HomeMy WebLinkAbout06: M08-17 Report(1)
(2)
Name
CAMPAIGN TREASURER'S REPORT SUMMARY
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ISP.to Ku3 q-i^ fl
OFFICE US
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Address (number and street)
(^cTcririns ^ FU 330S
City, State, Zip Code
O Check here if address has changed
E ONLY
/V.^oi-f
(3) ID Number;
(4) Check appropriate box(es): .
EfCandidate Office Sought:
I I /Dr*\ ^D Political Committee (PC)□ Electioneering Communications Org. (EGO)
□ Party Executive Committee (PTY)
□ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
□ Check here If PC or ECO has disbanded
D Check here if PTY has disbanded
□ Check here if no other IE or EC reports will be filed
(5) Report IdentifiersCover Period: From QS / Q( / To ^ Report Type:
□ Original □ Amendment O Special Election Report
(6) Contributions This Report
Cash & Checks $ t
Loans $ .
Total Monetary $ .
■1005. no
In-Kind $
(7) Expenditures This Report
Monetary
Expenditures $ , ,
Transfers to
Office Account $
Total Monetary $
D DO
2 ■ Ml
(8) Other Distributions
$,^■75" . /'/
(9) TOTAL Monetary Contributions To Date
$ . .loOS- iZQ.
(10) TOTAL Monetary Expenditures TO/Date
$
Expenditures TO/De. . /T
(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 repojl and it is true^ correct, and complete
(Type name)
11 have examined this report and it is true, c C
(only for JE T reasurer □ Deputy T reasurer
.
(Tyge^iame)
□ Chairpersfan (only for PC and PTY)□ in Candidateidual
or el
SignatureSignature
DS-OE 12 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
(1) Name
(3) Cover Period
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(2) I.D. Number
o2i o\i n through 0^ 3i! n (4) Page [< of i_
(5)
Date
(6)
Sequence
Number
J-L
(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
L-L
LJ-
LJ.
L-L
LJ-
U-
DS-DE 14 (Rev. 11/13)SEE REVERSE FOR INSTRUCTiONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED COn i RIBUTIONS
(1) Name SdV^Clv^ F loLvO^ ^AU)oCjOg [\ (2) I.D. Number
(3) Cover Period / Q ( / 1^ through (4) Page of l_
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
]iee
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES