DS-DE 12 G2-13 E. Urquiza FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUM11 Al RY :.._ . _ .
(1) �Si� /� RG�Ji•Z� OFFICE USE ONLY- l
20130 °4 ��t�'�11: �
Name bc �
1 r r
Ad Tess (number and street)
/1.4 Al,,' ge
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):[Candidate (office sought): �O�/yIiSS�'oa�L R ��oJd°
❑ 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 07 /0/ / 13 To 13 Report Type
[Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
op Monetary
Cash & Checks $ d.,r ®� 00 Expenditures $ ��! Cf/0, dy
Loans $ s, 000,00 Transfers to Office
Account $ 0
Total Monetary $ 33 7S O -OO Total
Monetary $ // /�j o oc)
In-Kind $ G oo. 00
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ��, 00/-. 00 $ i .2G 7.ob
(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) 6d., j ��., �a (Type name) J/zk
❑Ind ividual(only for Treasurer ❑Deputy Treasurer I Candidate ❑Chairperson(only for PC,PTY&
electioneering commun.) electio ering commun.organization)
Signatur4 Signature
DS-DE 12(Rev.08/04)
rk
I
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name ELSA M. URQUI ZA (2) I.D. Number
(3) Cover Period 07 / 01 / 2013 through 09 / °7/ 2013 (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 I Occupation Type Description Amendment Amount
4 7,_� kw_ �fses
Wl�6 jN I
—
�
C/-AL
/2J.
vz,4kjr44,e,7w14 Ale
Nj) aCA, 331//
09 0 3 Dlq✓e � Si
/q A C N
lq6
09 10Y 13 lVellZe le 40/s
/•�• e / C hl� 500 cc�
3339 6 CNc 5
DS-DE 13(Rev. 08/03) SEE REVERSE FO INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name ELSA M. URQUIZA (2) I.D. Number
(3) Cover Period 07 / 01 / 2013 through 09 / 7 / 2013 (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 I Occupation Type Description Amendment Amount
1339
/60.
OS l I 113 ell re
A-1331VI
Off'
�56kofwee
C��
691 'A l "isefe ,6e-,"'/e,;L
I Wj,4 i;, �� �3i�3 14)1 GhIL Cam. u�
3
7a�a s'0 7Y
7a/a
4�1 1644-7)
/YO?(/ CO/G.C. live
01- l it 11 ✓✓1 r� elk. �
DS-DE 13(Rev. 08/03) SEE REVERSE F R INSTRUCTIONS AND CODE VALUES
4 3 If
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name ELSA M. URQUIZA (2) I.D. Number
(3) Cover Period 07 / 01 / 2013 through 09 / �"� / 2013 (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
obi 8.� s f
, , rK
17
//-1/ 331
V
X7754)�� sf
ly,v.
Cpl
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/a ;'� -- 6 3'Aw. C Alc
3
/o5v
O y / (6, 113 /V//
3 C�s�ie4 cHt
713f ('Q111A5 4W-
� � C
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name 1-15."9 (2) I.D. Number
through (4) Page of(3) Cover Period O 7 l O/ // 1/
(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
13
453a
3:319S_ e b1Z, C f 1 Q�•®d
3 3/;)y
07� &)xkr C/V C-
/ /3 g,c Ceeolco
1�(ol IeXi44o;? Awe
P
rzC✓mil 7"7r'=5 Me �
Ate
ec, d' 5-6 60
�o're'<A-cs-
*CY ,per
CSI t 300. 40
0y/ d 5 /
-66 Awe
330 �-
3 1-'133131
DS-DE 13(Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUE
(gyp
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name "L—/5/4 (2) I.D. Number
(3) Cover Period C2'11 0/ l 13 through Q / 6? l /.3 (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 Tvpe I Occupation Type Description Amendment Amount
CH
_07/ /Z;- A/ �1509
33is� 3a-ep_-
07/ /:2- //3 64 sm.` Ss 1'�177S
333 S cJ Ivy
lie
/U/o J 'C1L
p E 300.W
05- / /,3
A744;s G J v
),;Z-60 �
3(
-3 44,X C /Y
�Nk eve t ,
f'/ l/1A"S/Oow 6d1n I e i2
oG
3313 5
I 4'� (eJ
e; 41AA-
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES _
AMPAIGN!1 REASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name 15/3 [//gKy (2) I.D. Number
(3) Cover Period i!� /O / /3 through O� /a`7' / /3 (4) Page / of
(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
Number City,State,Zip Code candidate) Type Amendment Amount
07/0/
�� L vin�n�hiCa odU�v hm�s
64,;. a ?
.07/03//J Dee-
6
zi
4�97103113 Ae C- ro-,7 r-o /A� A,42--
6 poi Z- k) i/3 14,?- des;
,3 �w; )el ?)/ 73 90A) 160
OfIOL-IL13
.-4/ 0--,05acf, P-1 3-3/43 A)
o � -�
l qvk liF-fob,
1'f 6, irl -3 3 -3'5
0-910'q113 06q0()-n1?19 )49�) lo ldl'onr
9/171 1-3
ice
f�
M_/�• `ter �-��� y ��/ ��� .�� 7�o L�
DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I �'�
C.�AMPAIGIV�REASURER'S REPORT- ITEMIZED EXPENDITURES
1 Name ' 156 M• ����� 2 I.D. Number
( ) ( )
(3)Cover Period through Q�I /cl`7` / /.� (4) Page of d
(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
a9 6? 13 -77��
7V If
DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES / /�
CAMPAIGN LOANS REPORT ITEMIZED
Page of
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
•�, /s� Gov� z�
OCCUPATION: C''ri/ OCCUPATION:
AMOUNT OF LOAN: 5 ®CO oa AMOUNT OF LOAN:
DATE RECEIVED: oy bo-tlzoL.3 DATE RECEIVED:
01 1
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
L E RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08/03) /