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HomeMy WebLinkAbout22G06 CAMPAIGN TREASURER'S REPORT SUMMARY (1) \-1,\S A L 4\\I N, ��' OFFICE USE ONLY City of iviiaml Gardens Name ' 1 G Rec.;�ve• i.1 the Office o: he City Clerc (2) \b �� u) \ I`a 'a2. Address (numb and street) Time: 10 : i./M----- a- PW&L.wtis \L 3-�D9 Byt ' -- l I City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: \p.\N�\ PciA 5 � ❑ 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 091 / }1L / :1,- . To 1 / ,S / 3. Report Type: ;4 . rs.i Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , \COO . co Expenditures $ M • bb Loans $ • 6.. Transfers to Office Account $ . Total Monetary $ , , \2 • a Total Monetary $ . In-Kind $ > (8) Other Distributions $ , • (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , 1W- . L. $ , �,\t . iJl‘ (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) �.\S*���C-.-• ��\i \r") (Type name) �1 J}� 1 i4\ v5 ❑ Individual(only for IE u i reasurer 0 Deputy Treasurer Erfandldate 0 Chairperson(only for PC and PTY) or electioneering comm.) i X - ) ..)AC L O'N.A.4- X . II , \ 04 - Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name ��\ A -- $ \ S (2) I.D. Number (3) Cover Period °9 / 3� / -A-. through n (4) Page of 3 (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 / D•\ /a3. trJw cL • I I I I I I I I I I DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN T EASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name 1 15; L.� c��i L` (2) I.D. Number (3) Cover Period Vi / ' / 7a—through O / k)c / (4) Page 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 /Vj i /1, A i ,\--\ �L rNY`- 6 { l f DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES