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HomeMy WebLinkAbout19M07 CAMPAIGN TREASURER'S REPORT SUMMARY (1) �`�� U e� 14 OFFICE USE ONLY Namel City of Miami Gefd@fi§ Rem(2) g tg f V i3O ? C oy 2`�' Uate:vel S e obi �i g��t i I�� Date: Address (number and street) 'lime:-31.,OL noln/nl Cii@ yo-V511 il-L- -- City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: Q n I G_ .� ❑ 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 07 / p t / L To 0 / 3 / / _t? Report Type: Lq rq&c7 ❑ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report "l Monetary Cash & Checks ,/(90. p0 Expenditures $ Loans $ Transfers to Office Account $ O Total Monetary $ Total Monetary $ � In-Kind $ > (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , /off 0 $ , (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) certify that I have examined this report and it is true, correct, and complete: (Type name)O r� �_,PS I�N S T8 A-) (Type name) Q 1100 -roti ❑ Individual(only fot IE Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X X Signatur Sigl4aturd DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (c_s 1-4 bU S l'O (2) I.D. Number (3) Cover Period d 7 / © ( / through / 31 / _L�, (4) Page 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 /'iiy OPt_P-'*fTI SY ?/Z a/ ,v cc) ,a 7 CT tJ� �k +­?t CA&'O&W5 0 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES