appropriate box(es)• OFFICE USEC. O) �6� Cqy c� �k'sbpf c®n (3) ID Number. ©Candidate Office Sought: cn?�jrdr✓ �% Os/�e/C�i� ❑ 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 2) To / / ReportType: Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $_ , , � - dD Loans $_ _ , .5' Total Monetary $_ . 3 , • In -Kind $_ 1_ , ,?Cl - l"o (9) TOTAL Monetary Contributions To Date $ -2 (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ _�-, 4"iI (11) Certification It is a first degree misdemeanor for any person to falsify a public record (as. 839.13, F.S.) I certify that I have examined this report and it is We, correct, and complete: (Type name) 73Y,fX�'i �� G7; ❑ Indlvidual(only for IE [rf Treaeue ❑ Deputy Treasurer or eledoneering comm.) Signature - — -- -- - — DS-DE 12 (Rev. 11113) (Type name) Q Candidate LJ Chairperson (only for PC and PTY) Signature SEE REVERSE FOR INSTRUCTIONS AMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name��J€/P,Y�� R FC,;�,r�� C r cit, cO sebf 1�cd & (3) Cover Period !y't / 91 through e,-1- (4) Page Of (5) (7) (8) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& I Contributor Number City, State. Zio Code Tv_ oe Oocuoation o y , 06 ,;w, 9•�3 A21 d 83) sr'` 2W10 ✓.AA/�3.z9SJ� rgat dR0 /A, 17,,a lW 3z976' DSDE 13 (Rev.11113) SEE REVERSE FOR (2) I.D. Number (9) (10) (11) (12) Contribution In -kind Type Description AmwAwnt Amount AND CODE VALUES AMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period O l / I through i� 1 / ' ; 7 (4) Page of �3 (5) (7) (6) Date Full Name (6) (Last. Suffix. Frst Middle) (9) (10) Sequence Street Address& Contributor Contribution Number Citv. State. Zio Code Tvoe Occupation Tvpe �5 23 r2v2! Me y✓a2� d% r '23 j.?v]I 99 /23 r9wi 0 17� r 2.3 r bx) /w"Aa. r'�I* ci/Z- G'/i' jpapz�".W/ ��k In -kind Description (11) (12) AmeMmeM Amount DS / 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES e/DD,VD r 401 `3 �3ov. /o RE„ CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (2) i.D.Number -r�'�.ES , qo (3) Cover Period / _L i go,2,1 through (4) Page Cr- of (5) I (7) (6) (s) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address g Contributor Contribution In -kind Number City State, Zj Code Type Occupation Type Description rmmed Amount Xe*1� B15S of A -AO L1 gOvotgoj✓ �onv�, rt' 7Qzs' 9✓L✓S7n 6ws/ i i DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name(2) I.D. Number (3) Cover Period .�Lfl-4LLJ,2 i through// `�2/ (4) Page / of (5) (7) Date Full Name (5) (Last, Suffix, First, Middle) Sequence Street Address & Number City, State, LP Code /Swsil...✓Sfis! f? 0.7/ 9 /// /a/ G;o,✓1far �gD�1G p4 �/ 325'69 f�s'7x�✓6�Y�c �� (8) (9) Purpose (add office sought if contribution to a Expenditure candidate) Type T� 5�o✓sz Rio) Amendment Amount o % � • •, GSA ono G.a.� ,�..� �;�5 � �.q.✓ -- �,t J:Z,. s,;W 4 o#y B � .t :�-ry L 5'2 ®/.� /%i'a'i� �r✓I/ ,5'i!-,.,-a �lrn! DS•DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES J-Vyz