HomeMy WebLinkAboutGeneral - 20G02 CAMPAIGN TRE AS RER'S REPORT SUMMARY
64 A 'e' '� �� OFFICE USE ONLY
NQne (amity o;Miami,Gardcris
(2) � Rec-wer i;;the Office of the City Clerk
Date:I�c�a�
Address (number a treet) / Time: , 96' Zig
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
.Candidate Office Sought: Mf A ?'iAA4,0tCW:5_
❑ 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 la / " / 4-�� Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Cj O Expenditures $
Loans $ , Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Moneta Expenditures TQ Dclte
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify tha h ve examined this r rt and it is true, correct, and complete:
(Type name) ) (Type name)
PA I
D Individual(only for IE I4 Treasurer ❑Deputy Treasurer didate D Chairperson(only for PC and PTY)
ectioneeri comm.) \
X L
Signature Sign re
DS-DE 12(Rev. 11/13) SEE REVERSE FOR-INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name L4 hL 6kE tYYh (2) I.D. Number
(3) Cover Period through / / Q (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
/jot J46 ,Et/'D'A c4A& 0-
j dAXLEr1 1 D. D
-L�HD. 8z,(
is )
4'0 1'76 Gv YV 17 'r_- fH)DA,6W
-T-EF vo.oa
�3n �
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
T ASURE REPORT - ITEMIZED EXPENDITURES
(1) NameE.CAMPAIG
U (2) I.D. Number
(3) Cover Period 0 /;20 126 throughn,& l "96l,,,9& (4) Page 1 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
C)AlY_5 2c� >rLb6�C j�r�� 6�S t��41G/1t Z—
aayd 14E iz,3s`r d)6,4S-f
D 20 jVyo 11r �� '� �`�° JA
A
111.t'/,�a ► ascw) FL, j'2- H
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES