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HomeMy WebLinkAbout19M07 t i CAMPAIGN TREASURER'S REPORT SUMMARY G I L[.�� Cityo�Ilbi'Etrit *Wkz6d1,Y Name Rec&�ve, z O of;he City Cleric Date: (2) C9 l SY 4—Fr , _ Time: Adifress (number and street) By: � o���4Q -�•r_.. City, State, Zip Code ❑ Check here if address has changed (3) ID Number. (4) Check appropriate box(es): .Candidate Office Sought. Mt Ah,,.L GAAcky� ❑ Political Committee(PC) ❑Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded [:1 Party Executive Committee(PTY) ❑Check here If PTY has disbanded €` ❑ Independent Expenditure(IE)(also covers an ❑Check here if no other IE or EC reports will be fil-a j individual making electioneering communications) f (6) Report identifiers l CIAA07 Cover Period: From p7 1 C) ( l 9 To 07 / 3 1 p(g Report Type: %Original 0 Amendment ❑Special Election Report (6) Contributions This Report (T) Expenditures This Report Monetary Cash &Checks $ '1900. 190 Expenditures $ �1 Loans $ , [�Vd Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ I l (8) Other Distributions $ I (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 190 $ (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 complete:av (Type name) l�C C �L C�19-G�,� (Type name) j4&rLAnl i`-_ L h.-6t:L LL F9 ©Individual(only for IE XTreasurer ❑Deputy Treasurer candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) Signa Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name`/ �, � ��� LLQ (2) I.D. Number ,215314 (3) Cover Period through 01 q (4) Page of (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 C)7 / 30 LL � l I f / / E I I � I DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES