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HomeMy WebLinkAboutG2 Report(2) (4) L 1 CAMPAIGN TREASURER'S REPORT SUMMARY OFFICEUSEONLY Name lye nb-tlr1 "-NA Address (number and itreet) FL City, State, Zip Code ❑ Check here if address has changed ccl("cF) City or L: City Cle SOb�;`r,:. (3) ID Number: Check appropriate box(es). Id Candidate Office Sought: Cct,.YtGI ❑ 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 ❑ Cheek here It no other IE or EC reports will be filed individual making electioneering communications) Cover Period: -'Original (5) Report Identifiers From r'v / G� /a0 To 1 rj l J I / o ReportType: (� a ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $_ _ r Loans $_ Total Monetary $_ _ In -Kind $_ _ (7) Expenditures This Report Monetary Expenditures $ �U Transfers to Office Account $ Total Monetary $ . (S) Other Distributions $ 1 , (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 have examined Jthis (report and it is true, correct, and complete: < 1 (Type name) (��,iR-STUlLC,141 (Type name) ❑ Indlvid (only for IE Treasurer Deputy Treasureaon r Candidate ❑ chalrper(only for PC and PTYj or elect( ee'ng L _ x Si a e Signature DS'b` 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS 8-, .(�6 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS oC FcF��Fp ��r\' �" S� NIA city �1 (1) Name yvlll� (2) I.D. Number Ccity c0 astren / �-'� � O' (3) Cover Period )�% 1 1j� through �� 1 a 10� (A) Page t of � (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last. Suffix, First, Middle) sequence Street Address & Contributor Contribution In -kind Number City. State, Zip Code Type Occupation Type Description Amen"" Amgynt I 1 DS-DE 13 (Rev. 11M3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES RECFI1'8'0 oc.r 2 4 Gf4` `City of CAMPAIGN T SURER'S REPORT— ITEMIZED EXPENDITURES (1) Name 0 1 r"-�Z (2) I.D. Number (3) Cover Period �/ fl`b / through r� l c)' (4) Page l of (5) (7) I6) tbl (10) (71) Date Full Name I Purpose (6) (Last, Suffix, First, Middle) (add office sought it Sequence Street Address & contribution to a Expenditure Nu bar City, State, Zip Code candidate) AmcndmaM Amount m t d/1a/ai� SeAGvns� $M� 4 I DS-DE 14 (Rev. 11113) &7V cac ZEC SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (C)