HomeMy Public PortalAboutCampaign Treasurer's Report (11).___-----/ ,CAMPAIGN TREASURER'S REPORT
(1) o.)) 4'/'e / ' l 7g)
SUMMARY
t
OFFICE USE ONLY
ORL CT,$y
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(2) O. gi0.k,5/5,3
ess (number and street)
;/,972.1/ � 2a7pas �,.x-
State, Zip Code
❑ Check here if address has changed (3)
(4) Chec ppropriate box(es):
I&Candidate Office Sought:
ID Number:
❑ 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 ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From /U / 7 / /7 To /Q / a? / /7 Report Type: am/ .2
❑ Original Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , ,35-a . a D
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , / , 40 . 91
Loans $ , , •
to
$ , , -
Total Monetary $ , , •35•D • a D
$ , / , D3,S •
In -Kind $ , , •
(8)
Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date
$ , 7 , T7' . .s-9.
(10)
TOTAL Monetary Expenditures To Date
$ , G , 17,4 . 417
(11) Certification
It is a first degree misdemeanor for any person
I certify that I h xamined this report and it is true, correct,
name) G��7g� F. I,,
to falsify
and complete:
(Type
a public record (ss. 839.13, F.S.)
name) i'• j yree .1 , rd 1
'/?(Type
• Individual (o for IE 8 Treasurer • Deputy Treasurer
■ Candidate • Chairperson (only for PC and PTY)
or electioneer g omm.)
7
X / 0 /A
i
x / �_( ie .—
Sign re
Signa re
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
:07'ee-/;:'
/4'
(2) I.D. Number
(3) Cover Period /d / 7 / /2 through /e /7 (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
/v /
9 /
/7
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DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
J PAIGGN/TR SU �t'S REPORT - ITEMIZED EXPENDITURES
//� (2) I.D. Number
(3) Cover Period /0 / 7 / / % through /8 / 20 / / 7 (4) Page / of
(5)
Date
(7)
Full Name
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
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/ /
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DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES