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HomeMy WebLinkAbout20M02 r CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY City of Miami Gardens Nam Recsive7-' r the Office of!,he City rlerk (2) Date; Uio 2 6 Address (numb nd str et) 3Une: 0 3 r1 Bi City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): �� Candidate Office Sought: cj ❑ 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 , ` To p�9 / �, Report Type:& ❑ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary L Cash 8 Checks $ 't-5 ,�T.•, � � Expenditures $ 1 . Loans $� (� Transfers to Office Account $ Total Monetary $ � Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Moneta Contributions To ate (10) TO Monetary Expenditures To Date r (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 comple (Type e) I I S 1 7V�S (Type name) I'I ndividua for Tr rer ❑ Dep ty Treasurer l C didate ❑C irper on my fo PC and PTY) r election n ) X X ign re Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS tMP PNaREASU ER'S REPORT - ITEMIZED EXPENDITURES (1) Name4 (2) I.D. Number (3)Cover Period �o`� through OL9L o2 O (4) Page z 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 reS5 3 0,5c c • . Com„? n CAD �;, �►- Ll © a,'jjeo'u R Q? f�1 S �S W seA- �s&O 4s �,57 Tishl,&, S'� oaf nu%.90 GZ J (� O DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period / / (9'0 through Q / /53 (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 f ic . OD T6, ',,�LL 0 Fz &AD l l rdofsti) L47er 3364 7 / )'��"j �4�5 Q/ � ���� DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES