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DS-DE 12 F1-09 Herman
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMM Y :~- ~ ~~ (1) R A P ~A ~ L ~ ~/~ /V OFFICE USE ONLY PM Z' ~~ Name ~ ZUt19 SEP 18 .; ~ ~ ~~=~ F !l';E ~ ~ //~i9GGT? IrLL.~ f>/~ ~ V~ (~) ~ ~ ~ t` . r ~ ~IT`~ ;;Lt. Address (number and street) ,Mr~4~I1 $~g~ ~y ~31~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: //, ~ . (4) Check appropriate box(es): „ A~ ~ p ©~ ~ ~ A~ l ~C.~ G/t{ Candidate (office sought): ~""~ !`, ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS p Cover Period: From p 7 / (~ ~ l () g To ~9 / ) ~ / ~ 9 Report Type ~ ~ "' ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ Q Monetary Expenditures $ ~ d ©~ 3 ~ ~ • ©© Loans $ ~ ©~ ~ o ~ S • 0 ~ Transfers to Office ~' ~ ' $' ~ ~ ~ ~~ * ~~ Account $ Total Monetary ~ Total p Monetary $ ~ ©~ r 3 ~ J ~ ~ In-Kind $ ~ ~ ~O (8) Other Distributions ^/ o sVG~ $ (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 (ss. 839.13, 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. correct, and complete. ~! R ~ PHA EL- /7"G R/VJ/7 /~ ,tom A~ ~ ~+ `" - ~~ LT ~!~ l! Ig'/V (Type name) (Type name) /~. / ^ Individual (only for Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY 8 electioneering com m un.) electioneering commun. organization) ~y l l / Signature Signature DS-DE 12 (Rev. 08/04) P~ ~ ~- a (1) Name CAMPAIGN, /TREA,iSURERL'SL REPpOR/T~- IITE,MI/ZED CONTRIBUTIONS n ~ c ~ /7 ~/~ / //"f /1~ (2) I.D. Number (3) Cover Period ©7 / C7 ~ / ©~ through ©~ / ~ ~ / ~ .~.~ (4) Page ~ of (5) (~) (8) (9) (~~) (~~) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Cit ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount c~ 09 d 9 RAPI~~~~- ' 1~ . ~, / / FER M~ ~ R Rok~ p - / i p~ L- ,y, A , N, A . ! DOO, ~ i i ~ 19' ©Ni9 u7 ~ AR l h i AM t gFiq c~ . 3 3/~ R.APNA~'y ®~ / f~ / 0~ RoK A ~l9o NA+~'~ucS Riv ~, ~~ iV.A i/~ . ~ ' R Mf} ~ ~ E ~ Rvk~ r 4/9a NAuT/CuS D ~v ~~ K n F N, /~. 5 1 .O L , / / / / _ ~ / ``- / • ~, ~ .~ Q. f __ L ~ ~ LZ.. ~" ~' .,J q "~- ~ _~ ~ ~J / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES N, ,4 0 P~~~aa~~ CAMPAIGN REASUR R'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ 14 p ~~ ~ j-- ~~~ M ~ ~~ (2) I.D. Number !V ` /4 (3) Cover Period d ~ l 0~ / ©.~ through o9 / i~ l ~~ (4) Page j of /r (51 (~) (8) (91 (101 111) Date Full Name Purpose (s) Sequence (Last, Suffix, First, Middle) Street Address & (add office sought if contribution to a Ex enditure P Number City, State, Zip Code candidate) TYPe Amendment Amount f{~2 Mf} R ~ P HA~L ©y ©9 0,9 , uT~LUS pitt v ~/E /p N.A NINE yc 1 go ~i9 NoiVE i ~t l MiAMt ~~AcI~~F~ 33~4v og ~c ~'3 ~ i g© ,yA~~LUs oRi v 9G ~ 3 / /~10i1 ~/~A 99 ©°y ~~c~ ~ 1 . , 2 , ~iA~ i 13 ©~ ~/ c ~ ~ , 3 ~ ~~ r ~ A PIfA~L ff ER MA ~u,~ ~-i I~yia 09 /~ 09 y.~9o NAkr%cu,S' bRiY t=CE ~~ ~1 a~ N~ ~ 36®. ~ J~11~A ~I i ~ Ei9 ~--h` r /~/J /~ D i /^I /l , ~L ©/1 / ©A ~ 1~t7 . / ~ `;- ~,. ~:.~ cL. -~., ~~_. a~ :~~: a,,, ~, ~, N ~-- ~~ DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES v D SAGE ~ d~3