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(4)
CAMPAIGN TREASURER'S REPORT SUMMARTi
F(-FIVrn
OFFICE USE ONLY
j m Name 0CT 12 2023
Address (number and street)
City, State, Zip Code
❑ Check here if address has changed
Check appropriate box(es):
(3) ID Number:
City of Sebastian
City Clerk's Office
0 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 � / 01 / �_. To ly / : o.93 Report Type: -/
®/ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ _ �� OO
Loans $_ _ 0� 10
Total Monetary $_p0
In -Kind $_ I I ZZ-) • OV
(9) TOTAL Monetary Contributions To Date
$ ,J_1�_,�,4 S.() -D
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $ 0
(6) Other Distributions
$ ,00. z>J
(10) TOTAL Monetary Expenditures To Date
$ ._1L_,z2L.�
(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:
(Type name) /7f'G�T/r't� X (Type name)
❑ Individual (only for IE reasurer ❑ Deputy Treasurer 13116andidate / -. ❑ Chairperson (ordy for PC and PTY)
or electioneering comm.)
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS RECE/VEp
(1) Name (2) I.D. Number „`y C 12 1023
city Of SPb���'r
(3) Cover Period / !1( / aa3 through L / �_ / (4) Page �L op T /F
(5) (7) (6) (9) (10) (11) (12)
Date
Full Name
(6)
(Lest, Suffix, First, Middle)
Sequence Street Address &
Contributor Contribution
Number
City, State, Zip Code
TyDe Occupation Type
�Dl UG
Ia7A231�.�/�'lr��'e
3z�0 G9n S7�'
C�C
►? ,f,,Y,
In -kind
Description Amaenrm Amount
l /fo,R aL
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RAsCEIVi-o
OCT 12 ?�?3
City of
() C PAIGN THE SURER'S REPORT - ITEMIZED EXPENDITURES City G' keb✓S an,
1 Name �FriRi% aSti
Ct.
(3) Cover Period -4-L_1-Pj_/ L21 through / 0 Imo/ 2i0 (4) Page of %
(6) I (T) (6) Igl (10) (11)
Date Full Name Purpose
(6) I (Last, Suffix, First, Middle) (add office sought If
Sequence Street Address d contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
I do, .,�>
ow 4a6wel
2 S14;V4w,G/3-�95'�
Vrr►O0s119210 -re—r5&six
17 16 �t'��od, fi�U° A�✓6 ��
3
DS-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES