HomeMy WebLinkAbout19M08 t ..�,... r►±.wi� TREASURER'S REPORT SUMMARY ff
OFFICE USE ONLY i
Name ( City of Miami Gardens I
1 (2) 1 z / w ��.1- Receive:, i a he Office of;he City Clerk I
Date:
Auu,coo t,iu,i,Gcr and street) Time: O r1--D
City, State, Zip Code I '
❑ Check here if address has changed (3) ID Number:
1 (4) Check appropriate box(es):
0-daindidate Office Sought: O N L ./
❑ 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 / 0 / L7 To p / j l Report Type: M O�
❑ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $ 0'
Loans $ , , Transfers to
Office Account $
Total Monetary $ >
Total Monetary $
In-Kind $_2
(8) Other Distributions
$ J�
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
n U
$ , —Z 00 $ ,
(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) y a S 4 O O S i 04) (Type name) 1 if 6 d USTD✓A---
❑Individual(only for IE Treasurer ❑Deputy Treasurer 02rcandidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X
I Signature I Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN ' ASURER'S REPORT - ITEMIZE[ )NTRIBUTIONS
(1) Name �� U I C� I� pU -7� A_) (2) I.D. Number
(3) Cover Period through / _ 1 / _LL (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
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES