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DS-DE 12 TR-11 Levey
P 3o_a®e2 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY4 i Pi (1) LAURA RIVERO LEVEY CFF1: p J b_ X NLY Name 1012 FES ° I PM 3: 41 (Z) 4777 PINE TREE DR. Address (number and street) Ci C`i` CLE:_N�r%'S OFF ICE MIAMI BEACH, FL 33140 City, State;Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): MAYOR, ❑ 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 lo / 28 / 2011 To o 1 / 30 / 2012 Report Type TR-11 © Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 700 . 61 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ 700 . 61 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 11, 750 . 00 $ 11 , 750 . 00 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 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) LAURA RIVERO LEVEY (Type name) LAURA RIVERO LEVEY ❑Individual(only for ❑Treasurer ❑✓ Deputy Treasurer ✓0 Candidate ❑Chairperson(only for PC,PTY& electioneering co nun.) electioneers commun.organization) X Signature Sign ture DS-DE 12(Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Laura Rivero Levey (2) I.D. Number I (3) Cover Period 10 ., 211 / 2011 through 01 30 2012 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last. Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State,Zip Code candidate) Type Amendment Amount Number Susan Herren Advertisinq MON $340.21 11 09 11 014 Election Department Voters list MON $40 .00 10 26 11 015 ' Sabadell Bank Bank Checks MON $61. 94 12 30 11 016 Levey & Associates Reimbursment MON $258 .46 01 30 12 loan 017 DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ple