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DS-DE 12 TR-13 MR Islam off .. C) FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) 1,A 014 ,d4 m 5-:�� I2k1 I Gty L.- IsL*tm OFFICE USE ONLY _ Name (2) - 6,i x(21-P 4 T Z 1>9L%VF_ AL 3 Address (number and street) �A1AMI NEACH , ��- 33141 City, State,Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): E�-Gandidate (office sought): C,pg�M S9 IU D ❑ 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 / oj_ / 13 To _04 �''o / 14 Report Type °�'�_ �3 Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ C7 Expenditures $ 31S, Loans $ ® Transfers to Office Account $ Total Monetary $ p Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ .10419 " g-D (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) MOt-4L �1"f= jZ SL B" (Type ame) M N6tAr J _sLAM ' ❑Individual(only for [:]Treasurer [E'&puty Treasurer Candidate ❑Chairperson(only for PC,PTY& electioneering commun.) electioneering commun.organization) X 41 x Signature Signature DS-DE 12(Rev.08/04) / ' C CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name KQ4+A;t,-4M D I��36i- a a0 L_ fSLA 4 (2) I.D. Number (3) Cover Period through 02./ 03 / 14— (4) Page of a, (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-A0VJ!E � 0 IN N)E / o r�1� DS-DE 13(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: NO C-- OCCUPATION: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: Noc�1 C 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: DATE RECEIVED: DATE RECEIVED: DS-DE 73A(Rev.08/03) 3 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name C) E-tMt�l,�g� I2 (2)I.D. Number (3)Cover Period 2-0 rough 63 / 2 UCH{-- (4) Page of 2 (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 1-ATl N FOOD t-V42jfF--T N(AM I 13EAL14 3314-, G V V r DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES G i w � n wLIS d tia C3 C3 P P ru ru C ru — -0 r ru C3 — ° W C3 o C3 z1 ©0 — L o N o t? o b g W o m W .;:ru gowns .� O w 0 — W co W 3; o m 3; C. �LJ rriD +- i VD CD T� cn r M3\) � Va n