HomeMy WebLinkAbout20M04 CAMPAIGN TREASURER'S REPORT SUMMARY
(1)\ lzz MAD
.�J OFFICE USE ONLY
Name City o Miami Gardcns
(2) 19 0 y Rect::ve;:i,: hE Offce of i► City Clerk
Address (number d stre t) J,, prne_�
City, State, Zip Code E_
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: (� �f c
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 OZ4 / jDL / AL To 61-( / 36 / 6 Report TypeQ M Q
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ , Transfers to
Office Account $ .
Total Monetary $ , ,
Total Monetary $
In-Kind $ , ✓��
(8) Other Distributions
$
(9) TOTAL Monetary Contributions T�Date (10) TOT L Monetary Ex enditures o [date
(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) V S. j (Type name�e-�Uj
i M
ividu only forJE Trea r Dep Treasurer 1?"6 ' rZlr and PTY)
relectioneeri gcomm.)
\ J
at Signatur
DS-DE 12(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name ► ' (2) I.D. Number
(3) Cover Period l _0/ l e through OLI / �Sy / a (J (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
No Aj"V"'
C -I1 - --
DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
e-AAMP I N TRffSUFR'S R PORT - ITEMIZED EXPENDITURES
(1) Name ) 1 (Y)1PL It (2) I.D. Number
(3) Cover Period / /o'�& through�/3a
_/ , �� (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
0 A�i
1 e 40
DS-DE 14(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES