HomeMy WebLinkAbout20M05 CAMPAIGN TREASURER'S REPORT SUMMARY
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OFFICE USE ONLY
CITY Gi IViib.'lii DalCiLiiS
ame /,,
(2) �i 2 � � v1l / C l "r L&I-rne-e- Date G' in t e Office or tine City Cie k
Address (number and street) 2 / Time. n/1
1I�h'71 �7Y•1►�'!/GhS- r
3305-6 By'
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑/ Candidate Office 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 To l l ��U Report Type: 2C)MOS
[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 $ 11,221z . GU
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ -- - t2 L% $ - -
(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
land it is true, correct, and complete: I /,
A(Type name) Dile, `Jr< < n ( IOt•K (Type name) 6ct'�G T
❑ Individual(only for IE14171---surer ❑Deputy Treasurer ❑ Candidate hairpers (only for PC and PTY)
or electioneering comm.)
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name b611, PLS Na •'//J (2) I.D. Number
(3) Cover Period S / / 0?020through ,S / 3 / / o?O 2 C (4) Page of
k (5) (7) (8) (9) (10) (11) (12) i
Date Full Name
(6) (Last.Suffm Fust.Middle) It
Sequence Street Address& Contributor Contribution InAdnd
Number City.State.Zip Code Type Occupation Type Description t Amount
5 i / i 20 GGC]]- '4"'r-y' ' N1,.,h-,- pu
J��'�/Q M/IJ/'�i7/�/ '� e/ 1 s
3-5--;2-7
� ►J tic, /!'►►^�� — �
34ro z;F [
2 3 3Qsb E
S'Aa,710-P/
Tcnr y
fJ A IL QZ
3 333ZR
I
)�IA4el el
d'�as iv,L✓31�✓ 7-- CAI
i � /'LI�a�►� i � 33iy
l o-9yq �-
S�L/
i a•y,i G�,�Irv, 7-
5 3j�sb I
0
� 33i�9
S l g/ 7 3 /U.c✓ i4 3'j7P,, Ef
V,qf+ ?0 ..Lt 50. lr�
g,xfly �c T CAS
DS-0E 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
(1) Name Acll)ev N ar��,� (2) I.D. Number
(3) Cover Period through 5 / 3 / 702 (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix,Fist,Wiiddle)
Sequence Street Address& Contributor Contribution In-kind
Number City,State,Zip Code Type Occupation T d Amount i
S; a �
V!/awn C�
/ v
J, �FL-33/62 �
All ✓Z,,
o?23Q N cd- i 9y
'Isro. oro
3 20s�6
3G rv.
3
S ! oil !2 aa3�N j,,! lfyw�y
/ r SO,U`v
C) 3
30-5-
S J 2! lZ-� 9a 3r, N pv
Nt r Ot eyi r l�' 1 A' fes.00
2 S30 5A
� �.r T'
R Dc"i l`
�J a2/ J L;z 2-t da30 IV- ..� 1,1y
/ 3 3
i
i
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
IV�PAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
!7
(1) Name �i40",-/�r (2) I.D. Number
(3) Cover Period l�l 2J19 through 5 3 (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
S1-2112 C 400 e eA/7 k '4 . h
CAILI
/Q FYI / its
C2
jY4 0 S N �'`� a� fit• t �A� `.� C' 013
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES