HomeMy WebLinkAboutGeneral - 20G02 i
V
CAMPAIGN TREASURERS REPORT SUMMARY j
OFFICE USE ONLY
Name City of Miami Gardcns
(2) 3�:§3 'A/6J 247 �i� _ Re c; v r' i; hie Office of the City i
Address (number and street) Date: I
eci>� ' �_ 3 C�S Time
Y e.�
City. State, Zip Code 4
[J Check here if address has changed (3) ID Number (-Z1 3-2l
(4) Check appropriate box(es) ( /
F1 Candidate Office Sought I i
i
❑ 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)
(6) Report Identifiers
Cover Period: From a b 12 a To / 2,6 / �� Report Type0
❑Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ _ L1 49 O V Expenditures $
f
Loans $ _ I ransfers to
Office Account $ Q
Total Monetary $ 5'0 o v
Total Monetary $ Q
In-Kind $ -
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(11) Certification
It is a first degree rnisdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have xamined this report and it is true, correct, and complete.
(
Q-A r. r I _.I(Type name)j�fi`1_11 t(_ 6
Individual(only for IE XTreasureo tq Deputy Treasurer (Candidate ❑Chairperson(only for PC and PTY)
nr ple veering comm)
X- ----------- -- x1� --- �-�- y
Signature Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUC110NS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name � L —s -- - -- (2) I.D. Number gl ; �{
(S)COMlr Period through �t-2 (4) Page k _ of � ?
(5) (7) i8) (9) (10) (11) (12)
Date Full Name
(6) (Last. Suffix, First Middle)
Sequence Street Address& Contributor Contribution In-kind I I
Number City, State,Zip Code Type Occupation Type Description Amwow d Amount
o
i
/ _
T �
i
i
I
f
/ / t
I
l
i
t
I t i
I
I!!
7
1 I �
/ 1
I,
084DE 113(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES