DS-DE 12 G2-13 Preserve MB J. Garcia FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) 'P185�UQ, {MI6�s &AL,,k
(;F'F'( vs '161 loy
Name 2063 OCT -3 PJM 4: 44-7 ft-lk-
Address (number and street) �I� -1-.irf;p `� 0�=i=ICS
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: b S g
(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
Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 7 / / / / 3 To 9 / / 1 3 Report Type a— 13
] Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ Expenditures $ D 6 0
Loans $ Transfers.to Office
Account $
Total Monetary $ 0 Total
Monetary $ D 60 , �9—O
In-Kind $ 19
(8) Other Distributions
(9) TOTAL Monetary.Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ia1 , 35 - 9G $ t
(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) (Type name)
Individual(only for E1,Treasurer ❑Deputy Treasurer ❑Candidate Chairperson(only for PC,PTY&
electioneering commun.) elec' neering commun.organization)
X
Signature Signatur
DS-DE 12(Rev.08/04)
CAMPAMcv^N TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name � I (2) I.D. Number C-j-A)4- '?6-O�I s�
(3)Cover Period through 13 (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First, Middle) (add office sought if
Sequence
Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
r pv►�l M� f�Ss`1U�-� 1J�5. � ���1
`3360
. I,05 a
1 F-L- 313 6 <1
1
DS-DE 14(Rev.08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
f
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
r
(1) Name (, v� q,,�441 (2) I.D. Number
(3) Cover Period / / /3 through / / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
DS-DE 13(Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES