HomeMy WebLinkAbout19M03 CAMPAIGN TREASURER'S REPORT SUMMARY
ic'I L'+: A,It, OFFICE USE ONLY
Name Baty o�Mit mi Gardcris
(2) C+_ Recz ive-' i-the
Office of;t?e City t;ler.
Address(number and street) Date:
Sime: 0 :Ofd Tyvk _
City, State, Zip Code
Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑'Candidate Office Sought
❑ Political Committee(PC)
❑ Electioneering Communications Org (ECO) ❑Chick here if PC or ECO has disbanded
❑ Party Executive Committee(PTY) ❑Check here if P7-,., has oisbanded
❑ Independent Expenditure(IE)(also covers an ❑Check hi-re if no other IE or EC reports will be filed
indmdual making electioneering communications)
(5) Report Identifiers
Cover Period: From 3 / 1 l � To ( 1 (`ri Report Type:
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ Expenditures $
Loans $ �� ��' Transfers to
Office Account $
Total Monetary $ - --
Total Monetary $ -
In-Kind
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ $
(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 completes
(Type name)�!f%'' 1�f��`t� I� IC(<<'i c�l (Type name) (I►j' c_ vf-r e ��.(k •,`c�� ,T�
❑Individual(only for IE Treasurer ❑Deputy Treasurer 13-Candidate ❑Chairperson(only for PC and PTY)
or electUoneenng comm 1
Au�_i
Signature Signature
DS-DE 12(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name A -�,e- _A ,Cket.�r-IL (2) I.D. Number
(3) Cover Period through 3 _ / j i 0- (4) Page Of L
(5) (7) (8) I 151---- — 110) (11) (12)
Date Full Name
(6) (Last,Suffix, First,Middle)
Sequence Street Address 8 Contnbutor Contribution In-kind
Number City.State,Zip Code Type Occupation _fie LDescri tion Amendmont Amount
T �
X11 ' S
Tc1Y5,n,
m �
C
�Yl I S
Cry, +,
G1 Vol}{f-42 Z-/ !i
L Pt/(d!
/cf ` Cc��lprxrne�
� r 16 / fa LOA
M �
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1)Name � ' - L r (2)I.D. Number --
(3)Cover Period_ _1_I 1`f through _."--, r I (4) Page _ --of
Date Full Name Pulposo
(6) (Last,Suffix,First,Middlo) (add office sought It
Sequence Street Address& contribution to a F�tpTypo o
Number City,State,Zip Code canJidate) TYPO Amendment Amount
04 fy\ IV
,( �/'/'�"I L
tv
tv
i ,t f Co�►� �I,—� � I
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� ( !v
t y z7e )-vf
Two
n� I N
Vv'x•c°'N
1.1 �5
tc !t vv rV w- 5;;7", AV&- � t f
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IMirmi 1r-ke ? FL-
DS-DE
LDS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES