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CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �-/h,� j ni,�lcti3y� _ - � '`•9>=>~tc�usE_�?lux�
Name L, +�Cit" C rk
Ad��dress(number and street) J / ��irne.
_-
City, State,Zip Code
❑Check here If address has changed (3) ID Number:
(4) Check appropriate box(es):
["Candidate Office Sought: _
❑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 cover.:an ❑Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From [ / / j-o To / j( / Report Type:
[Original ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash&Checks $_ . SK? t S Expenditures $
Loans $_ . _ JJ
o 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
$ 1 �� $ %� -
y (11)Certification
It is a first degree misdemeanor fog any person to falsify a public record(ss.839.13,F.S.)
I certify that I have examined this report and it :;true,correct,and complete:
(Type name) 1+(1;,e_ (Type name) ✓�7' �/�t��rfc{'rl
❑Individual(only for IE g?'fressurer ❑Deputy Treasurer 0-Ca—ridldate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X
Signature Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
(1) Name ��ry�e �/e� ,� (2) I.D. Number
(3)Cover Period I / 1 / �V through / 51 / N, (4) Page of
t5i (7) (8) (9) (10) (11) (12)
Date Full Name
(8) (Last,Suffix,First,Middle)
Sequence Street Address 6 Contributor Contribution In-kind
Numtse► Ci State D Code T Occu tion T DecalAA-4 as Amount
poon
T
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r
r
I
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�tl.^t.u4�n
T
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1UN/ i�1
0843E 13(Rev.11111113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
( ) Cover Period
3 o through / �/ / as (4) Page �' of
� / ( /
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(8) (Last,Suffix.First,Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City,State,Zip Code Type OccupaUon Type Description Amount
(�od rig t�'Z C
boi,nre K
°I"
r 1
r r
r r
r r
DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES
(1)Name (2)I.D.Number
(3)Cover Period�_/_�/ 0 through t' !�( / �� (4)Page _ If of
(5) (7) (sl (9) (10) (11)
Date Full Name Purpose
(e) (Last,Suffix,Flnt,Mlddlo) (add office sought If
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
to �O
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES