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(2)
(4)
CAMPAIGN TREASURER'S REPORT SUMMARY
C �k;4tr,ptiZ.R NDAJ
1 OFFICE USE Q(`iLY
Name ,7 O? Prv-L
Address (nunlber and street)
SebokS,prw FL_ �? Z_9s-r
City, State, Zip Code
❑ Check here if address has changed
Check appropriate box(es):
® Candidate Office Sought: C 1`�if CO U tt9 Cr
OrrOf % 2pi
k�bastiao
Ot�oe
(3) ID Number: G Z
❑ 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 % Q / t 1 3-1 To /D l Z l Report Type:
'®•Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks CC) Expenditures $ �p
Loans $ C> • 00
Total Monetary $ 0 • p10
In -Kind $ 0 • d'D
(9) TOTAL Monetary Contributions To Date
$ , (p, �, :g I . a.0
Transfers to
Office Account $ p�
Total Monetary $ 0 • DO
(8) Other Distributions
$ O • C1 b
(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: T
(Type name) —fjumks 6 � s4(6qf- (Typename)C��P}��� /11 q//AI
❑ Individual (only for IE 0-Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for F'C and PTY)
or electioneering rrom�m..) �� ')
X X
Signature AtkCure
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS