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CAMPAIGN TREASURER'S REPORT SUMMARY
(1) S!jAk� ( /' OFFICE USE ONLY
Name City of Miami Gard,7ris
(z) 2l � �` ; �� J �? Rec:,ivet' n,tlie Office o;.he City Cler�
Date: 91D IDO
Address (num r nd strf met) J r Time: 'IS
By:
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
p 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 Period: From / ; ,'� / To "?7 ,;7) Report Type: ��l ►
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary 4
Cash & Checks Expenditures $
Loans $ — — Transfers to _
Office Account $
_._—
Total Monetary $ , _ ,�50• Q�
Total Monetary $ ,
In-Kind $ - � V
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To pate
$ - , iq . $
(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 �i
(Type name) (Type name) S� A NrJo►J l /4 AiO,9 1 L
❑Individual(only for IE ❑Treasurer ❑Deputy Treasurer (X Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X - �LE'�
Signature Signature
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
1) Name " IA'✓r (2) I.D. Number
(3)Cover Period I ' ! W through (l I ! L? (4) Page —I— of
(5) (7) (8) (9) (10) (11) (12)
Date Ful Name
(8) (Last,Suffix,First.h&Wle)
Sequence Street Address& Contributor Contribution in-kind
Number Cit ,State Z Code T Occupation Type Descri bn Amount
"fn-11161 i]�c�&r
07, [� 143 ofill") )':�'L' '50
0 7, 2 5, '�j P-�d'Y- j U)'4"/j�l A/
' '
r ' Al •!L V IC J / � � -Y7
A PP
7 124 , �o CcIi1 rd- ell kO>r 01
14�i NSI 27-oV� — /100 w
D34DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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