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HomeMy WebLinkAboutGeneral - 20G04 CAMPAIGN TREASURER'S REPORT SUMMARY OFF ICE USE ONLY rJ dlTle 12) City of Miami Gardens RecA th Office of the City ClerK Address(number and street) DatTimUa /►'a C4. State 7�p ode2 By. n Chock Dore if addfeee hn ChallgeA (3) ID Number. _ (4) Check appropriate box(es) (Candldatu Office Sought �7 Political Committee (PC) ❑ Electioneering Communications Org (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) ❑ Check here it PTY has disbanded ❑ Independent Expenditure(fE) (also covers an ❑ Check here if no other IE or EC reports will be filed +ndividual making electioneering communlcabons) (5) Report Identifiers Cover Period From ! C) 1 102 D To J1 ! l / ' ,� Report Type ❑Of?gmai ❑ Amendment ❑ Special Election Report FTotalM butions This Report (7) Expenditures This Report Monetary cks $ _ C) �p Expenditures $ `� Transfers o Office Acccunc S ry $ Total Monetary In-Kind $ (8) Other Distributions S (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1 '`I b 4 40 S 11 ?1 0'D (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13. F.S.) I certify that► have examined this report and It is true, correct, and complete (Type name) (Type name) Q Indrvulual(only for IE Treasurer ❑Deputy Treasurer andrdats 13 Chwpwoon to*for PC am PTY? are ect.onee co _J!� _ XI gad, Signature Signature DS-DE 12(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPO"i ITEMIZED CONTRIBUTIONS tt1 Ii1A11ri !�I1 �� 1=I LU Number (3)Cow Period 7-) ION / I`1f'"°"ph i! (1) naqo d - - Dow Fad Nwnp tat Itau,s�ia.rnl ►A�ri,.l G�NNII�►a7d krktw Sw�►woct SAWN 0401 u s Ame lq son Am ovam i I I i f � DS4:3E 13 IRw. 1','13% SEE IIEVEASE FOR INSTRUCIKMA AND COD!VALUES