HomeMy WebLinkAbout07: M09-17 Report(1)
CAMPAIGN TREASURER'S REPORT SUMMARY
"Scind. m t M^rbtor 1 1 OFFICE US
Name
'"> ' ^"-0 PIAddress (number and street)odress (number and street)
(SacHc^, f% 33055
Kj y-v ^ •3 City, State. Zip Code
C Check here If address has changed
(4) Check appropriate boxtes)
E ONLY
RECEIVED
OCT 1 0 2017
BY
(3) ID Number
CJCanoxiate Offtce Sought CHOG Q'^^TLA Cj^UCi Cj\ H"
dl Pokbcal Committee (PC) *□ Elecnoneenng Communications Org (ECO) □ Check here if PC or ECO has disbanded
G Party Executive Committee (PTY) □ Check here if PTY has disbandedO Inoepeodent Expenditure (IE) (also covers an □ Check here if no other IE or EC reports will be filedkxJividual making etecticneenng communications)
(5) Report Identifiers ^werPenod. From / Qf / J-7 To 0^ > 30 I }~J Report Type: nCn" '/
OrgiTa' O Amendment G Special Election Report
Contributions This Report
sr; & Cnecks S
jns
j/ Monetary
ind
$_
$
$
,10^ vV
(7) Expenditures This Report
Monetary
Expenditures
Transfers to
Office Account S
Total Monetary S
■_o qo
.jiqV
(8) Other Distributions
S . ,
m
I
TOTAL Monetary Contributions To Date
s . . IOCS. DO
(10) TOTAL Monetary Expen^^res T^ate
(11) CertificationIt is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
tify that I have examined tnis report and it is true, correct, and complete.iname) 9)Q\nhti^. Mct)oooe,ll I (Type name)fcidoal (ori^or lE O^reasuref □ Deputy Tieasurer "^Candidate
convn)
ture
Q Cbairpeison (only tor PC and PTY)
Signature
:<Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
ssseSaMwe
Scanned by CamScanner
".h
X':l n ' .
m
t. CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES(1) N.m.- - ^ '2) ' D Number
(3) Cover Period d}, 0!, n through (4) Page J ^of L
(8)
Date
(6)
Sequence
Number
J-L
U-
U.
LJ.
LJ^
DS-DE 14 (Rev. 11/13)
(7)
Full Name
(Laet. Suffix. Flret, Middle)
Street Addrete &
City, State, Zip Code
(8)
Purpose
(add office sought If
contribution to a
candidate)
(«)
Expenditure
Type
110)(11)
Amendmentl Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
a-"*
Scanned by CamScanner
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(3)Co..,P„|„,
_____ (2) (,D. Ntimher
30,J2 14) Paga of _[_
(5)(7)
PuH Name (8)Date (6)(10)(11)(12)
o. ' ' I (•■••'• Suffix, Fir»i, Middle)^quenoe Street Addr... «
—- i City. State. Zip Code Contributor Contribution
—Izee
In-kinO
Dofcnptioniy-E5 Occupation Aw^nflnw Amotint
OS-DE 13 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Scanned by CamScanner