DS-DE 12 G4-13 R. Herman FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURERS REPORT SUMMARY
(1) ,A P HA E7,1 He:-5 RNAA1 57 2. OFFICE USE ONLY
Name C-,
(2) ® A119 yrI Z_US PR l 1/j�F
Address(number and street) NOV �,: C CD
W 14m! /3�c_#j ��R1A� 33l ® =R
City, State,Zip Code
❑CHECK IF ADDRESS HAS CHANGED (3) ID Number: *,,14 , o
(4) Check appropriate box(es): M .M �
/ /
C
Ln
andidate office sought). O � B�'4 C11
❑ 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 j 0 l 12- l ?,o/3 To 10 l f / Zo/3 Report Type rT
Xoriginal ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(S) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash &Checks $ 0 , 00 Expenditures $ 2 134 , 7�4
Loans $ fJ 0001 00 Transfers to Office
0 ®0
$ � oo
Account $ � , d c
l �6Total Monetary / Total
Monetary $ 7�4
In-Kin d $ _52 , 00
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ r 000. 52 $ 7/ 7 6�. 0,- .5 2-
(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.1 correct, and complete.
(Type name) RA Pd714 j6::L– A/�1�Mil A**'- (Type name) /A PI-111 t', /— #2'_R–HA
[:]individual(only for jffTreasurer []Deputy Treasurer WCandidate ❑Chairperson(only for PC,PTY&
electioneering comnum.) electioneering common.organization)
X )z ^• X • - ^'
Signature Signature
DS-DE 12(Rev.08104)
I o�-3
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name A PHA jrZ- YrR,,A-f A IV`- 5 z 2 I.D. Number ✓Vo�
Fop l Rty®p OF�//A�!/ ��cy ( )
(3)Cover Period l l 2 l 2013 through /0 / 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 Type Occupation Type Description Amendment Amount
M A4 I S AC# BRO Xr
r,L. 33i*O
.�� C- �2 ,
2- 8007
1012-5113 '#"Cl f\ . �57a
3 H/A H1 915,74 C—#
Ft .
Jo 13 0 i 13
/,qo ,40`17i-05 �p� �'� 000,60
/AZ—- 3
DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
2-
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES
��
(1)Name PMAIF-1 — /� �i9 �' (2)I.D.Number sy,4
Fo/z �'1�9 0R 0F A-1/'09/`1f134F=ACly
(3)Cover Period 10 / !2 / 13 through I / 3/ / / (4)Page of
(5) (7) (9) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence Street Address S contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
d l.3 H6 JP sM�� 919PWArz - Pv RL!c-
1 RIA.4q! f346�A-CH F'� 3 31 O
, P�9-r® ��4c�c
10103113 4190 W'4vr-11-vs o�e��� �l 0x0 17q,3
2, B4�f rL 3 3/40
/oh
28 ! q-I90 AA1)771-� RAI VLF' O/ 7V 000,00
3 - H1AA1/ 90-W C 1 FL 33I�-o
DS-0E 14(Rev.00103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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