TR2 2/6/2002 FLORIDA DEPARTMENT OF STATE, DIVISION Or~LECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
Candidate, Committee or Party Name
Address (number and street)
(2)
I.D. Number
City State Zip Code
I':'l Check box if address has changed since last report
(4) Check appropriate box(es):
R"Committee of Continuous Existence
R Party Executive Committee
Cover Period: From
R Check if PC has DISBANDED
R Check if CCE has DISBANDED
[~'Original
(5) REPORT IDENTIFIERS
o9- o/
~"/~;~' / ~ To ;f,r'- 1'9~/__ ReportType
I"lAmendment
(6) CONTRIBUTIONS THIS PORT
Cash & Checks $__, ,~,___.__
R special Election Report R Independent Expenditure Report
(7) EXPENDITURES THIS REPORT
Loans $ ........ ....
Total Monetary $ .... .
In-kind $ ....
Monetary
Expenditures
Transfers to
Office Account
Total Monetary
(8) Other Distributions $ ,__,
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$ ., ,~/~. ~ 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 c?mplete
Name of ~Treasurer eputy Treasurer
Signat%~'~e" !
DS-DE 12 (7/98)
I certify that I have examined this report and it is
true, correct and complete
Name of f:~ Ca:ndidate Chairman (PC/PTY
Sig ure ' ~9 ~
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
(3) Cover Period
(5)
Date
(6)
Sequence
Number
~ll~ldt
CAMPAIGN TI~.,~SURER'S REPORT - ITEMIZED ~.,~PENDITURES
t l / '?.,/dr through 'Z.- / y / "t._. (4) Page / of
(7) (8) (9)
FuII Name Purposi~''~,~" ,
(Last, Suffix, First, MIddle) (add office sought if
Street Address & contribution to a Expenditure
City, State, Zip Code candidate) Type Amendment
(-i.~)
Amount
/ /
/ /
/ /
/ /
/ /
/ /
[:)S-DE 14 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES