HomeMy WebLinkAboutGeneral - 20G06 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) J,cjj��71,��t✓ l ✓�!�`�� (�j� OFFICE USE ONLY
Name City of W6 3ardcns
(2) l C.QU� Rec.wec c; a Office of:tie City CI r:
�✓h�3Dalte:
Address (nu ber and street) — 'Ti
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): J—, )
"Candidate Office Sought: ,� J
❑ 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 ()r� / G,5 / /0 To 07 Report Type: C,O 1' 16
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ — , ,( Expenditures $ — 90 . ,("
Loans $ Transfers to
Office Account $
Total Monetary $ _ 1 /00
Total Monetary $
In-Kind $ — , – `
(8) Other Distributions
(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) (Type name) l/a
AI►'t 13u t G
❑Individual(only for IE ❑Treasurer ❑Deputy Treasurer Qq Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X _ X
U'
Signature Signature
AMP)kIG�i T� V/SM'
'S REPORT— ITEMIZED EXPENDITURES
(1)Name CN �� n (�) 11 (( 1 (2) I.D. Number
(3)Cover Period i 19711,9 / throughO7 JI L�(� (4) Page of
(5) (7) ($) �(9) 11 0l (17)
Date Full Name Purpose i
(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
2 r /� X73 �'�L�r� ��/ikWZ)2,
r ZS 2� Aw TNl &d;Car ; oAmA167 No I
a�
G. 19'1wth 1 el 33� , 30
1&�J'IAIW ,,
IIA
AI d y1�R & �L �/J�� /O1� ✓
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES