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HomeMy Public PortalAboutCampaign Treasurer's Report2: 33 FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY � (1) !-I v1/4A. D e.0 hue Candidate, Committee or Party Name ,. . (3) 5 ??c(-- 3Thc.J= ficgc,t Rd. St ( Intl r( ) P/ .3'/-27/ Address (number and street) City State Zip Code ❑ Check box if address has changed since last report (4) Check appropriate box(es): NCandidate (office sought): Mack 4 (- cTh %Z - Pi N b d Check if PC has DISBANDED Check if CCE has DISBANDED Political Committee Committee of Continuous Existence ❑ Party Executive Committee (5) REPORT IDENTIFIERS Cover Period: From 1 0 /0 1 LOS To, la /3 J / R 3 Report Type f1 Report n Independent Expenditure Report 7 Original Amendment n Special Election (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ • (7) EXPENDITURES THIS REPORT Monetary 8 Expenditures $_, '. 1 Ga Loans $ © , Transfers to Office Account $ , , u )Total Monetary $ , D • C'• Total Monetary $ . In -kind $ (8) Other Distributions $ . (9) TOTAL Monetary Contributions to Date $ , ,1 I,ii_° (10) TOTAL Monetary Expenditures to Da $ ,, (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct and complete T-7- ii -A. D 0 t nUv C I certify that I have examined this report and it is true, correct and complete —re (Li D Li t n`•..i ? Name of IZ Treasurer Deputy Treasurer Name of Candidate � Chairman (PC/PTY X ArWr. c �-LrtnQ Only) X g) X �Af r 0¢ ./"1n -P Signature Signature DS -DE 12 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1)Name ((r De UL' -'Q (3) Cover Period ) O / 4 ( / C33 through (.i / ( / ts--R (4) Page l of (g) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (B) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number II /17/Cli Ki(`r Eris s, O(G-rr AJe. ?cmaioctri6 'VIOL it I2,ga 43 11/vim -e4[CP pQr r s- u'r�dP P✓P- b�io�t FL bin PS) `ors (ko� ��3•qq D_ I 1/)(/6`t SN6er L)OE)/ 'elect-N-4 VCCeer !1 I W.sr L1 -ay cure vf ( a. j FL. ii6e o F"lGeu .2�y� I.2/bL/D3 (cit.( cos , c5( e 9 Fads_ b r I4 n--<6 c .,, F Ph'SD Ies N, al" `54 J3- , / /.. / / / / 1 / DS -DE 14 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS F.v( D -e-1 (3) Cover Period 1 6/ 0 ( / (`y ,.through (a / 3 (/ (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 (77) Amendment (12) Amount (6) Sequence Number !` Ia/I',�7/b3 P ��1 i tv Q / ('h-, ON, ,_5-_,D See ek Art S°F>7/ f l Le, f lj j t d, fP 1 / / / / / / / / / / / / / / DS -DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES