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HomeMy WebLinkAboutCoy G3 Campaign Report 2013FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (" OFFICE USE ONLY Name RECEIVED (2) -50 t P \ ,�.. ►� v OCT 14 2013 Address (number and street) b s k-" c, F o29S-8 City of Sebastian City, State, Zip Code City Clerk's Office ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): X Candidate (office sought): ❑ Political Committee ❑ CHEC9 IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From &7 / / - j� To r© / ( / 61,3 Report Type e!�- 3 XOriginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary c ` ` Cash &Checks $ g Q (� --' Ex Expenditures $ Loans $ C--) Transfers to Office Account $ Total Monetary $ '� 00 Total Monetary $ C, I.S In -Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ F_Z $ C (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, I certify that I have examined this report and it is true, correct, and compll�ete.nn correct, and complete. (Type name) a�c�l r� �. (Type name) F—] Individual (only for Treasurer ❑ Dep y Treasurer MICandidate ❑ Chairperson (only for PC & electioneering co mun.) lectioneeriaq commun. organization) X X Signature Signature , DS -DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name y� r Q), Cc)y (2) I.D. Number (3) Cover Period Off' / ,% i l ?D 15 throuqh 10 / /1 (41 Paae I of I (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount �ox. x-178 Rc, sal Z (��� r� /A folA cd l pa SAr1c.,�Q.� 4 CO Y n 0/ /3 65" 7 13e_<3_,c-& Ave Y\-) ul $moo Ci 0 o2 5�`oc S�:c.� VL a /6/ (? / /3 ('at; c-,-- V3 e- , - -o01� 1166 k a - 00 �3 ze_" � r Y O cap DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period Oc/ 1,29 / W through / S (' l 13 (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name (Last, Suffix, First, Middle) Street Address & Purpose (add office sought if contribution to a Expenditure (6) Sequence Number City, State, Zip Code candidate) Type Amendment Amount J® 01 2 i (R ������ �.� , 3a -lob 5k�„ti s ° � 1 cin , ►�' "fi ,3 j 0 i1 u.S: Noyes- s� �� Nlc��� 1 6 76 IG% I I i VQ CG -� 3�Z`?S5 a C, Cy4 �S S O a ,1P-eecj 'c DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES