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CAMPAIGN TREASURER'S REPORT SUMMARY `}
(1) J LC OFFICE USE ONLY 1
Z Name /,� City of Miami Gardcns
O _eO3 ��__—__.__.___—_ Rec `ve.: i:the Office of the City Clc
Address (number and/street) Date:���
3_,5_055- Time"
City, State, Zip Code
Check here if address has changed (3)
(4) Check appropriate box(es): +—
r I
`Candidate Office Sought:
❑ Political Committee(PC)
L❑ 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 eiectioneering communications)
(6) Report Identifiers l
Cover Period: From / Q I 1?_U To 06 r j 9 ( go Report Type: p G
[❑Original ❑Amendment ❑ Special Election Report {{{l
(6) Contributions This Report (7) Expenditures This Report
Monetary z
Cash &Checks Ov Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $
I
Total Monetary $ (��6 �'/ Q
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ -- 4 ,807 °v $ - - 7 & _
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record(ss.939.13, F.S.)
I certify that I have examined tnks report and it is true,correct,and compiete:
(Type name) QCi , l 11 T e name
[I [i Ck;pul
Individual(only for IE ❑Treasurer y a� '� ❑candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
i
X 1 x�
Signature Signature ---- --- ----
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name � L �yLt (2) I.D. Number 9�'(—z1 5;-32J q
(3) Cover Period through � ; � ! ,,Z,p (4) Page of
t
!6 i7) {$} j {9j (10) (11} (12)
Date Full Name i
(6) (Last,Suffix,First, Diddle) i
Sequence Street Address& Contributor Contribution ( in-kind
Number j City, State,Zt_p A�o�tw
i
DP/ d2:
(96,
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1
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1
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1
DS-DE 13(Rev.111113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES
} rave e A--tL4MI I
(2)I.D. Number --3.wq
(3)Cover Period Q&_!;�L,_20through
(4)Page, of
T)
—Date
Full Narne. Purpose
{Last,Suffix,First,Middle! i (add office sought If
Sequence f Street Address contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amerdmrnt AT punt
C
7.2,5
1 �
06-DE 14(Rev,1 IM 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES