HomeMy WebLinkAboutG3 ReportCAMPAIGN TREASURER'S REPORT SUMMAF
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(1) QLAA ({ `. C� (�� (�i (at S OFFICE USE ONLY
Name 1 NOV - 2 1013
(2) /(,z3 U5( Sul fe Cit
(4)
Address (number and street)
City, State, Zip Code 1
❑ Check here If address has changed
Check appropriate box(es):
City Of e astian
Office
(3) ID Number.
CICandidate OfftceSought: ,C(D0A'd100 C r% 6(AAr-1
❑ 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)
Cover Period: From '
[Original ❑ Amendment
(6) Contributions This Report
(5) Report Identifiers
Z� To _A / / z j Report Type:
❑ Special Election Report
Cash & Checks $
Loans $ - -
Total Monetary $ - — -
In -Kind $ _ - "E1� G`'
(9) TOTAL Monetary Contributions To Date
$ — — I1;C1
(7) Expenditures This Report
Monetary
Expenditures $ ,
Transfers to
Office Account $ - -
Total Monetary $
(6) Other Distributions
$ —
(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::
(Type name) .-.V41M I e (n C-7 i /(/ c9 �vt <' (Type name) yJ,1-q D�CT'�.11 I I " �-1 f I ((q
0 IndWual (only for�� Tmasu [] Deputy Treesuner I�"i'Candidale C Irperson (only for PC and PTYj
or electioneering co mri1 ) _
X X
Signature / Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
RECEIVED
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS N0V '? 2023
T / City of
(1) Name 1 /c� (M r'e � �( C_� r �� (2) I.D. Number City rr Sebasti
`!I k s Offioe
(3) Cover Period 16 / Z ( / Z � through 1 / z ( (4) Page �_ of
(5)
Date
(6)
Sequence
Number
Z ,
(T) (8)
Full Name
(Last Suffix, Fist Middle)
(9) (10)
Street Address &
C: in ributor
Contribution
City, State. ZiD Code
Tvoe Occuoation
TVw
FNI�"'(T
1 1
1 1 /
I l_/
In -kind
Deserotion
(11) (12)
AmerdmWd Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RFCF�V�D
Npp
City Of
10/7
CAMPAIGN � EAS RER'S REPORT — ITEMIZED EXPENDITURES
City
cl rk SbOff �e
(1)Nam e�a IAAi< In 1 11 i (� (q �o (2) I.D. Number
(3) Cover Period —LL/ Z) /—L�through l I / Z /Uz) (4) Page of
(s)
IT)
(8)
Date
I Full Name
Purpose
11)
(Last, Suffix, First, Middle)
(add office sought If
Sequence
Streal Address &
I
contribution to e
Number
City, State, Zip Code
candidate)
(9) (10) (11)
Expenditure
TYPe Amendment Amount
OS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �-