HomeMy WebLinkAbout20M04 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Uc��� /�/�� ��, OFFICE USE ONLY
Nine City of Miami Gardens
(2) (� J ) � nJ 3) �,� �� Receiver; ',t e Office of the City Cl
Address (number and street) a Date:
;A L(, 6 Time:-
BY!
ime:icy: _
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate 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 Pedod: From / 0/ / ' •(� To / j0 / `? Report Type:mrl��.t7
�3Odginal ❑ Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ % Transfers to
Office Account $ - - -
Total Monetary $ J
Total Monetary $
In-Kind
(8) Other Distributions
$ — —
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expe ditures jo Date
1 �
(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: p
(Type name) (type name) S 4 A 4 40,- CI YV A3 4-LL
❑Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Namey J ,JV'�Ld ( 1�1� - (2) I.D. Number
(3)Cover Period ( l r� through N / (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
�f
Number City,State, ip Code T pe Occupation Type Description Amendmerd Amount
A
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
,4 1
1
1 Name 'S�&y N 1V(1�/ R 4JR j',S REPORT— ITEMIZED EXPENDITURES
O �f � L� (2)I.D. Number
(3)Cover Period�� i (.V through�/ 39 ! (4)Page of I
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(s) (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 OPr� ec rpo i c
9 z1v ,� t n�yJ��
/J CS 330z M87�9)'(L Uhl f a► �J�
1
041ov Z9
1,7460
000 57-4vE su s 2
2
1414 10 14 � 33oi S /tri1E91A
04 6 2g Act L"kA'z SS-rcp'-� a��
s ��jGrJ
� z 2s�U
`ALL- i& C >C C'AMY,476
`t 163 5 AN 2 7.A VL P"D
DS-0E 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �3