HomeMy WebLinkAbout19M07 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) d of C 7e'fyme_ tj'frkervn Te, OFFICE USE ONLY
Name City of Miami GardcrISf pity �I tt
(2) 16�3O WW K� Gill- /VV;-k--AFGWdarls Rec:>:ve�.isle zAddress(number and street) Date: M
Time:
By:
City, State,Zip Code
—
❑Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
uv 6andidate Office Sought: f
❑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 / ( / (`I- To 1 / 3( / ! Report Type:
Original ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash&Checks $ DIY CC Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $
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)Rkr e �t�'�/SO/( (Type name) A-V Lrt
❑Individual(only for IE ®Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
;'V- p
Signature Signature
DS-0E 12(Rev.11H3) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
(1) Name A(h,C VitkPlSOn T,<, (2) I.D.Number
(3)Cover Period through / I / Ct (4) Page of l
(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 ZJp Code Type Occupation Type Description k^OrKA^Wd Amount
Th v
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7 1 1� �14 }c�rydon Gv�l-✓�z R
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DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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1
CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES
(1)Name VitKlexA (2)I.D.Number
(3)Cover Period ( / through 14- (4)Page of t'
(5) (7) (8) (9) (10) 01)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence
Street Address 3 contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
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y
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES j ; ?