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HomeMy WebLinkAbout19M10 CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY Name City oi'Miami Gardcris (2) S� A, 6, Rec,:;ve~:�1,I fi(1)c rr e Cit IerK Date: i is i 4 7 Address(number and street) Ti p '' M, Fc 3 S�S 5 By: 1 City, State,Zip Code ❑Check here It address has changed (3) ID Number. (4) Check appropriate box(es): [Candidate Office Sought: , i, ,zi , (�(�/��rt f C i!Y for Nom•'( �.�� S ❑Political Committee(PC) ❑EleCtioneering Communications Org.(ECO) ❑Check here If PC or ECO has disbanded ❑Party Executive Committee(PTI) ❑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) (S)Report Identifiers Cover Period: From /`0 / / yr- To L / �( / /f Report Type: 12f Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash b Checks $ Expenditures $ _ o Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ q i cc , In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ $ 1Nc > (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) /4!h r e 4/'I'C (Type name) 0�-✓krrc t$'fhdividual(only for IE Wn»runr ❑Deputy Tmm�mww ttandidate ❑Chairperson(only for PC and PTY) or electioneering comm.) i Signature Signature DS-0E 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name ��h�'e /1`iCI�P '`` 7A - (2) I.D. Number 0 (3) Cover Period CP / / /4- through V / s� / l7'- (4) Page of f (5) (7) (8) (9) (10) (11) (12) Date Full Name (s) (Last,Suffix First,Middle) Sequence Street Address& Contributor Contribution In-kind _ Number City,State,Lp Code TyDe Occupation T Description Amer~ Amount I �C.c� R �o-ov T i / r I DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED EXDPrENnDITURES ber mo (1)Ne /{% /�ti k��� rt 7 l� (3)Cover Por{od�l�_I 1 through�� > (4)Pape-r--o/ , Daft m FUN Nems purpose (4) (Last'iufl6`'First,Middle) (MW onke sought controutbn/o as N Expefflft" street Address+ Type AnWWNW K A"'°"'+t Sequence ber City.shl..Zip Code undwaM) �► fo fi ew.a� � IL � � DS-0E 14(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES