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19M08
t CAMPAIGN TREASURER'S REPORT SUMMARY Name RECEIVED (2) 3.M3 SEP 0 9 2019 Ad6ess(number and street) f A too CA&2 epej/ _. 3 0_y City, State, Zip Code Check here if address has changed (3) ID Number: (-2IS_;;Z j q t (4) Check appropriate box(es): i 1 Candidate Ofrice Sought: r d T ❑Political Committee(PC) # ❑Electioneering Communications Org, (ECO) ❑Check here if PC or ECC)has disbanded ❑Party Executive Committee(PTY) ❑Check here if PTY has disbanded Q Independent Expenditure(IE)(also covers an n Check here if no other IS or EC reports will be ff*,,id individual making electioneering communications) (6) Report Identifiers Cover Period: From ! p ! 2p f 0r To O LOY ! v c !.ggL� Report Type: /1,4400 Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks oo Expenditures $ l , f Loans $ Transfers to — Office Account $ QQ Total Monetary $ i Total Monetary $ 'is In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Gate (10) TOTAL Monetary Expenditures To Datz $ Dd $ (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: ,, (Type nems) Le 16 (Type narne)/I�i4r11tgN/EG �9. .1 ©Individual(only for IE XTreasurer ❑Deputy Treasurer KCAndidate ©Chairperson(only for PC and PTY) or electioneering comm.) X Signature Signature DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN T`-kSURER'S REPORT-.ITEMIZED C TRIBUTIONS (1) Name �L • C L!y Je (2) I.D. Number Biz rs3 2i y (3)Cover Period 0 l D ! 1 of through Qe / o!9 (4) Page of - i (S) (7) (10) Dais Full Name i (6) (Last,Suffix,First,Middle) � f Sequenw Street Address Contributor Contribution in-kind t Number City,State Code Type I Occupation Type Description Amandm ,t Amount I ft7s'Atw 59sT W(*� CAS 3�p, f40kf,o(k tla. wopeje Ok< 3 oD /qloy 03 14 v<<y L°AS 3d° � 1 i i i DS43E 13(Rev.11H3) SSE REVERSE FOR INSTRUCTIONS AND CODE VALUES