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HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE?,NLY Name ECEltr�O (Z) L'S t�t�/ I �„ ►� 5 FED p Address (number and street) Clty of 45at�r trr1ly K 7iztr S City Ce kebC 1,;:. City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): F71Candidate Office Sought SL— S7rw�- ❑ 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) (5) Report Identifiers Cover Period: From l t / / ;f To 12 / 3 / [ °( Report Type: Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $_ 1 1 _ Loans Total Monetary In -Kind $ / (9) TOTAL Monetary Contributions To Date $ (7) Expenditures This Report Monetary Expenditures $ (,24 5' S� Transfers to Office Account $ Total Monetary $ , % 5 • S`1 (8) Other Distributions re?zPAy Lv.iN $ ,z`Eq. '�8 (10) TOTAL Monetary Expenditures To Date $ 1 1 1 - (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 haveexaminedthis report and it is true, correct, and complete: (Type name) �4t�a e. �P��t .✓t. S (Type name)tLti—C� �ptt t v C Q Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) \X 1 %. X t\� Signature ✓ Signature L� DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS LA mol c1�ZS - s��b ✓C t^✓� l v 11 �•ta�t ! k4 >a�e�z5«tar 1 ©Fi�Fo "y 3 ots CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES %rkebdstian (1) Name ( �µ � � � (2) I.D. Number --Zjeol 1Nlt55 �� ST (3) Cover Period d 1 / t / t4 through 12 / 3 (4) Page of 'k - v(5) (5) (T) (a) (9) (10) (11) Date g4uo I Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & I contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount LA mol c1�ZS - s��b ✓C t^✓� l v L --,f, Cc91,M- I 14 V,t-- C lei > l Z Co U ^ 3`.( i DS -DE DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES t3 f1 R ��Eo SFR e� ,cQkebaSL�� CAMPAIGN�TREASURER'S REPORT—ITEMIZED EXPENDITURES (1) Name %YiA l t L I—e� (2) I.D. Number (3) Cover Period t ' / t / (S through '2— / t (4) Page 2 of Z_ (5) (7) (8) (9) (10) (11) Date Full Name Purpose (8) (Last, Suffix, First, Middie) (add office sought if Expenditure P Sequence Street Address & City, State, Zip Code contribution to a candidate) Type Amendment Amount Number -/t9 �� (hut.( C_ L c..c� "-S 1z/3 (�-'-� vS [+.�/-I 5cJ t4 ST I f L- DS -DE DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES t3 f1