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DS-DE 12 F2-09 Herman
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS TREASURER'S REPORT SUMMARY CAMPAIGN p p (1) /~ /d1 P~A E~ ~~/~ /~'~1q ~ OF E E bIVL~Y (2) 4../ ~ d ,N~i 1,.GT~,~I-~.5 DR 1 Yom' ~~~9 OCT - I PM G~ 3 I Address (number and street) ~IT'~' ~-~Lt-isr~~~ ~~~`~ ~~~~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: /{~, ~ . (4) Check appropriate box(es): ~ Candidate (office sought): ~ ~ ~~R. ~F M ~ A /y/ ,~~~ ~!~ ^ 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 Cover Period: From f~,9 / f 2 / p,J To ~9 / 25' l ©9 Report Type ~2 - 49 Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ ~ Monetary /' Expenditures $ ~ C' ~/ 6 (~ C~ 0C7 Loans $ ~ ~ ©/ ~~ j ' d ~ Transfers to Office Account $ //~• /~ . ~ ®~ Z j ~ ' p e T t l M t $ I o a one ary / Total f Q ~ (a C~ . L~ 4 Monetary $ ,5 Q C~ d ~ r . D 4 $ ~ ~ In-Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ Gal 2~- ~, coca $ 6~/ 037.. pc~ (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. ~ (Type name) R ~ P/7~G L ! `~~ , ` " ' ~ (Type name) RA P' `~ ~L ' ` ~` ' ~~ y ^ Individual (only for Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY & electioneering commun.) electioneering commun. organization) X R ~~ ~~~° X ~~ Signature Signature DS-DE 12 (Rev. 08/04) P~~E i ~- 3 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTIl~T~O~~ ~; ~) (1) Name lQ A P~/9 ~~ ~~/~ /mil /q /~ (2) I'~~~g~~~'~ ~~~ ' (3) Cover Period ~~ / / 2- / ~~ through d~ / 2S / L~9' C i(T4'~ ~~' ` ~~~ P ~ o~' (5) (7) (8) (9) (10) (11) (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 ~A~~A~L n9 , ~ ~ , ~~ fF~R ~A ~! I R ~ ~. L a 4 63 ~l~a ~AaTi~.us Rfv i . ,~v. A . .~/. ~, tQ ; p . ~,L %s ~~~ ~Rvk~ a 9~ l~' ~g ~PNA~~-- ~~2~A~ j R . E, or©s Ply' ~ B z ~,,~~~ ~~~~ ~' . ~ . L 1 v a ~ ~~ ~v9 ~~R ~~ ~ R .~. t3uMPER oc~ 3 s S' k ` NSA • X3 ~ c D tflgo ~~9uTl~ ~~~,.~~ ~,~~' R. BRo `N srtc}~~ , G- 33f~o o ~, ~ ~~ ~ ag R,gPt~gE~- y.~~a,~,~~ ~ B '~~ LOA N. A N. ~ !00,06/. F~ L~ a ©~ ~ 23 ~ ~~ FZA P~~9~-~- ©~ ~ Z~f ~ 09 ~~~ A~% ~ ~ R Lam, o ~~go,~,~-~ , , o L /~ , A , ~ n'• ~4. ~o~ pal. 6 ~,L~~ ~~~ ~~~ ~.-. ~ :~. ~ go ~/Aa.Tt [.tc.S' J2[t/ BRU ~.~/9 //, /~ . /~• /~. /C~~ C~ l $, / ~~- / ~ d 1;~-- ~ U D5-DE 73 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~© Pnc~~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name RA Pfi~AEL-- ~E'`ZM~9./ (2) I.D. Number /V~ /~ (3) Cover Period d-9 / ! 2 / ~g through ©9 / ~~/ A-~ (4) Page ~ of (5) h) ($) (9) (~~) (~~) Date Full Name Purpose (s) Sequence (Last, Suffix, First, Middle) Street Address & (add office sought if contribution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount i YE x/90 NAk7'[LU.S DR i3~cl~ ~ ~,,/ .ti~/~, ~ 3I . a ~ Ml AIl! ,3EAC1~~ FL 331 t_a~ •/ RAPtY~9F~ !f ~~.~A~--~ ` p~f i D ©9 IS o9' !~~' 4[ g~ N,~ur~c.u_s 0//~--t .. © $ f j A~~- /VID.~/ .•v,~. [ c ©/ ,v ~ ~ / H h / ~BE~~ ~G 33`4 ~p~ ` P 9-r~ ©y 22 D g v y-t qo ~r.~a?'~tus D2~ . ~ 6' ~~~ /v! a~ ~, . ~®voQ " ©9 23 ©,g y-! j© ~/A~7-i uucs D/~l dam' f ~~C~ ~ D~ iY'~A,, (PP DpPJ, b ~/~ P1~A~~ fy~2 ~`1A~-- ~r4 ! ~ g 2 0,9 i ~s v~ ' ~ , ~ 4-t y ©,rAkr ~,y c~ ~ o~/' ,~,A . ~ v o o t 3. ..~ ~%N~l f3~i4C-~f F~ 331~a C.~o~},.~ t~9P~~9~~- I~FRr~,~ P~ i D ~9 ~ 09 ! f / 9 0 ~r.5~ ~c-1' t-uS ORtV /`7 !' ,~ ~ ! B ~i~}f tj~c ' ~/~j'~C- /~ ~ D // N. A~ . I G' ~ O©0. o DA 3 J a L ~E4,~ ,.~ -- p :~;. ~, f ~~ ~~ _ :~ ua-ue ig ircev. uuiusi SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES a PAGE 3~ 3