HomeMy WebLinkAbout19M09 CAMPAIGN
TREASURER'S
---REPORT SUMMARY
—(1) JHAoJ�; City a'
, ONLY
N7 -� Rec;.; e- i.; jhe ffice of ;.-:e City Clem
(2) 11 i Aj,yi� 3 Date:
Address (numb Time: 0O and street) r, .,
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Ch ck appropriate box(es):
Candidate Office Sought: /���1 UL'
A 19
❑ Political Committee(PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ 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 filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 9 To A I 30 I �% ; Report Type: / 69
400E-
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ �(� ( ( Expenditures $
Loans $ , — Transfers to _
Office Account $ '� J
Total Monetary $ , �Q iU
Total Monetary $
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expendi ures 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 complete: /—
(Type name) (Type name) S jAA e1JAJ0A1
❑ Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
CAMPAIGN TREAS R'S REPORT— ITEMIZED CONTF TIONS
r�lc
(1) Name �/V �� � (2) I.D. Number
(3) Cover Period 09 10/ / through 03 / / (4) Page J 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
7 000-1
3 9V
y� +� I c5 9 -, T
/
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
AM G T7! R _R'S_REPORT- ITEMIZED EXPENDITURES
(1)Name _ �7 �f /i /JL f� (2) I.D. Number
(3)Cover Period/ q�through (? .-/ 30/A (4) Page { _of— I/ _
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
�o �g sfl-/,J/0 7 GAN it S �,4rl)/.4 IV I
J ZOO V✓. 11,Ca/rA Vi- .4jrv,.ZT,-Zyrijrl
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES