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CAMPAIGN TREASURER'S REPORT SUMMARY
(1) I Q► I f—I 1 N �n OFFICE USE ONLVFD
Nam'1 I ai3►l1P IClll�rl C�. 14
u0 �2 (2) 1014
Address (number and street) Seb
�e �n C. i an I FL 329SIB - -,' asrian
City, State, Zip Code S Off;,_
❑ Check here If address has changed (3) ID Number:
(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)
(6) Report Identifiers
Cover Period: From � / _aL / To Pa / 23 / ZLj Report Type: C-1
EKOriginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $ 1 , 71 . 00
Loans $_ 3S0. 00 Transfers to
Office Account $
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
Total Monetary $
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$ -71 -QM
(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:
(KType name) Q I I \I 1 711 con (Type name) �� I `/ T) I v 7) n
iA Indiklual (only for IE 1 ❑ Treasurer ❑ Deputy Treasurer iX�CsndldaleChairperson (ordy for PC and PTY)
or eleceonmrftC rrrj
X x
Signature Signature
D"E 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ke-I ly Dxao
(2) I.D. Number
(3) Cover Period 0 % / 01 / 22 y
through 08 /
23 / Z 4 (4) Page (
of
(5) (T)
(S)
(B) (10) (11)
(12)
Dote Full Name
(6) (Lest, Suffix, First Middle)
Sequence Street Address &
Contributor
Contribution In -kind
Number City, State, Zio Code
Tvoe Ooouriation
Tvoe Descrwon Nn.een.M
Amount
vo tq Dixon
N •s .
11 Slue lSk0. d SI`
Lo n
t35a
I ua
SOMSAr11 �kzgsb
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT—
ITEMIZED
EXPENDITURES
(I)Name i l y D i qm n
(2) I.D. Number
(3) Cover Period
�% / OI / 2�/ through 08 / 23 / Z li
(4) Page_of
(s)
IT)
le)
(g) (+g)
11+)
Date
I
Full Name
Purpose
(6)
Sequence
(Last, Suffix, First Middle)
Street Address d
(add office sought If
contribution to a
Expenditure
Number
City, State, Zip Code
candidate)
TYPO Amendment
Amount
8 (2 24
Seacoas+ 'Gantt
K}c-+•
wo eOSe.lanci eci.
Mainiera 01!
CAQ
10.00
SebaSkian, r-L INSB
Fee
$ IS N
Ci4'y o4 Selxts+ian
o
IZZ5 n1Qir Si-.
C1Uali ^9
CAO
W.Do
2
1326QS�-ia.n,r-L BZg59
FQe
DSDE /4 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES