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HomeMy WebLinkAbout20M02 CAMPAIGN TREASURER'S REPORT SUMMARY (1) OFFICE USE ONLY am RECEIVED Addre s (n m er d street) 21o ' MAR 1 0 %10,20 MAI ±LCity, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Che' appropriate box(es): Candidate Office Sought: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 Cover Period: From /_U To 2 / 2q l L4-1 /)M ReportType:�A,0Z ❑ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ( �. �� Expenditures $ Q ID 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 $ ,` 5. QQ $ _ :1, 12 qD (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 name) j Lt(1W (Type name) LAMO JO_ �1C�fl Iff Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) XX Sign ure Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name `� (2) I.D. Number (3) Cover Period / / hrough / (4) Page of 21 (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 1 q ani► CA.���- 2� 2_CDE lQl NW 10M C 2� Mom haalp- M,fL 3 N Mkumt �lbl N�rr n fla' n- �i N 22r*4c+T `5 C � 'I yOGin nvtstr I DZ0 N 5 Ft-Wel 2lblot 400 NC 3D4 L-41a- * ►uc3 O 'O Ml ask &L- -33- L31 C.P nn � ff�� (QS-, Man 1�1 V2/ I LOS 1 sw ►DZ Sk Mian ►►>F� 33►8(..0 � DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name wnco :ju)w (2) I.D. Number a 2°20 � n (3) Cover Period / 1 through /� / �J (4) Page 2 of 2 (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 5c►"n PI1 Dir 920 KE wq q C �CX� 1�1lIQM►-Ft- 3�5►3g 2 / rlcio IE wsl mini- I �l / 1 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C P IGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Lna-�� (2) I.D. Number (3) Cover Period s /_�/ through /C� / (4) Page_ of (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 �A I C21 �( - tin ► 1 PCOC� MIL Y 4D 2 $140 5 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES