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DS-DE 12 Diffenderfer 2015-M07-1 CAMPAIGN TREASURER'S REPORT SUMMARY (1) c® g 7)(7-keider /'" OFFICE USE ONLY r-- Name __,f, --vi ;f rn (2) CV Isiance, Aixe -itivi'ic ___Address(number and street) �-: , d c� hcteJ 7L Z$/39 ,_, City, State, Zip Code / �, ''''`r b. El Check here if address has changed (3) ID Number: - •1.:-.;,— ( ..„,) (4) Check appropriate box(es): Candidate Office Sought: L//T" (o,i'ii1(SJ','o A 6,(w/e) V ❑ 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 7 / I / /6 To 7 / 3/ / /3 Report Type:40/5-/1J07, ❑Original IX Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , 4 , q 7s. 00 Expenditures $ , 6_ , 93-01- El Loans $ , Transfers to Office Account $ , Total Monetary $ , '7 , /75--• Qd Total Monetary $ , k ,96- . ee In-Kind $ , , (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , q6 , (05. 00 $ , ..) f , O3 / . ' 0 (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: (Type name) VOA 11 Lae e (Type name) S C 9 a/ b/r 06/ r ❑Individual(only for IE ❑Treasurer ❑Deputy Treasurer `J Candidate ❑Chairperson(only for PC and PTY) or ele eering comm.) (�� X , ' r _ / , / ./ X . � , .✓ Si,. :ture Sig"furl DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS i q a CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name _s7G O DJIt'i dto /i (2) I.D. Number (3) Cover Period 7 / / / /5 through 7 / 3/ / 45 (4) Page of o� (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 3 / Jorge k'I'✓O- X ''.#Ake C ADD 50.0° 1 33,31 Ady -] .e4 yshre C1- J4 c/ 3-00.00 a • eviva.w.t c L 33137 I I c rill j • I I I I DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CY6