HomeMy WebLinkAbout19M11 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) -Ll}rr'+ ;;�D,nc ('v; .,-,;:,.-,1 s OFFICE USE ONLY
Name - Oity of Miami Gardcns
2 Reci,eve--' i,' he Office o"~he City Clerk
�' " �I f t - - Date:
Address(number and street) Time:— 4-
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
ff6andidate 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 I To it / ig Report Type:
[3 Original ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ G t > G Expenditures $
Loans $ _ Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $ !yv
(8) Other Distributions
$ r,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$
rsr
(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) N , i, A rt e,A
Q Individual(only for IE ❑Treasurer ❑Deputy Treasurer EiCand+dale ❑Chairperson(only for PC and PTY)
or electioneering comm)
14
X
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name /h,c ytiv e_ lvf-'Vefs 4 jk— (2) I.D. Number
(3) Cover Period ( ! / 1q- through 1! / 561 / t 'f (4) Page / of
(5) (7) (8) (9) (10) (11) (12)
_ Date Full Name
(6) (Last,Suffix,First,Middle) I
Sequence Street Address& ContributorI Contribution In-kind
Number City,State,Zi Code— T e Occu ation Tyke Description Amendment ' Amount
Ch,.rdsen
� T I
5 0.1 I
n r rtc5
I
I
i
I
51,v+'Flet-
Y
' I I
DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name _t k",,rt I ..,_ -_ —' � (2)I.D. Number
(3)Cover Period i l 1 14 through 1( / ! i 4c (4)Page�_of
(5) (7) (8) (8) (10) (11)
Date Full Name Purpose
--i (Last,Suffix,First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendmont Amount
fla /4 (2w,c
�'� ,k i') W k' d
V
I
I
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES