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HomeMy Public PortalAboutIndependent Expenditure Report(1) FLORIDA DEPARTMENT OF STATE. DIVISION OF ELE TIO " r 11'H 9' 2 0 CAMPAIGN TREASURER'S REPORT SUMMARY Yr- andidate, Committee or Party Name (3) J3 W ft q __CF-1111j061 AddrearnArt arOreet) City ❑ Check box if address has changed since last report (4) Check appropriate box(es): D Candidate (office sought): El Political Committee ❑ Committee of Continuous Existence El Party Executive Committee Cover Period: From ❑ Original (2) I.D. Number State Zip Code El Check if PC has DISBANDED © Check if CUE has DISBANDED (5) REPORT IDENTTFIERS Li D2- To 2 t CZ. _ Report Type ❑ Amendment ❑ Special Election Report kje independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ Loans To/el Monetary $ In -kind $ (7) EXPENDITURES THIS REPORT Monetary Ex r 1 . �76r1�ltUfBS Transfers to Office Account Total Monetary , t 1 . (02 (8) Other Distributions (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date (11) CERTIFICATION it is a first degree misdemeanor for any person to falsify a public record (55. 839.13. F.S.) I certify that I have examined this report and it is true, 1 certify that I have examined this report and it Is true, correct and complete correct and complete Name of Treasurer ❑ Deputy Treasurer Name tis, Q Candidate ❑ Chairman (PC/PTY Only) Signature Signature DS -DE 12 (9/01) SEE REVERSE FOR INSTRUCTIONS AND C ' E VALUES (1) Name (3) Cover Period 2 1 l )1 through (Si Date (6) Sequence Number (7 Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code I 1��ffC}AMPAI TR SURER' REPORT — ITEMIZED EXPENDITURES 40WW7 (2) I.Q. NLimber. (4) Page of Purpose (add office sought if contribution to a candidate) oc P6Ivr go' VIU4 OW UD owe (9) Expenditure Type (10) Amendment Amount I I I EFS-IDE l4 (N9tE) SEE REVERSE FOR INS RUCTrONS ANLJ WIJ J VALUES