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HomeMy WebLinkAbout22M05 CAMPAIGN TREASURER'S REPORT SUMMARY (1) L\ S a Q.-- \D i\\ 4 OFFICE USE ONLY Name � City of Miami Gard...,;s (2) \ `\\Fu `N ;\A) , AV _3 -- Rec,:ve- is; the Office or ihe City Clerk Date:6://. ______ Address (number and street) C 3 J� �y Time: /(2.' ? �U \+Aw . 1 C� C- \i-� „:v-3 Sy:, City, State, Zip Code ' ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): l El Candidate Office Sought: �--,??C _ ❑ 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 'u / L \ / s,b 3. To ^ ;: / ; \ /lb J"Report Type: 7,1 .rr, , d Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , 1 viAJ. .• i, Expenditures $ ' k)t • b) Loans $ , , r6%6 b() Transfers to Office Account $ Total Monetary $ , ,(,(\ -). b<< Total Monetary $ , In-Kind $ , , ' . • (,)1t) (8) Other Distributions $ 1% . C;` (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date 'LL • LL (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) , C�. --..i),) t\v 1 (Type name) L\ 'j ith% J '/ ft .) t ❑ Individual(only for IE l reasurer El Deputy Treasurer OCandidate ❑Chairperson(only for PC and PTY or electioneering comm.) ) % S . X —.3•i—AIC — (,,.. . a- X JvIet-- C 40, Y<- 'tti-, —I. Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name )14v (2) I.D. Number (3) Cover Period V.? / U / 3-74• through 0-5J / J\ / (4) Page 2 of -� (5) (7) (8) (9) (10) (11) Date Full Name Purpose (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 / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name S �-- AU ., (2) LD. Number (3) Cover Period t%S / C \ / 1.'3. through L,S /3 \ / 3 - (4) Page a of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount I,- Or\\wiwav ;b.\-Ivk. Ar c- 33tik.9 / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES