HomeMy WebLinkAbout04: M06-17 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
Name _ _ i(2) A'&ZHo I^UO Pi
Address (number^nd street)^v>mv (y?\n$^,rL 33o^
City, State, Zip Code
O Check here if address has changed
(4) Check appropriate box(es);
OFFICE US
City o; Miijmi Gardcti
(3) ID Number:
Nm*! iCL.>rv ci|i^pi laLC .
E ONLY
s
Received in the Office or the City Clei*
Date;
Timp- nn
fly ^
*1
S^^andidate Office Sought:
D Political Committee (PC)
D Electioneering Communications Org. (ECO) D Check here If PC or ECO has disbanded
□ Party Executive Committee (PTY) □ Check here if PTY has disbanded
□ Independent Expenditure (IE) (also covers an D Check here if no other iE or EC reports will be filed
individual making electioneering communications)
(5) Report IdentifiersCover Period: From CG ' 0{ ! Ob ' 30 / /"7 Report Type: yV)
H^riginal □ Amendment □ Special Election Report
(6) Contributions This Report
Cash & Checks $ .
Loans $
Total Monetary $
5^ OQ
50 i20
In-Kind $
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
._0M
,•43f.
(8) Other Distributions ^$ , .A05 iS
(9) TOTAL Monetary Contributions To Date
$ . , 1005 00
(10) TOTAL Monetary Expenditures To Date
$ . I"?
(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.
(Type name)
□ Inrijvidual (only for IE Cireasurer □ Deputy Treasurer
or ei
(Type name)S
BXandid^
ctio ering
oL'Oijlygl lVX^j)ouoT:^
□ Chairperson (only for PC and PTY)
SiofiatureSignature
DS-DE 12 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
PA 3
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name VYVCXbcggH (« 1.D. Number
(3)Cover Period Q(^ I QL ' Jl '"^''9'' ' 20- ' -LZ W ^'9® —1— —L
(5)
Date
(6)
Sequence
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(7)
Full Name
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(8)
Contributor
Type
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(9)
Contribution
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(10)
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Description
(11)
Amendment
(12)
Amount
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DS-DE 13 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
REPORT - ITEiyilZED EXPENDITURES(1) Name hA<C.^bilUfC€i[ (2) I.D. Number
(3) Cover Period Cp ! j / lU through Cf / 30/ n (4) Page I of f_
(5)
Date
(6)
Sequence
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(7)
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Street Address &
City, State, Zip Code
(8)
Purpose
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contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
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DS-DE 14 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 43'A99