HomeMy WebLinkAbout09: M11-17 Report(1)
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CAMPAIGN TREASURER'S REPORT SUMMARY
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DEC 11 )!11
By. A ················ . ···········
A_d,Qr~ss (number and street) ,.
VV\\0vvt\ fuy{j~ fL ~~~
City, State, Zip Code
0 Check here if address has changed (3) ID Number: ------------------
Check appropriate box(es): .
ltJ.eandidate Office Sought: Q,(Y\G, 0.-tdz.A Ca....nct_ l Setl-T i
D Political Committee (PC)\
D Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded
0 Party Executive Committee (PTY) 0 Check here if PTY has disbanded
D Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be flied
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From j_J_ I (j_j_ I fl_ To ll_ I j0 I a Report Type: trltJ-ft
0 Original 0 Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks
Loans
Total Monetary
In-Kind
$ ' J -- ------
$_ J _2.rf2Q . 00
$_.~)~60
$ ' J -- ------
(9) TOTAL Monetary Contributions To Date
$ _.~1 oos .JlQ
(7) Expenditures This Report
Monetary
Expenditures
Transfers to
Office Account
Total Monetary
$ '_/,/~1 -~
$_,_,_Q . oo
$-'_l 'Jf!f.fb
(8) Other Distributions 1 ~ f) C 1 1.!
$ -'-'_IC'_./J. _Lr_
(10) TOTAL Monetary Ex~1ndjtpres To Date
$ '_j_ '63'1 . _b_Q
( 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 complet ·
(J_t,~
0 Deputy Treasurer
Signature
DS·DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS
(1) Name ____.~~:1~hd~-~m....._.!...YV\--1-L.....-!CJ)=--::{ o~w:....::._c_l_\ _ {2) 1.0. Number _____ _
(3) Cover Period _jl_ I 0 l I 11 through J.l_ I 30 I l ( (4) Page _QJ_ of _p}_
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Tv tie Description Amendment Amount
(l /Zl I ll ~~~ ~¥ ~20CX).c:f D \~2\.fOI'JC.Olf-l J_ Ll::ctrl VV\~ EX} ,<1 330fr
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OS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
c ~_ CAMPAIGN 1REA~URER'S ~(:PORT -ITEMIZED EXPENDITURES
(1) Name .X \(JC\vt-\ U\f) GVO c-\..."'e v\ _ (2) 1.0. Number _____ _
(3) Cover Period l.1.,_t...QL1-l:l through _jJ_.f..B.Q,_ti (4) Page 0 l of D /
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (last, Suffix, First, Middle) (add office sought if Expenditure Street Address & contribution to a Sequence City, State, Zip Code candidate) Type Amendment Amount Number
D N t-t t: I:o rra.,t-, tfz'J;ilns WelosH-e. . ;ll ;.2q t7 (yrrl l'l-3 · o.s
FU.. ' fof Qtt VY1 ~~
/) 12lfl rt frWA.~lv ~ C/tt{ .2!.~' roY+ ~to%~~ Pf
11 129; lt n,ct'Z eo SA\tlnt RAr:tu/\ l (A{f))t omV lOM.(J: vY\lOJn i to Cam~\811
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OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES