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DS-DE 12 Diffenderfer 2015-M08-1
CAMPAIGN TREASURER'S REPORT SUMMARY (1) ScO Ir 7 /4(f4 6,Q/ - OFFICE USE ONLY.' Name == (2) 2j /done,' kw *e710. `- rn Address(number and street) oo 1 14A;bi.V-c; &aa/51 rL- i'9/S?? _,_ City, State, Zip Code -, =� .. ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): r-T' ,Candidate Office Sought: Ci TY C./�©flii lSf/OA) (',eO o p y ❑ 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 e , / / /S To / 3, / /S Report Type: aoisnod/ ❑Original gi A mendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , 3', 0 5Q 00 Expenditures $ , /0 , /d f. 95 Loans $ , , Transfers to Office Account . $ • Total Monetary $ , 3 , 66-0 . Total Monetary $ , /Q , /,0,15: yS In-Kind $ • (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , Ii , 7L/5' 00 $ , 3 / , /Sl . f'7 (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) ,j O An 1_42e (Type name)Sc0� 4,1,1 h - ❑Individual(only for IE tItTreasurer ❑Deputy Treasurer lk Candidate ❑Chairperson(only for PC and PTY) or electio --rind comm.) / - • / i i r � Sig' . ure it re DS-D 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS /61/'6 /