DS-DE 12 G3-13 S. Berke FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) OFFICE USE b Yi
Name 2013 OCT 18 PIM 4: 48
Address (number and street) CITY R t;�`� ����ICE
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CAMPAIGN TREASURER'S REPO -ITEMIZED C-ONTRIBUT#ON-S
1 Name 5461-1x— Jcf ,� - � ✓� 2 I.D. Number
3 Cover Period / 2- / '3 through /o / l 1 / 4 Page I 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 T e Description Amendment Amount
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DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �/
C PAIGN TREAS RER,§ REPORT— ITEMIZED EXPENDITURES
1 Name (2)I.D. Number
(3)Cover Period 2 / 2-0 / 13 through Z0 ./ 1 / ) ? (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(Last, Suffix,First, Middle) (add office sought if
(sl
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
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J113
5�a t,/ d4 i is bw--a 64 vJ c/i d e v. 2,50
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DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
11
Cfi,tMPAIGN T,REAS RED'S REPORT- ITEMIZED EXPENDITURES
(1) Name (2)I.D. Number
(3)Cover Period / 4/ /-3 through l D/ / / (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
ee
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1 4A (uwi,' &4 /-Ft 3313
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DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ,�J
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