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DS-DE 12 Q2 4/1 - 6/30(3) DAVID DERMER · FLORIDA DEPARTMENT OF STATE, DIVISION OF FI ECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (2) Candidate, Committee or Party Name 4195 NORTH BAY ROAD I.D. Number MIAMI BEACH FL 33140 Address (number and street) City " [] Check box ff address has changed since last report (4) Check aFpropdate box(es): [] Candidate (office sought): [] Political Committee [] Committee of Continuous Existence ~ Party Executive Committee (5) REPORT IDENTIFIERS Cover Period: From 04/01/03 To 06/30/03 · ~'~ Original · [] Amendment [] Special Elec'don Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $.' 3,050. oo MAYOR OF THE CITY OF MIAMI BEACH State Zip Code [--] Check if PC has DISBANDED [] Check if CCE has DISBANDED Loans $. '":: - Total Monetary $ ;~.o5o.oo ~n-Kind $ TOTAL Monetary Contributions to Date ~ 10',550.00 Report Type: 02 [] Independent Expenditure Report (7) EXPENDITURES THIS REPORT Monetary Expenditures $ -0- Transfers to Office Account $ Total Monetary $ - ~t')- (8) Other D~s~b~ons $ -0- (10) TOTAL Monetary Expenditures to Date $ 542.27! (11) CERTIFiCATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I cer~fy mat I have examined this report and it is true, correct and complete YAFFA DERMER Name of .r3q Treasurer [] Deputy Treasurer )S-DE 2~98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I cer'dfy mat I have examined this report and it is true, correct and complete /~ ~ DAVTn n~r.Fr date [] Chairman (PC/P'~Y on~) Name CAMPAIGN TREASURER'S REPORT- ITEM[ZED CONTRIBUTIONS DAVID DERMER (2) I.D. Number (3) Cover Period 04/_:01 / 03 ~rough 06 / 30 /03 Pa 1 (5) ~) (s) (o) (1o) (11) (12) O~e Fuji Name (6) (Last. SuffiL First, M~dle) Contdb~or .~"quence $~eet Address & Co,~Utbuaofl In~ind Number City, St=te, ~p Code Type Occ~pa~o~ Type Des~-l~[ion Amendment Amoun 0~08/03 C~ony Body Works, Inc. B Body- CHE 500 724 NW 21st Street Work Miami, FL 33127 National Cleaning 0~ 08/03 Systems, Inc. 2 P.O. Box 9562 t B Cleanin~ CHE -- 500 Fort Lauderdale, FL 333]~ Sky IndustrieS,Ter.Inc. B 3leaning CHE 500 0 /08/03 3917 88th 3 Coral Springs, FL 33065 ~ashing gquipmen Armando N. De Leon 04/ 08/03 2690 W 72nd Street Trucking 4 ilHiateah, Florida 33016 I CHE 250 Soil Tech:Distributors 04/ 08/03 Inc. B Soil CHE 250 P.O. Box 110926 5 Hialeah, FL 33011-0926 0~02~3 Monmouth Bonding Agenc 6 One=Newark Center 20th Floor Bonding CHE 500 Newark, NJ 07102 B mester Management, Inc ?roperty 35/06/03 523 Michigan Avenue 7 Miami Beach, FL 33139 B 4anagemeLt CHE 500 James F. Donnelly 05/30/03 915 Washington Avenue 8 Miami Beach, FL 33139 I ~ CHE 50