HomeMy WebLinkAbout19M09 CAMPAIGN TREASURER'S REPORT SUMMARY
(�,_ D �V `S OFFICE USE ONLY
NameCity o;Mimi Gardcns
q Recr ?ve-, in, t e OfF e of the City Cie
V `
(2) \� D� C ,� ��-� Date: / qlO P/9
,address (number and street) 33 t �C� Time: - I
By:
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
D-15andidate Office Sought:
❑ 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 To _\!�_ / �Z3 / a0Aq Report Type:
�iginal ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , r Expenditures $
Loans $ , Transfers to
Office Account $ ,
Total Monetary $ ,
Total Monetary $ ,
In-Kind $ ,
(8) Other Distributions
(9) TOTAL Monetary Contributions To D (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 complete:
(Type name) S S (Type name)
❑Individual only for IE Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or elecGonee g comm.)
c
X X
Signature Signature
DS-DE 12(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Named �_ ��� (2) I.D. Number
(3) Cover Period V / �� / }`�\ through / �p / �1 �C(4) Page of
(5) m (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 T Description Amendment Amount
ad el
a�� `ao�so w a 16 00,E
i r
DS-DE 13(Rev.11/13 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
"CAMPAIGN ASURER'S REPORT— ITEMIZED EXPENDITURES
(1)Name h1 5' ��� A�j1S (2) I.D. Number
(3)Cover Period /�_/ V, hrough �b (4) Page of
(5) (7) (8) 1, (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
L q4k, -A Proc�VC�10n
p ,
DS-DE 14(Rev.11/13 )
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES