DS-DE 12 F3-09 SeguiFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORTS X,! ~ ~ ~:.
(1) ~ ~ ~ ~ OFFICE U~{~~ 3~
2009 ~~~ ~ °
Nam'e` ///^/ ~,//' _ L
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Ad ress (numbe and street)
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City, State, Zip Code
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es): ~-
^Candidate (office sought): ~ rD>J,{~ ~'
^ 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 ~ / ~ / ~ To ~ / ~ / ~/ Report Type ~- ~' ~ p
Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(ti) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ ~ Expenditures $ ~~
Loans $ ~ Transfers to Office
Account $
Total Monetary $ Total
Monetary $ £9~
In-Kind $
(8) Other Distributions
(9) TOTAL netary Contributions To Date (10) TOT .Monetary Expenditures To Date
$ 7--3 ~ $ 6~g'
(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 (Ty a name) ~
Individual (only f Tre r ^ Deputy Treasurer Candidate C only for PC, PTY &
electioneering c un.) . ion mg mmun. organization)
X X
Signature Signature
DS-DE 12 (Rev. 08/04)
~~ l ~-
MPAI TREA URER'S REPORT -ITEMIZED EXPENDITURES
(1) Name ~ ~Y
(3) Cover Period ~/~/~~ through ~/~/~
(2) I.D. Number
(4) Page of
(5)
Date (~)
Full Name (8)
Purpose (9) (10) (~~)
(s)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code (add office sought if
contribution to a
candidate)
Expenditure
Type
Amendment
Amount
~~
DS-DE 14 (Rev. 08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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