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DS-DE 12 G2-13 MR Islam FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) �U 'htA�P�� i�F �i � OFFICE USE ONLY C) O Name ® a (2) 4C.)04 l P7 iAaJ24T' P P-1 V E f : Address (number and street) City, State, Zip Code 'nK ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: T (4) Check appropriate box(es): (]Candidate (office sought): Lo M M 151 U tv1&rZ 6�'12zo P ❑ 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 eriod: From O / / 2_6 13 To O �� / 1-4- / 20(3 Report Type — 2 �3 Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ A 00c), era Expenditures $ Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ r In-Kind $ � d � • (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (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. ,r- (Type name) (Type,.name) F-1 Individual(only for [—]Treasurer �eputy Treasurer ©Candidate ❑Chairperson(only for PC,PTY& electioneering commun.) �/ , lectioneering commun.organization) ( l X X _ Signature Signature �S�DE 12(Rev.08104) /� 1 D� °U CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name M tIA AMM`'Eib j?_Ae 1 CA L'L_ Tr 411 (2) I.D. Number (3) Cover Period 0� / 6� / ,� through 0 / 2 / 2-o oi (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 -' � P��S1►v 5S Ni L�f GA<,�� ' i A AO :i` 1 DDS, hrRiZi T 2- T1 a W DP.I vt -k. y r. M � ; boo i1� �3 �►�A-P1 r Gn-33141 P-i o CHC)Osk47 CAS 3 r 31�► ��- I��-S`r.S �►M��2Qc3�li:SS,A C. a :CAS, v d stkt3 P-;,A-rA IZ— n u sli nu S 1"i Gaye - IL4-ST, 91. i ��I.1 ov, ® 1 / a� / I 7 0)vs;hj'j's met'3>:y c s S c� P_o7 M OY TA / ok -A t, Moo e-A--5. i �'l�taw• +-L,- 33 i Z / d ROO' M (-A S' b v 040 cizi SP7' T;W, 3 c;tz% VVLC4 ® / e Sr / 1 V_6HVij S-AIMI .1vi3 �fr� ` Yf 9-040 cP4 sp/ lam" - 3 Ivt I c 1^ DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � C CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name M t)j4A-(,4i ED 12--A -1 Q'J L— (2) I.D. Number (3) Cover Period through o" 2 - / i (4) Page ✓"r " of f / Lp (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 1;L-o6ctM 1-\2 MAP, SINESS %140NG�_ 'CAS 1LHA"N GI 1 ��0 '&Cf . ST `A-M i 1'�(-_,464 Pt.331 It 09 / / �, ILA R4 M 12c. U L_ ,TOi'� M vw►= � gym' n M I AW V,F_A i+ .�H na*�a►-��Ui 0 / 6 /9- C-H&-C.►1 - C-4 W_-A04 c � b / i[�- /2c�1 `�� o� �,�iF55 .G t}�G)� G}f� -. � Z� i 2 . i�1 - �•�i A-f,4 16> 4 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 0 I CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3) Cover Period through (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 (A.Vw ( 1.ctc+4i C1'WVhiAm 6 0 I Doa y MOM Rr t N - ' 1.!KA VV\ C M��`1 � 20 - T." PkA"nA"" 1-N c- � l 3i�i O.&- i6--ST. a Mr =w P L- DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name (2)I.D. Number (3)Cover Period_�/ / 3 through —71 (4) Page of (5) (7) (8) (9) (10) (1 ) 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 w vv� e t4� zr 01 L®I r P HOW La &SOt4 Cu �s �, `�{; Maw c�' tA � �l 5 DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES --