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DS-DE 12 Diffenderfer 2015-M05-1 CAMPAIGN TREASURER'S REPORT SUMMARY (1) ;i 1 jt- vI ir41" OFFICE USE ONLY__._, r--, Name - , (2) a© /c/cc s -t( r E Address(number and street) fL3 / 3°! n o 04A,01A-“,t, iLee&<ii f L SV City, State, Zip Code - r_ (_-_-D — i ❑ Check here if address has changed (3) ID Number: m r...) --t (4) Check appropriate box(es): �; Candidate Office Sought: (' . / ii Ca ,oisSio/.) 4i®v % 1/ �. ❑ 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 / ( / ( .5"-- To 3 / / / /5- Report Type: 00/S-/►/0 S-/ ❑Original Pt ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , 7 , 100 . 0 0 Expenditures $ , .6-, 6-.2°1. 9() Loans $ , , - Transfers to Office Account $ , , . Total Monetary $ , , . Total Monetary $ , S ,6,29. 10 In-Kind $ , , • (8) Other Distributions $ , , . (9) TOTAL Monetary Contribi "ons To Date (10) TOTAL Monetary Expenditures To Date $ , 3&. ,310 . O 0 $ , 101 , 51(61 . a (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,correct,and complete: T e name) ,p (Type name) Sc( yP ) L l�a �1 ❑Indi d al(only for IE Treasurer 0 Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY) or ele'tio,eering comm.) i Si I iii4dfir ,ff I A ' . 1 Pr frAl■ /(lit'f -_ :ture Sig',�ure, DS-n 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS / . ' 7