HomeMy WebLinkAbout20M03 City of Miami Gardens
Reciivec' in the Office of the City Cleric
Date: e//o7/ :7P b
CAMPAIGN SUMMARY
/of O? A�
(1)
5 rw LcT�t�oa �-� 3
$
('till@ Ori USE Ota.Y �'� --+
(2/ f N.) Ifr3 SI Icf
Aeras(number and semen
pax Stale.Zip Code
❑Chock ben R Maras bs champ)
(3) tp Nraiwar.
(4) Check appropriate bmr(as)
Mira Ceram OM)ladmdkiele Mau Sought m'�'^" �1'"`�� �.•- S 4> 3
oPry Baratisa ommeneesoos o�(ECM D eneNbraab
ala.aCar (PTY) wiMMediehaeded❑ midrt5�orsPRalio d Tao Ober IE
ilwRdiniSviaseimakigaiadrmrrigmmmu e)
(5)Report I alanata
Cow Peria& From 3 ! 1 1 2� TO 3 , 3, f 20 Report Type:
0Ortind ❑Ams.d eat ❑epaaaBlake p
pal
(s) Contributions This Report (7) ®tp•ubaas This Report
teentry
Cash It Cholas S —, "v ares
Lome $— "-— Transi tc
Office Account $
Taal Monetary $ „11v _ _ — — —
Tate Monetary $ /_2
in Krrd •
$ • - —
(5) Other Distributions
P) TOTAL Monetary To Date (lin TOTAL illorartary Expenditures To Date
kis a Met does ar6daoraeaorfar arts praaq yly&PAS°°mid Ns'SIMS'F.8.)
I certify that(hate a akiad this spot and t i
caorearE
(T s )SFfrt NA .1 ,4-.54K..,
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real S/-j7rWrQ” 1 GctoDA-/t-�
pesiesfarat Saet goAle Paela.eeateyArPGaedrPt(
aaaEu@ler ttrt1) __SWIM. SEE REVERSE FOR RMTRUCTIONE
CAMPAIGN TREAstiRER,.
'REpoirr-ITEMIZED CONTRIBUTIONS
(1)Nam. SH4,....-4•-• -Ittf-,,,ii 14 e,._
(2) ID.Number
(3)Cover Period 7. I I I 2,,
..._i "7 i i 2., (4) Peg. 1 at 1
(5) I 0 Fa Crl •
(1 1)I ( (12) ,
Re Pam Mae rattans'
arirma litatAddrass a 1
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5
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DS.DE 13(Rey.11/13) SEE sEsEssE FOR sIsraucrioNs Am CODE vsLjs. i
a
(1)Name>�..q,CAMPAKiN TRE/Lq �REpoRT_ITEMIZED EXPENDITURES
(3)Cover Period 3 2a /2)1.13.Number_
through 3!Tr i 2,
MI (7)
Full Name 013
RI (10) (11)
Itz Bass Find.
Co k) (add eke walla
Ctry,Sim,AP Cade eat m a ExPandlture
randlddm) TYPO A_�e Ampm1
rini C_C.--,C A'C r
212( IU ) C rr ' m-(
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S�MN 4�
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7 IA-tfrs�c£, F_ 67 63
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ISS.OE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES