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HomeMy Public PortalAboutCampaign Treasurer's Report' .L CITY CLERK CAMPAIGN TREASURER'S REPORT (1) D(vcJ& t.'y(Y)es SUMMARY OCT1°=2- `Yit PHI OFFICE USE ONLY Name (2) 520 Soren+ DoLlt s. N.. Address (number and street) 0 aIvd.o ‘ i=Icalucla 5z 'OS City, State, Zip Code ❑ Check here if address has changed (3) (4) Check appropriate box(es): A Candidate Office Sought: CAy 0.oM.mi'sc,coN ID Number: - a Di. r-tteT s ❑ 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 (Si / DI / n To 10 / 00 / `7 Report Type: ..1 — Election Report II Original ❑ Amendment ❑ Special (6) Contributions This Report Cash & Checks $ , • (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , IV . Op Loans $ , , 300 • (0 to $ . Total Monetary $ , , $ . __ _ In -Kind $ • (8) Other Distributions $ • (9) TOTAL Monetary Contributions To Date $ , ,ico. 00 (10) TOTAL Monetary Expenditures To Date $ ,_•goo . (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type narr •CM rri1ayk. uy✓c 2ta h to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) II.) c.1 4 a- fs 0 Candidate 0 Chairperson (only for PC and PTY) Individual (only for IE Treasurer 0 Deputy Treasurer or electioneering comm.) re Signature E 12 (Rev. 11/13)�_� SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name ©pu 8 6:14. J mes (3) Cover Period OCI /01 //1 (2) I.D. Number through 6U / No / 17 (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 (19) In -kind Description (11) Amendment (12) Amount (6) Sequence Number / U g/ d 3_ DitliriQ Irne 2D N-101 DJIMS S Ctwd idaE to SEEP Lo A CAS 500.co uva AVM OI4aNdo GIP EZker-a / / / / / / / / / / DS -DE 13 (Rev. 11/ 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES n CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES j (1) Name IkC,�.d_,IA cJ+4YlEs (2) I.D. Number (3) Cover Period 09 / / /1 through / ( / 17 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure TYPO (10) Amendment (11) Amount (6) Sequence Number W /UM17- aTy DC 0wo do COMM\`OSiDA1La . 5 tbk r aa C A I +'v ItIUD CNC'arl'- amnas 520 Saint EUUt( /,,S PIE (�P1a n�d c Pta 3aiSOS 60 1 / / / / / / / / / / / / / / DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES