HomeMy WebLinkAbout20M05 CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name
(2) :•. _ _ ,' __ ti ' City of Miami Gardcns
Address (number and street) Reccve:-:in th,ee Office of he City Clerk
Date: //?-/,0Q
Time: `/ 3-PP-1
City. State Zip Code By: ')-v - —
f... Check here if address has changed (3) ID Number:
(4) t� appropriate boxfesj: _
Candidate Office Sought; . L -L7 �f 5 _
Political Committee(PC) i
0 Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
f. I independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
!firth/Aim! making r,lnctioneering communications)
(5) Report Identifiers
(:over Period; From To i / Report Type: '';. ,j„ ;
1'i Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ • ( Expenditures $ '-,;
L'
Loans $ Transfers to
Office Account $ , , •
Total Monetary $ __ .
Total Monetary $
In-Kind $ , , .
(8) Other Distributions
$ , , .
t -
(9) TOTAL Monetary Contributions To
yDate (10) TOTAL Monetary Expenditures To Date
$ _ ` si.,� $ , i...__i~.. • 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 and it is true. correct, and complete:
(Type name) �- ,_ - 1\'----- (Type name)
'?irldr,r$duai(only for IE Q T r 0 Deputy Treasurer Candidate 0 Chairperson(only for PC and PTY)
r - T `��'n,'
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Srtatiare Signature
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
1
Name
(2) I.D. Number
____ __----- — •,.
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3) Cover Period
. 7
(
through -).-- / ' / ,,,_,C) (4) Page 1 of_ _ ,
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7). (8) (9) (10) (11) ! (12)
(
Date Full Name
kS:
(Last.Suffix. First. Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City. State,Zip Code Type Occupation Type
Description Amendment Amount,
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cA IGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
11) Name 4or/j 7 , ,do 7 (2) I.D. Number
.
(3) Cover Period -- / / ,. through I I _ (4) Page — of _
----
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
---i
(6) (Last, Suffix First Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City State, Zip Code Type I Occupation Type Description Amendment Amount
- -
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OS-DE 13(Rev, 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
/ -�
(1) Name % .9e5,7/ (2) I.D. Number
(3) Cover Period __� / f: ") / 7---) through • .) / / ..--- ) (4) Page of
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City. State, Zip Code Type Occupation _ Ty.e Description Amena , : , Arm,=art
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