DS-DE 12 G3-13 1 E. Urquiza ( 41
CAM AIGN TREASURER'S REPORT SUMMARY
1q. /�6kJi Zc� OFFICE USE ONLY
T
Name 2014 FEB 12 PM 2* 41
At, /J/4 F'I T'Y' (_'L L
Ad ress (number and eet)
st
1 3313F
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
2 Cho�Candidate Office Sought: T
Q�2ttili S5�a��� —
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From d 9 /,,?o 13 To /y / j l ,r2Q _5 Report Type: 6 3— 13
❑ Original mendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $ QQ
Total Monetary $ 1��', :?9,Y-
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ $ , 3/ , 3 4g
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined this report and it is true, correct, and complete:
(Type name) w (Type name)
J J_2�___9
❑ Individual(only for IE [3 Treasurer ❑ Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X Al X 'J • '
Signatureef Signature
DS-DE 12(Rev. 11/13) sf%
�OM EVERSE FOR IN UCTIONS A_�z l
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name &IS4 �� Q J;Z� (2) I.D. Number
(3) Cover Period 3 through Zo / / //3 (4) Page of f"
• (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. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ,3750. aD
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CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
(3) Cover Period / / through / / (4) Page vim, 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.1 Occupation Type Description Amendment Amount
CCU a /,3 6' � 04 1.45
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10 / 0 6, / r �
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DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 00. CD
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