HomeMy WebLinkAbout11: M01-18 Report{1)
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('_ " CAMPAIGN TREASURER'S REPORT SUMMARY
.::arcJt (?\ G' ~ OFEIC ~SE ONLY
Ja8)_ ~() f'{ /))4 ( PI FEB 0 8 2018
rnr~z;~~m~~~ r7_, 3305S _C,_i..~-ty+-, l.::S-"ta.L.te.:...:, .:....Z.-:ip,_C~o>L..d~e~(;;;t-::;A<~=..;/;-:...-=--___:~---=---c . '{OF M! ~~ G .RD!:NC'@,
0 Check here if address has changed
Check appropriate box(es):
m.ndidate Office Sought:
D Political Committee (PC)
0 Electioneering Communications Org. (ECO)
0 Party Executive Committee (PTY)
D Independent Expenditure (IE) (also covers an
individual making electioneering communications)
(3) 10 Number: ------------------
0 Check here if PC or ECO has disbanded
0 Check here if PTY has disbanded
D Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From QL I Q_f_ I J2. To J)_i I 3/ I / g' Report Type: MD} ,,g
0 Original D Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ . .JO .oo -- ------
Loans $_,_._().of)
Total Monetary $ .1Q .00
In-Kind $ I ----
(9) TOTAL Monetary Con!(ibutlons TR.Oate
$ _,_j_IQlS ._QQ
(7) Expenditures This Report
Monetary
Expenditures
Transfers to
Office Account
Total Monetary
$
$
$
I ------
I > ------
(8) Other Distributions
$ __ I ___ I __
(10) TOTAL Monetary Ex"g"4itures'3o({te
$ I /, D.
( 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 h
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS
(1) Name Shm~ G. M(J)o~ (2) 1.0. Number _____ _
(3) Cover Period _QJ_ 1 0 l I {8 through _(J I 31 I ( 3 (4) Page _j_ of _l_
(5) (7) (8) (9) (10) l (11) (1 2)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Citv, State Zip Code Type Occupation Type Description Amendment Amount
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OS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
c :: CAM~AI_GN 1REASUJ3ER:s, Rt:PORT-ITEMIZED EXPENDITURES
(1) Name ~\ v]C ~It(\ U'v) Cvoc.\.:C.· L-\ (2) 1.0. Number ______ _
(3) Cover Period _Q/_;Qj_,~ through _Qf_(-~f ,_j;J (4) Page / of_.....J/L---
(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
~tse ~·~~ !~lh .
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fo 0~ 2.b~~ J ~~1 -R,~vi. {., rrt'f-e.. ~~l 111-'7 ;:):)-'}-\
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OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES