HomeMy WebLinkAbout20M05 1� J,� CAMPAIGN TREASURER'S REPORT SUMMARY
CO ) I/144 ,4 644 I'i� OFFICE USE ONLY
Name _ I City of Miami Gardcns
(2) ,�20I7 n !V 3iie plye Recbive:: iil t e Office of the City Clerk
;)71ress(nu era d street) 7Date: G 3 , O, up //dA4t �fl�cJ Cdime:
By: ��C , Sta ip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): �� r,
'Candidate Office Sought: ��
❑ Political Committee(PC)
❑ Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded
0 Party Executive Committee(PTY) El 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 05 / 0) / cult/ To 05 / 31 / vat) Report Type: o5
❑ Original ❑Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
,tel Monetary
Cash & Checks $0 uv qq �
, Expenditures $ 9dlt�: a , .
Loans $ , Transfers to
Office Account $ .
Total Monetary MAO , 6) , •
Total Monetary $ AV,iii) .
In-Kind $ , , .
(8) Other Distributions
$ l0 , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ qo 0 , 6b , • $ r?2,49 , •
(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) (Type name)
Individual(only for IE ❑Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
tat i •
X / l l,<< `
maX
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name
44 Aaj-11 r,�/(I (2) I.D. Number
(3) Cover Period CO / U 1 / ‘,10-i; through 3 I SI / /,,WJ (4) Page t of l
(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
������``,,�/�. 1, ,.gyp 1
in44'0 edo wit �kl6ldl4/ ulV l� �' I�� A i'r'G0:oD
ii;41,44;intik ipto:00
M iux, curat
Ft. 3'3oS ra
/ /
•
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name �lf /- �ibi) i, 2 (2) I.D. Number
(3) Cover Period 0 5 / 6 l / £(,through ti'e / 3/ / ciU 2 (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
d 5/moi/ 111° �� fir'
/71NtJv 4 Frdu,1�h1m9� ► Nd,�
11326:6
4�l944 Yf i3Pss & —
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES