DS-DE 12 G2-13 S. Berkef
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
l
"'- �eT(G� `OFFIEE�USE-ONLY
ame c`� 2113 O 1 --4 P 4: 58
(2) �(
Address (number and��et)33132
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JAS �.��� ���,(,, f
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es): e L
(office office sought): f� o� / c,a"
� ��
❑ 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 l 1 / To 13 Report Type' �a
9161r`iginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
/- Monetary
Cash & Checks $ Expenditures � � �
$ FV� 3
Loans $ Transfers to Office
Account $
Total Monetary $ Total
Monetary $ C)
In-Kind $
(8) Other Distributions
$ O
(9) TOTAL Monetary Co tributions To ate (10) TOTAL Monetary Expenditures To Date
$ 1511� ff- I (90(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) S J, %., k4— (Type name)
❑Individ only for easurer ❑Deputy Treasurer - ndidate ❑Chairperson(only for PC, PTY&
electioneers co un.) electioneering commun.organization)
X X
Signat Signatur
DS-DE 12(Rev.08104) I Cf
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
1 Name 2 I.D. Number
3 Cover Period / / / ��through / �� /
9 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
OL*I zj A R'l ea4 k�
dc4l cr
396 -71 sf A-���
J44 &L
z � (6 G Jens
A.'r-
3?�3
X13 5•�� (
1
Ll 177 1/3 Am -Frdm
.ass- IV6' 3q 9 t-
113 0,e m �C
6) 0 `�
jllo � � �f�'C-
G
DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
2,, &
PAIGN T AS�RER'S REPORT- ITEMIZED EXPENDITURES
1 Name C - (2)I.D. Number
Cover Period / / ��through / �/ (4) Page of D-
(3) (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
12 A r
6e 0/0 79 61'
/t11`4•m, FL. ;3313Y"5--�qP /.e s
f ,` �� s APP�, �S ��•�/
� Z) /NIxm,( 13 �
/3 0 7 Yr /000
4,114AI i r-L 33/ 3 - G`'
16
erg F e- 3 --7- G'''-f" t47( s`r ,u
61 V� o(- AI dam; Ew.- C e j f r
�3 /�a0 e�d r/,t Cf, D, /360
/1/1 l�iwl �G-�JAL 33 13 5 A4 J,/tJ
�� 6
go
1049 o(V)6 S uf�
AW4-44-1--1 6-A 3-D 34v Aq 0,A./
L?
S19 14 ,r lam
a
DS-DE 14(Rev.08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
I
C PAIGN T SU I�ER'S REPORT— ITEMIZED EXPENDITURES
( ) ( )
1 Name � 2 I.D. Number
(3)Cover Period :21 3through 9 / / (4) Page of y
(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
l6 6e-e—. Al o g, 6 ( I+-.i'
C-.1 r
0 0 /V 3 i& e gptr
Net tkoi--,
(Y YR- -!S� 0, //
Ya d /3 AA LTA)
3 I s-t 1 /�.
s�eL
b I �
AA �S� ���7' /14, 10490
A<N-,Mil—r 3.3 ) 3-:?- zi(011V
AAD ti
9?/3 3/46
DS-0E 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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