HomeMy WebLinkAbout15: M01-18 Report.,
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r CAMPAIGN TREASURER'S REPORT SUMMARY ·-(1) ta.fM-g~ IG+to~ OFFICE USE ONLY
Name
#fo I RECEIVED FEB 0 8 2018 tJW (~3 r (2) rfl ~1 .
Address (number and street} I @, FL 331~7 /V1 J A-M I G A-tt-9 <{i-~
City, State, Zip Code I
0 Check here if address has changed (3) 10 Number:
(4) Check appropriate box(es): ~cJ ~V*r ~ ~ndidate Office Sought: 11\/~1 {ilt0cvv5 CA'[j
olitical Committee (PC) f
0 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
0 Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
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{5) Report Identifiers
Report Type: frt oj -/ g Cover Period: From I I 7K' To _( I ) ( I (! ---- ------
0 Original 0Amendment 0 Special Election Report
(6) Contributions This Report {7) Expenditures This Report
$_._!£.~.~ Monetary J .Q!!ItS Cash & Checks Expenditures $ . --
Loans $ ~ Transfers to --------Office Account $~
$ . _&_ . J'D 0 . rfJ --------
Total Monetary
s _ ·-/-.tJ'f K ------
~ Total Monetary
In-Kind $
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--------
(8) Other Olstribu~·
$ --·--·--· --
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Ex~itures To Date
$ -. a:-. __f_55-~ $ _._1_.2!/._0
(11) Certification
tt 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· .:CU+f-c ~ (Type name)~"()\.... ~Yt)~ (Type ~me) ~V'(L..
0 Individual (only for IE 0 Treasurer m&puty Treasurer ijndidate 0 Chairperson (only for PC and PTY) :--0(
X et:---·
Signature (__ :::> Signature ~-
OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
' CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(2} I.D. Number ____ _
(3} Cover Period _(_ I _(_ I __j__f through _/_ I _L/_ I !_K (4} Page -+-of _j_
(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 Type Description Amendment Amount
d.._, h I I ~ A--1 LA-N"; I c g {;y,_j ;k-.u'"' ~~"'~r-J .ll £ r, ~ Cffc I (!00 · {/V },_(_C I
Do( { 0 2..) /.-::..~+#f-. CO-N C i)"'S£
1t .:Z r5 1r1 ..vf)~
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0 ~ l-+-ftl>-33 ~-;i
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OS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
r c: 0CAMP~IGN TRE,A$URER'S REPORT-ITEMIZED EXPENDITURES
! (1) Name .L 1'-~ (J~'Ik l:(i tP n -A-ft;:? (2) 1.0. Number _____ _
(3) Cover Period _l_!_f _I I ~ through _r _,_I}_; I g-(4) Page ( of-~~--
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Expenditure Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
_...,.
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OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES