HomeMy WebLinkAboutGeneral - 20G06 ,MPAJCj,N TREASURER'S REPORT SUMMARY
(1) 1 OFFICE USE ONLY
N meCity of Miami Gardcrns
(2) Rec,.ver: 'n t e O�fi of;he ^i clerk
Date: Ove
A dress (number and str t)
Time: —
Cit State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Chec appropriate box(es): ,
rCCanndidate Office Sou ht: (�OU,41Cjtiaj Y_Cj e
-
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbande
❑ 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 �' `7 / �/ To / / / Report Type L
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary J
Cash & Checks $ . "� Expenditures $ ��
Loans $ �+ Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $ Y,
(8) Other Distributions
$ ,
(9) TOTAL Monetary/Contributions To Date (10) TOTAL Monetary Expenditures To Date
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that Iha�ve examined this report and it is true, correct, and complete:
(Type name)IhT/1 l ik$,
ndivi (only IE e ty Treasurer 4te h rperson(only for P and PTY)
r electione i comm.)
y
X
n re Sig Algre
DS-DE 12 (Rev. 11/13) t SEE REVERSE FOR INSTRUCTIONS
`� C PAI REASUR R'S REPORT - ITEMIZED EXPENDITURES
(1) Name 7// (2) I.D. Number
(3) Cover Period / / / �() through /�/ � (4) Page / 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
( � D
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name0/ / (2) I.D. Number
(3) Cover Period N7 1,;9,5 through 0t' /fib (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
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES