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HomeMy WebLinkAboutGeneral - 20G05 CAMPAIGN TREASURER'S REPORT SUMMARY (1) - lwnc� joh n:s-co OFFICE USE ONLY City of Miami Gardens Name Recc`ve:• ii' he Office of Lhe uit} .-,ler (2) 2 c�3 _l�► �1 -- - - Date:V-3 _g99_0 Address (number and street) -rime: ! ; Sr. 1p City, State, Zip Code J Check here if address has changed (3) ID Number: (4) Check appropriate box(es): V R Candidate Office Sought: M(aryl lw jc tL Q W"1U 3 ❑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(0(also covers an Check here if no other IE or EC reports will be filed individual making electioneering communications) (S) Report Identifiers Cover Period: From 1 To Q) / aly Ipi� Report Type: 20GE; ❑ Original Lj Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks S �l� l)U Expenditures S (� E Loans Transfers to S Office Account Total Monetan� S Q� - Total Monetary $ Cb . In-Kind S (S) Other Distributions S (9) TOTAL Nlonetar y Contributions d o Date (10) TOTAL Monetary Expenditures To Hate - - - -� CV�6 i -7 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss.339.13, F.S.) I certify that I have examined this report and it is true,correct, and complete: y�p� (Type name)� "1�"j_j_ (Type name) q , h n ' IBJ Irdividual(only for IE EZKreasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X, X Signature Sig ture DS-De 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name � I I -- (2) I.D. Number (3) Cover Period _ / �$ / 20 through (4) Page �_ of I - — (5) T--- (7) (s) (9) (12) Date Full Name Ir (6) (Last,Suffix,First, Middle) Sequence Street Address& Contributor Contribution In-kind Number Cit ,State,Zip Code Type Occupation Type Description Am endment Amount troYY1c' C P6 j I r l I t � I I DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES