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HomeMy WebLinkAbout20M03 CAMPAIGN TREASURER'S REPORT SUMMARY (1) V9A/116 t4f5f4/* )3 OFFICE USE ONLY (2) Na / O W. gig) Cityof / T"�1 7O7y � R Miami Gardcr�s Ad ress (numb rand Street) / ec,;:vec, ir, th- Office of i;`e City Clerk �/ Ft � / 6q Date: _ Co /� 1Cti►�l fu C.�P.l1� Time: ; rj'7y1�- Cit , State, Zip Code BY: __ —.- — ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: ) .5c` 1,...,0 e� 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 ( / (9 / / b To A6 / / / 0 Report Type Q moo ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 Expenditures $ ,'-er• Loans $ ,4f)-- , Transfers to Office Account $ , ,-- f • Total Monetary $ 1.4a• Total Monetary $ 'f;r:, In-Kind $ .4-C • (8) Other Distributions cr., $ , . (9) TOTAL Monetaqi Contributions Tei Date (10) TOTAL Monetary Expenditures T Date _ $ _ [__ , C • .� it $ 1 . '.- (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) k , i � '. '� A ' (Tyse name} ) (J� 4 __ ;mi. 1/�—S I . al(only o IE L7 rer '� r ( Y �� ❑ eputy Treasurer I. Candida • / irperson(only or PC and PTY) u'- ection:;-rin. comm.) J ei _/ /�'� Edi 4 / 1 tt , e . 4 ._ /l��_. r,.�- f�,. �. , • ,iiia, gnat r e ' Ign- re DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CilyIPAAIGN�,T,RE JRER' REPORT- ITEMIZED EXPENDITURES (1) Name ' I) V , (2) I.D. Number (3) Cover Perio _ / J I / © through (23 /� /,9 U (4) Page i 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 CN AA \ Zu � x OV-( virus l -0" / / / / / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Thu (j; S (Y) rk rl (2) I.D. Number U (3) Cover Period ©� / 01 / 0 through 03 / s�) / r9C (4) Page j 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 ► v / / o � TIC. vIT / / I / I I / I I / I I DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES