HomeMy WebLinkAbout19M09 (Amendment) CAMPAIGN TREASURER'S REPORT SUMMARY
(1) )Lt=, OFFICE USE ONLY
e
„! City of Miami Gard(.:ns
(2) l ) Reci,,ve': is, t f Office of i'ne city Cleric
Ad ress (number and street) Date: 1Lst
a IA –�! ,
Time:
� ,
City, State, Zo Code
.By:
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: ; r I I C ,J Ci
❑ 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 / / To (� / / l I Report Type:/9M
❑ Original KAmendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ ) �; �; Expenditures $
Loans $ 160 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 publi record (ss. 839.13, F.S.)
certify that I h6ve examined this r rt and it is true, correct, and complet ( O
(Type name) A '(� L-I (Tye name) 0'6 —
❑ Individual(only for IE Treasurer ❑Deputy Treasurer arid' ate ❑Chairperson(onl or PC arl PTY)
orelectioneerin comm.)
X X
Signature Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name laA`I 641 HPAJ6d (2) I.D. Number
(3) Cover Period through _4f /%_Fo / ,; �7 (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
D I 9
PA-f L
a box 6 9.✓`Ijo A x o
AJyJ 2 y
Ni-A 'I I T A_73 A-39
X lDu =o
I I
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
�,�CAMPAI
N RAR RO�RT - ITEIVIIZED EXPENDITURES
(1) Name
(2)I.D. Number
(3)Cover Period through &!!Z/�/ (4) Page of j
(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
LA j4,0 C)4 19x dANIQ/C rl 9
C Nkcx.s G�
�AT�2??G1a Pa � i k GI4,5 /Y X
CH 4/15
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES