HomeMy WebLinkAbout19M12 CAMPAIGN TREASURER'S REPORT SUMMARY
1 1` City of M' Y%
( ) C� Rec;;!ve . I. te It o City Clerk
ame Date: G 7e O
(2) % F_ 1� �� Time: _ �tv —
Add ess (number street By:
Q VIL VA ,
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): /���
Ealcandidate Office Sought-&4 M,JaUl �ftr(,lY► 15 0,01 1 I
❑ 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 / / i Report Type: I q /M)z
[Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
j� Monetary �-1
Cash & Checks $ ,�U-• D�" Expenditures $ o V
Loans $ _ Transfers to
Q (� Office Account $
�Q
Total Monetary $ D ). b C)
/r�ll Total Monetary $ _ ��, � ,U
In-Kind $ � � � V�=`
(8) Other Distributions
$ ---- --- - LL,
(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 re ort and it is true, correct, and complet
(Ty name) l C� (Type name) J l ( ^ n
Individual(only for IE ❑Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
�4-�-*
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name til �� (2) I.D. Number
(3) Cover Period / / through I Z / �3I / (4) Page _�_ of Z—
(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 T e Description Amendment Amount
55 nus `� S
i 2 , Lr(ea� _ CPPB
2 �Q f
u'd% ChaP�a►� ��n �s
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Nm �_ 331t-QZ
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F-0 eV �I Z34�� S sfir�
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DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
i
(1) Name (2) I.D. Number
(3) Cover Period / / through p� / I / I (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
VDIYnpL-n
a6-cl
N mb. �-L 3311p Z
vkq 1 Z N�
M . 13310
tn
M /rz, ,s
YIr� 1
Pi`s
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES