HomeMy Public PortalAboutContributions ReturnedCONTRIBUTIONS RETURNED
(Section 106.07(4)(b), F.S.)
(PLEASE TYPE)
OFFICE USE ONLY
This report applies only to contributions received by any candidate, committee, or organization but returned
to the contributor before being deposited in the campaign account.
Candidate Committee or Organization
Full Name:
Full Address:
Full Name and Address of Contributor: Full Name and Address of Contributor:
Amount of Contribution: $ Amount of Contribution: $
Date Received: Date Received:
Date Returned: Date Returned:
Full Name and Address of Contributor: Full Name and Address of Contributor:
Amount of Contribution: $ Amount of Contribution: $
Date Received: Date Received:
Date Returned: Date Returned:
I CERTIFY THAT I HAVE EXAMINED THIS REPORT AND IT IS TRUE, CORRECT AND COMPLETE.
Type or Print Name of Candidate, Treasurer or Chairman
X
Signature
DS-DE 2 (Rev. 07/10)
By City Clerk
Patty (Qualified) Sheehan
1213 Minnesota Street Orlando, FL 32803
Robert Serros
1222 Montcalm St
Orlando, FL 32806
$100.00
10/10/2019
10/10/2019
Anna White
1400 Nebraska St
Orlando, FL 32803
$50.00
10/10/2019
10/10/2019
Martha Morris
647 E Amelia St
Orlando, FL 32803
$250.00
10/10/2019
10/10/2019
Erna Jacobs
1218 Nebraska St
Orlando, FL 32803
$50.00
10/15/2019
10/15/2019
Patty (Qualified) Sheehan
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9469C8A7-F4AB-4121-86F3-D86006A535D0
11/20/19 - 11:19:57
11/20/19 - 11:19:57
CONTRIBUTIONS RETURNED
(Section 106.07(4)(b), F.S.)
(PLEASE TYPE)
OFFICE USE ONLY
This report applies only to contributions received by any candidate, committee, or organization but returned
to the contributor before being deposited in the campaign account.
Candidate Committee or Organization
Full Name:
Full Address:
Full Name and Address of Contributor: Full Name and Address of Contributor:
Amount of Contribution: $ Amount of Contribution: $
Date Received: Date Received:
Date Returned: Date Returned:
Full Name and Address of Contributor: Full Name and Address of Contributor:
Amount of Contribution: $ Amount of Contribution: $
Date Received: Date Received:
Date Returned: Date Returned:
I CERTIFY THAT I HAVE EXAMINED THIS REPORT AND IT IS TRUE, CORRECT AND COMPLETE.
Type or Print Name of Candidate, Treasurer or Chairman
X
Signature
DS-DE 2 (Rev. 07/10)
By City Clerk
Patty (Qualified) Sheehan
1213 Minnesota Street Orlando, FL 32803
James Wolf
611 E Kaley St
Orlando, FL 32806
$100.00
10/6/2019
11/20/2019
Patty (Qualified) Sheehan
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9469C8A7-F4AB-4121-86F3-D86006A535D0
11/20/19 - 11:19:58
11/20/19 - 11:19:58