HomeMy WebLinkAbout02: M08-17 Report(1)
(2)
/ CAMPAIGN TREASURER'S REPORT SUMMARY
Name
sL\ii. MCf
/^ress (number and street)^,
fnlMl TLy. ^30S^
-Cjty,,_State^ip_Code_
OFFICE USE ONLY
received
20)1SEP
BY
nh Ua
O Check here if address has changed
(4) Check appropriate box(es):
"^Candidate Office Sought:
□ Political Committee (PC)
□ Electioneering Communications Org. (ECO)
□ Party Executive Committee (PTY)
□ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
(3) ID Number:
n Check here if PC or ECO has disbanded
□ Check here if PTY has disbanded
□ Check here if no other iE or EC reports wiii be fiied
(5) Report IdentifiersCover Period: From ^ / jfj To I ^f)j^ Report Type:
Original □ Amendment □ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans $
Total Monetary $
In-Kind $
(9) TOTAL Monetary Contribi^ions Jp Date
$
ontributions Tp
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$
(10) TOTAL Monetary Expenditures Xp Date
$
■xpenditures Xp
(11) Certification
it is a first degree misdemeanor for any person to faisify a public record (ss. 839.13, F.S.)
I certify that I have examined this r^prt and it is true, correct, and complete:
(Type name)
□ Individual (only for IE
or election ng com
reasurer □ Deputy Treasurer
Signature
(Type name)
□ Candidate
X
□ Chairperson (only for PC and PTY)
Signature
DS-DE 12 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
(1) Name
URER'S REPORT - ITEMIZED EXPENDITURES
(2) LD. Number
(3) Cover Period lOl through Mj2LM1 (4) Page / of /_
(5)
Date
(6)
■Sequence-
(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)(11)
AmountNumberAmendment
nln'i imt
IL
'p.DPiCAl'aUot M-W 3(9
l^fmr
L-L
LJ^
DS-DE14(Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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