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HomeMy Public PortalAboutCampaign Treasurer's Report (7)CAMPAIGN TREASURER'S REPORT (1) G /V F Au SUMMARY :. OFFICE USE ONLY �fn E : — Name (2) _�_CEf` /,302 7 Ili a�Ur, A ess (number an¢ street) 1/rn/o YC JaJ70..) " City, State, Zi6 Code ❑ Check here if address has changed (3) (4) Chec ppropriate box(es): Candidate Office Sought: j/471,/%c1...CL7t°r— ID Number: c --- r ,'Skio/ .5 - 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 (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From // / / / /Gj To // / J jJ 1 4 Report Type: 4%/j Election Report ❑ Original mendment ■ Special (6) Contributions This Report Cash & Checks $ , . 9) (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ Loans $ , , to $ , Total Monetary $ ,,1D • 00 $ . In -Kind $ (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date $ , %Sa. 6O (10) TOTAL Monetary Expenditures To Date $ , ,/2 .3/ (11) Certification It is a first degree misdemeanor for any person I certify that I hay mined this report and it is true, correct, (Type name) One '^' to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) i tBZ( c ;L 4'' ■ Individual (only fo IE asurer ❑ldelputy Treasurer ndidate • Chairperson (only for PC and PTY) or electioneers,: o. m.) i. ature Sig ure DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS ej/ / (2) I.D. Number (3) Cover Period i/ / / / through 1/ /JP / 4 (4) Page / of / (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number //1311/kSi aS/'/ a i'ijei ,� 4sa/c6 C a 7/%L �/ A011 moo, ad 0/ DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES