HomeMy WebLinkAbout20M02 City of Miami Gardens
Recc;ve- in the Office of the City Clerk
Date:
Time: n-r
By«
CAMPAIGN TREASURER'S REPORT SUMMAR
OFFICE USE ONLY
Name t r f!
2id2.r A)CA-) A ? c���—r
Address(number and street)
}^1 1 Cr r41rc.&—A1.S 7-L_ '330S b
City,State,Zip Code
Check here if address has changed (3) ID Number:
Cppropnate box(es).
./
Check
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 covers an ❑Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5)Report Identifiers
ter Period: From To 0 2/ 1y_/ 0 Report Type:,-p r 0 n
3rigmal ❑Amendment ❑Special Election Report
Contributions This Report (7) Expenditures This Report
Monetary
sh&Checks $ Expenditures $ rU
ms '
Transfers to
Office Account $
al Monetary $ —
,�rj/ Total Monetary $
<ind $ !� —
(8) Other Distributions
$
TOTAL Monetary ContributionssoD a (10) TOTAL Monetary Expenditures To Date
$ � '. $ B
(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)n -r -'-j (Type name) m L YL S P 9t)C-2 -
❑indtvim,ai(any for iE ❑Tn�,xer ❑Deputy T— ❑Cand,dale ❑Chairperson(orgy for PC and PTY)
or m h—nng rnmm)
ignaturb Sig ature
AYE 12(Rev 11M3) SEE REVERSE FOR INSTRUCTION;