HomeMy WebLinkAboutM6 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name '1 RECE/l,E�
(2) R2lAhc� S�- RUC
Address (number'And street 2 p
' ) ��\O City �f
City, State, Zip Code a C¢y C1f ksbasti�"
❑ Check here If address has changed (3) ID Number: y
(4) Check appropriate box(es):
.Candidate Office Sought:
❑ 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 (96 / a3 qj To 06 Report Type: M 6
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $_ Irr� • C'a Expenditures $ 2� .
Loans $_ • _ Transfers to
Office Account $ _1L" ,
Total Monetary $_
Total Monetary $
In -Kind $_ _
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ r w $
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
1 certify that I have examined thisC,l�"�•u Is report
ppo�a�nmd it is true, correct, and complete:
(Type name) t ,l 5-6 Q 5i�-lG' l(Type name)
❑ Individual(only for IE E3fre r ❑ Deputy Treasurer Candidate
or election B comm.)
_ - x /
ig lure Signature
�r(ess4z4nl '
❑ Chairperson (only for PC and PTY)
DS-6912 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS ✓UR�c�i�F�
Chi �,
(1) Name (2) I.D. Number yuf,o,,�4t��
��-,
�b
(3) Cover Period 06 / 3 through ( / ZC' /2,,gj� (4) Page Of �e
(5) (7) (6) (9) (10) (11) (12)
Date Full Name
(6) (Lest, Suffix, First, Middle)
Sequence Street Address 8 Contributor Contribution In -kind
Number City, State, Zip Code Type Occupation Type Description AMWAmni Amount
c c;A
%o �'
DS-DE 13 (Rev, 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
JV�
,
t;'i'!Y of
C/e�ebasb
Name
CAMPAIGNT,,F�EASURER'S REPORT— ITEMIZED EXPENDITURES
��� �i>\o�
�
Q�c
(1)
(2) I.D. Number
(3) Cover Perlod Lb /.�_S /20 through
0 /S) lrJ��-) (4) Page of
(�)
- 1n1 - ►a7 -- (to)
(ti)
I(51
Date
I Full Name
Purpose
(S)
Sequence
I (Last, Suffix, First, Middle)
Street Address 6
(add office sought if
contribution to a Expenditure
Numhnr City, State, 21p Code candidate) TYPe Amendment Amount
i
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES