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HomeMy WebLinkAboutG3 Report AMf AI/GN TREASURER'S REPORT SUMMARI ONLY . OFFICE USEE ONLNLYCU N'" %� � i NOV - 3 2023 (2) 7 & �`([r r -1 C_ — City of Addres (number and street) 7 City Sebastian S��4asfl�,���/_ �ag5(1 yClerk'soffice City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): {/ / J [2Candidate Office Sought: e- q / I 0 r\ / / yI l 60 V Y) C. ❑ Political Committee (PC) ❑ Electioneering Communications Ong. (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 HE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From l D / ( / a 3 To / ( / a / Q, 3 Report Type: G J_ (Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ (7) Expenditures This Report Monetary 00 Expenditures Loans $ - Total Monetary $_ , _ • Q2 In -Kind $ (9) TOTAL Monetary Contributions To Date Transfers to Office Account Total Monetary (8) Other Distributions $ (10) TOTAL Monetary Expenditures To Date $ , z (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 � exa1mined this rep and 1it i/s/ true, c /Joned, and complete: y//lJ (Type name) o t C , P` 1 / (Type name) /J O ❑ IndWual (only for IE E3'fieasurer ❑ Deputy Treasurer Mr6endidate (] Chairperson (only for PC and PTY) or elections! comm.) Signature Signature DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS R,ccF/ CFO CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS A10V 32 0 2 3 h ��_/ i t c/tL (1) Name o jjY n (2) I.D. Number C�tY r�f S�'bast (3) Cover Period l D I d through / / (4) Page of kS �flen (5) I (7) (a) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number Ckv. State. IJD Corie Tvpe Ooouoation Tvoe Description A"wricirnin1 Amount DS•DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES RFC'/V":D A10 3 ?423 City of C�MPAIG7jTREASURER'S REPORT- ITEMIZED EXPENDITURES C/ty C!e k bCffice (1) Name / _I D L\ �, r (2) I.D. Number (3) Cover Period O / j-( / 93 through � � / /—�L3 (4) Page of (S) I (T) (a) (9) (10) (11) Date Full Name Purpose (e) I (Last, Suffix, First, Middle) (add office sought If Sequence Street Address & contribution to a Expenditure Number Clty, State, 73p Code candidate) TYPO Amendment Amount CA C20,3j- A13b 3 ArAnzon ae. - 4 DS.DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES