HomeMy WebLinkAboutGeneral - 20G03 CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name City of Miami Gardcns
(2) _ 21 _ _ _.___ _ _--- Recc-ve ii;the Office of.he City C.
AdOress (number and street) Date:
-
City, State, Zip Code
7 Check here it address has changed (3) ID Number:,l-
(4) Check appropriate box(es)� �t _
Wandidate Office Sought ------
❑ Political Committee(PC)
❑Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded
[J 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)
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(5) Report Identifiers
01
Cover Period' From l o Q"7 1 l ! ojy Report Type aQ_
) r'7 - ---
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report `�!!
Monetary i
c'd Expenditures $ S� I
Cash & Checks
Loans _ 9 Transfers to
— Office Account $ Ov
Total Monetary
I otal 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.)
1 rtify that I have examinQci this report and it is true,correct and complete.
` ( \ (Type name
Q indi%ndua (only for IE ❑Treasurer 1 "�iJ ty Treasures ❑Candidate ❑Chairperson(only for PC and PTY)
or e4 eenng comm.)
Signature Signature
DS-OE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT-- ITEMIZED CONTRIBUTIONS
~ ) Name
(i) I.D. Nurr;bar -
(3) Cover Period / Z.. / through 07 / ! _,2_0 (4) Page _ of j—
(7)
{5) (7) {8) (9) (10) (11) (12)
Date Full Name If
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(6) (Lest.Suffix, First,Mildla't
Sequence Street Address& (Contributor ! Contribution i in-kind
Number City,State,Zip Code +Type ' Occupatio_ n T; Type Description Amendment Amount
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DS-DE 13(Rev.111M3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES