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HomeMy WebLinkAboutGilliams M9 Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) DIk W �t LA- IL "�� ` OFFICE USE ONLY Name ECEI V6� 2 (.P 2 V:5 t S" Address (number and street) OCT p 8 Z014 -L- SEg Vi SI_t4vj F 3zec S� City of City, State, Zip Code City clerk is astir,; ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): [Candidate �.- /tl n ow e,", Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTI) ❑ 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 I '3 / l `f To 1 / ° / t `� Report Type: [l Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ 7/ Loans $ A61. e Transfers to Office Account $ . Total Monetary $ Total Monetary $ �Zy . -7/ In -Kind $ - (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , —� , 6 ° . ° ° $ (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: bpm/_� llC J 6�1111Z;411�r ©�/�'L�tCTYP e name (Type name ) � YP ) ❑ Individual (only for IE reasurer ❑ Deputy Treasurer ❑ candidate airperson (only for PC and PTY) or electioneering corn X X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS 1 Name '�> 0,W * t L` f (2) I.D. Number (3) Cover Period ( l 3 l 1-f through ? l l / �f (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number r,wY �C too. .� ��"�STI�/ fes. A04 ov z !�'i�1✓ / �D�. I I Ocr a C'tY of �,5 zo stia» doe I I DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name (3) Cover Period �I 3 / through 9 13a l (2) I.D. Number (4) Page of (6) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number ,yam �C i N jf' j 4 9't l% 3 ��� /fir �✓ � ocl Qi C rUf k SbQ��n Oft/�e DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES