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HomeMy WebLinkAbout19M11 CAMPAIGN TREASURER'S REPORT SUMMARY �)I OFFICE USE ONLY Name (2) �/ /3/ City of Miami Gardcns Receiver: i7 theOffice of�i�e City Clerk Address (number and str et) ..7 Date; twml30�,� / �) � � _ Time: C y, State, Zip Code 1-3y. ❑ Check here if address has changed (3) ID Number: (4) Ch ck appropriate box(es): [Candidate Office Sought: ��f I rt, Aftol ❑ 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 Cov Period: From / f / To � / �0 / a Report Type: Original ❑Amendment ❑ Special Election Report — (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ -- , !f �� Expenditures $ L Loans $ — Transfers to Office Account $ Total Monetary -- - -1 -- Total Monetary $ In-Kind $ — J (8) Other Distributions $ — (9) TOTAL Monetary ContTo Date (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: d//,, // r (Type name) (Type name�,A J11 4 / ,CI L ❑Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(orily for PC and PTY) or electioneering comm.) X X l a Signature Signature CAMPAIGN 1 SURER'S REPORT— ITEMIZED t TRIBUTIONS (1) Name ' (2) I.D. Number (3) Cover Period / �/ / through / 30 / � (4) Page -L of 1 (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 2r)2 i 5 St,,'). �q x,45 n 619 1.42A n��J 2? DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1)Name AMP,V Tff JU ER'S R PORT— ITEMIZED EXPENDITURES �l�//��ff ��11JJ C-/ (2)I.D. Number (3)Cover Period I Q / through l 11 (4)Page of (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 /6,355 A 2 1. 7.QU ANcrNE o� JCA 10( "I Z /'A u Lw S33 �� 1 r4j) JERUlCr �ll lI bl OKKI rE oz fio r eAM 6d n4loo�� LAH�s r'c ��y�,es I�'IrrN 2 2 33 ALM UoK AVLS PA �'d 330 26 orrl L1A�4 LTrun?o 7 6WV4(�,S lym P4,6-d ov �5rj r z-PYz 1 Y c- oxpli/�s -i &06 dc-rl k 6/1 >2 3 LSLA niL z LW &y4l ,Z,� I sro30 f1d 39 PL tit/14m, AP'jkruL , rt ' /* /9 127jYL e74 / AA 1 A I GAR LlvS j FL, l�1JdJ�lt lUr — J�3 SO 3 0 DS-0E 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 �i �v