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HomeMy WebLinkAboutGeneral - 20G04 CAMPAIGN TREASURER'S REPORT SUMMARY {1) (,�t? 11- - 6?�_�__ OFFICE USE ONLY Name /} City of Miami Gardcns (2) �� �C�ljJ p� �J�KdL Rec�`ver in th Office of�''e laity rler Adi�ess(number and street) 8 Date: City, State, Zip Code } By L i Q Check here If address has changed (3) ID Number: : _- r (4) Check appropriate box(es): c � ,,/� �andidate Office Sought: f1 � S' Q Political Committee(PC) Q Electioneering Communications Org. (ECO) Q Check here if PC or ECO has disbanded Q Party Executive Committee(PTY) Q Check here If PTY has disbanded Q Independent Expenditure(IE)(also covers an Q Check here if no other IE or EC reports will be flied t individual making electioneering communications) (5) Report Identifiers Cover Period: From pZ / �� 1�j,2p To X27 1 7 1 Zp.2p Report Type: �©1j L � [Original Q Amendment Q Special Election Report j t (8) Contributions This Report (7) Expenditures This Report � Monetary Cash &Checks $ 0 . -- Expenditures $ f Loans $ 0 r Transfers to t Office Account $ I Total Monetary $ 7- Total Monetary $ , In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (14) TOTAL Monetary Expenditures To Date (11)Certification It is a first degree misdemeanor for any person to falsify a public record(ss.838.13,F.S.) I certify that 1 have examined this report and it is true,correct,and complete: CT \ (Type name) ❑ (only for IE ❑Treasurer [] Treasurer C1CarWidaie ❑Chairperson(only for PC and PTY) or eieGtioneting comm.) l I C --- _X Signature i Signature D8ZE 12(Rev.51113) SEE REVERSE FOR INSTRUCTIONS