HomeMy WebLinkAbout19M11 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) r�-
'r ecd L . k-k;UX-je
Rec'�'*I.,.q the ;,.e City e i
NameDate: t o
(2) 2O7 ,-y Ti
.
Address(number and street) By.
kkk4a� 9"",V5.- _,6. _3.3.�� ......................
City, State, Zip Code
r] Check here if address has changed (3) ID Number: 4X21— g-g :2141
(4) Check appropriate box(es):
[(Candidate Office Sought: _�kLal c CLL_
❑Political Committee(PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
F] Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
n Independent Expenditure(IE)(also covers an El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(6) Report Identifiers
Cover Period: From To I I Report Type:
Original ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks V0 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:
(Ty (Type name)
[] Individual(only for IE IgTreasurer [I Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or election eerina comm.),_
X __ ���iY /.......... X
Signature Signature
IDS-DE 12(Rev.I 1113) SEE REVERSE FOR INSTRUCTIONS
t;AWAIUN I KtA,UKtK'S KWIUKI — I I EMV-hU G{INTMOUTIONS
(1) Name NAYAgjiL M L eje (2) I.D. Number 91-21x"521 LI
(3) Cover Period � 1 � / through / � /_a (4) page _� of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffbc,First,Middle)
Sequence Street Address& Contributor Contribution In-kind
Number city,State Mp Code Type Occupation T Amc Amount
ll 7, 11 9.4
F� PAT JoN �3 Fd � 00,do
L
3 4A 'i
1
f
1 !
1 1
7
DS-DE 13(Rev.'11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES