DS-DE 12 O. SeguiFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
: OFFICE USE ONLY
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Ad5(ress (number and streets
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City, State, Zip Code '~~
CHECK IF ADDRESS HAS CHANGED (3) ID Number: ^- "
(4) Check appropriate box(es): ~
[~} Candidate (office sought)'
^ Political Committee ^ CHECK IF PC HAS DISBANDED
^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED
^ Party Executive Committee
^ Eleotioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period' From p~ l ~ 1 ~ To ~~ l .~? l l~ Report Type l(,=~. ~' `/
Onglnal ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTkr: r ITIONS THIS REPORT (7) EXPENDITURES THIS REPORT
, _ Monetary ,,,e.
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Cash & Checks - ~yj, ~~ Expenditures $ ~~Jr~
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Loans $ /6/
Transfers to Office
Account $
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Total Monetary $ ~ ~ y ~;' C'
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Total
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Monetary $ "
In-Krnd $
(8) Other Distributions
(9) TOTAL M
oneta
ry Contrtbutions To Date (10) TOTAL Monetary Expenditures To Date
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(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (se. 838.13, F.S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete-
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(TYPename)~C-~Jta;~.~~r~ ~~~_c~ r_-, correct, and complete. ,
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Individual (unylw- ~ Ir - Ter eputy Treasurer 7
~Canditlate
Q-C_ rxnn (nny r PC, PTY W
electioneerina.0ornmyrl.) ~ = _
,._ c = : C1eCGunce wmmun. nr~anizai0ri)
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Signatu~e--~""~_- Signature
DS-DE 12 (Rev. 08104)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
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(1) Name r/C.YciGr~iO , '~~G-c~~ (2) LD. Number
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(3) Cover Period ~ I ~ f I c`~ through ~, ! 3 ~~ I c~ `r (4) Page / of
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Date full Name
(6) (Last Suffix, First. Middle)
Sequenre ti}reef A[1dfRSS K C< x,tnbutor ConUibu6on In-kind
Number Ciry, State. Zip Code Type Occupation T Descri lion amenemern Amount
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DS-DE 13 (Rev. OSI03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name ~LflcJi~ ~ -`G -' ~- ~ (2) LD. Number __
(3) Cover Period l~ l ~ 1 ~ through G~ 1 30 / ;~! (4) Page ~_ of f~:~
(5) (7) (8) (O) (10) (11) (12)
Uate Full Name
(5) (Last, Suffix, First. Middle)
Seyuenue SireelFWdreas & '~ ConlnlwUn Cunlnbuuun Ir~kmd
Number . Zi Code ~! T Oocu ation
Ci , Stat T Oescd lion AmenrM»rn Amount
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DS-DE 13 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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~ I AMPAIGN T~2EASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name ~'~?~~~~' ~r!~(~exl - ~?~~y7p-~9 (2) LD. Number
(3) Cover Period ~ 1 ~' i i~ g'h ~'k' i_ ='c ~_r t ~ `y (4) Page UY of i
IS)
Date
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(8)
Sequence
Number p)
Full Name
(Last, Suffix, First, Middio)
Street Address &
City, Stale, Zip Code (s)
Purpose
(add office sought if
contribution t0 a
candidate) 191
Expenditure
TYPe trot
menamBnt (+'~)
mount
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DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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