HomeMy WebLinkAboutGeneral - 20G02 I
C
CAMPAIGN TREASURER'S REPORT SUMMARY
[(2)
OFFICE USE ONLY
Name —__ City u-Miami Gar(•—is r Rec-W-' i , e O^ic 1 tie City CIS
( K i c t� �tl'F��" Date:?1�T�
A1ddress
(number and street) Time:
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
C
ElCandidate Office Sought: N�I(�rYl I �C�rC���S C�4� LA
❑ 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 / 201 2L, To Report Type:
❑ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ • _ Transfers to
Office Account $
Total Monetary $ i
Total Monetary
In-Kind —
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(11) Certification
L�rewenn
t is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
t I have examined this report and it is true, correct, and complet�Al�kl
rl��JU 1�S� (Type name)
only for IE [-Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
g comm.)
l
f X
Signature — - --
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
••• r%lury 1 r[CHJiJMEM J mr-rum 1 — I 1 C1V11dLr_U y\JIV 1 r%IUU I Ivn'a
(1) Name
l - - (2) I.D. Number
� (3) Cover Period � `_
j_ 1 / 2C. through ' / 2(� / & (4) Page _� of
h – —Date (7) (8) (9) (10) 111) (12)
Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Amendment Amount
City, State,Zip Code Type Occupation _Type Description
C AS
Z
"z?:u, , Svl 1
�041ala
Lavv�
Lip 1"
( r , 2(c, 20
Z(o Z(_)
L1Ja)A
Ps
Z / 7O Lau-61
MO-�l lar
ZCo / 21
DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
' -, (2) I.D. Number
(3) Cover Period 120 / through / Z(j, / (4) Page of
(5) (7) — --- (8) (9) i (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
__,Number Ci!y, State,Zip Code Type Occupation Type _ Descri tion Amendment Amount
2 7 car
CF�(vas
bav1S
144- 2Z KOL)Wen
/ icu I LA
neS � � �
LAS _ 2s
DS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES