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