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HomeMy WebLinkAbout19M12 AMPAIGN TREASURER'S REPORT SUMMARY (1) `L ( M ��I��/' �j � f, OFF1CIUSE ONLY t p Name / D_�it, 1_ _ 0.10 (2) �� � � N V/ lime: u - p-- Address (nu�er and street) By- --- f� � City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): N (Candidate Office Sought: MAW AW 66CY C'(WI)eK �, T ❑ 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 / Q I l / 9 To / 1 / �j j l Report Type:j9 4 IV/Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 1 1 Expenditures $ � . Loans $ l — Transfers to Office Account $ - — Total Monetary $ — , J �,�� � -�--- --- _---- -_ -- -- Total Monetary $ In-Kind $ (8) Other Distributions $ J _ (9) TOTAL Monetary Contributions To 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. (Type name) I (Typ�n 0JA107V/ rJ q F 611, --- ❑ Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) I � Signature Signature RER' REPORT— ITEMIZED EXPENDITURES�1O Name (2) I.D. Number (3►Cover Period f through 1211 � �/� (4) Page / of (s) (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 lA i /»� c, Y a 6d7�'C, 33 d z.5 r�'✓�R t 11 A/ T Sdb .� ALL 11V OPA,- 'O't i crr�s '0hmmr_ / dD 636'5 PJOY 27,A VE SZr��� 1i/1(lr✓ AA�AV�1 6.04ALhk �c, 3 3 . --t/ 33 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASI :R'S REPORT— ITEMIZED CONTRI TIONS &E qiolv (1) Name t (2) I.D. Number (3) Cover Period 0/Zl ! through JZ / 3( ! (4) Page 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 l Z 2D5/I �JcN 34AV o� AX M M 7 6kkZQ 1S 121 i W Y� / 4180 AJZ .1l0 Z MIAMI rL 33161 �Z , 119 NL1 A40 t li l 3n2 n�.0 S� jo nl.MIAA] G3 AN JAW0, ydLNi 212 es V.MIA Aih eA; � C7 AA IAM I KL 33/4� CICS _ V Jo 2 iZ/ l S , 0 Lr-4 eYV%14%-1 143 A 3/6�au,� Cis � _ 50 RA Lrn &AGN f DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES X1 ��