HomeMy WebLinkAbout21M05 cAo•11'A1k..ai1 I(2CASUI:(1:':; i f-('UItT tiUti1hMAI Y
`t' i % t�fetchu cowlY
.\t'. 1V�1; NI ,1 �,...;atvl : k— l4'•It,I 1 ,
•
,‘
•, City of Miami Oardcns
Rec�'ve i.•,the Office o; :ire City Ci
1..4,d r:s(number and stied) % Date:G_ 10 D1._
't, t.\ 1 `- ;+tsi ,. _ , fit- _ Time: S'.i`t (P;M
City, state, .7‘p Code B _^
C i Check bore if addre:s has eta:ngod (3) ID Number.
(4) Chock.1pproprcate tyles) ...//: t
r "-
t,..�t1k�.,C� f r�
N Ca• l date Oftrce Scug4 J`I LQ1 t I (ij1(‘L' -
C Poke. Cor ~.ec(PC)
C E'cc!cnccr,ng C:Wnrrun,Catrons Org (EC01 0 Check harp if PC or ECO has drsb3ndrd
L.Party Execo.,t tie Comm:tee(PTY) [)Chock hero if PTY h,a disbanded
'';findent Expcnc turn(tE)(a:so covers an 0 Chock hare If no other IE or EC reports villi be filed
. 't"'ct:^,g elector e-.ng Corimunic.iUens)
(5) Report Identifiers
Cover Perod: From 9c r 0/ 1 . il1 To 1.f-,, . 13] - / :_,..1"..4/ Report 1ypc ,r f M
P Or y -1: 0 A^ y..,rlt r SF,�c.1I E'ectran Report
(G) Contribution:This Report (7) Exp^.ndltures This Report
Monetary
Checks SExpenditures S • _ • `,r/
,.c:="'s S _ ‘.Ui` • 2C.- Transfers to
Cline Account S
Total Monetary c kL2O QL
— —' Total Monetary S1 3- j
:n-Kind $ '
(8) Other Dintribution^.
S .
1;9TOTAL 1.'onct.:ry Contributions To Date (10) TOTAL I:onetary Expenditures To Dvte
7rj 3.5
1
(11)Certification
It Is a first dcjrco misdemeanor for any poison to falsify a public record(as.439.13, F.S )
t cert.f'that I have exarr,ned tills report and it is true corre,-t,and Comp's:,+
IT ^,:^'w t"1f." �• ( , L
(Tri 1•' `' i hi` / C
t•k:'....!...1'tc '/br i IQ Treas.,00 O Ot7;14 Trsasusr X C.a i* i.> ❑Cnaqaion tont!r tr PC anti PTY
}
w 1
X ^llriL L. r=— X( C\ CI, C c-_ ----- -
7,-...,.. I Signature
C,•e- 12(Rev.11113) SEE REVERSE FCR I4 STRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
„
(1) 11:.:31° S/11/,`"1‘41.` C:nat _ChattAJ (2) La Humb-r
{3)Cover Period 15 , 5 r , (4) Page
(11)
F
c 1
,
tt Iten
Corl,Aaut,s, ConVite.an irt-tyrd
I. .1I1Y1 °esCr°1. 1 Arnc
e.5 14Y,A7,.10 CiAtfri_
•-)
41 k
E wiezt lf• f;.111. 5crufz
tJDMl ( w41il S oytic.
FZ 33/4 9
ii
• -
--1*
. _
DS DC 13(Rev.11(13) SEE REVERSE(OR INSTRUCT1OUS A1.0 COM Vitt lt„
-N, 1.to, _„ 4 .-
CA? PAIGN TREA UI [R'S REPORT— ITEMIZED EXPENDITURES
III�ianYo ��)i!'ML�,1U i..l tZ.'1 �•la1�1 ,.'IL. �:' 11110 Nurntrol __,
(3)C0vcr F`enc>JL `' r 4,71/ 7t through i `) ';/ 4*.c)f (.1)Page._ J of _L
151 �_ 1,1.. 161 (01 1191 (11)
1_ Fill Nutt Purp sdr
(E) (last Si:rot,i nt,tt,(ks) (add office sought it ,
StGuance 1 Strrt1Address i tontnbubanWS
I u'r.bcr i City,SLta,Zip Code Candrla tilt TYP1P Arend r 1 Amount
„Iv 1 I��►i/l S rAels c. r kK 5� / s
` — .`_`� .! I S 5Gl AI. .2 I#1 t L•-:«: v►lc, /37. 3.5 I
1.1,4=..1 (e4•i() . ,5 f-L
r
L_
i ! i
- i ! .
11
1 _
US-0E 14(Hor 11113) :E L 1tLV11-0.£FAR thST1-111C.1"10/4 S AND COCF VALUES
1
1