DS-DE 12 Q2 4/1 - 6/30/3(4) l~½--- (~<,?,~_¢~ (2) __
Candidate. Committee or Party Name
Address (number and street) City State Zip Code
'"']Check box if address has changed since last report
(4) Check appropriate box(es):
[~r~candidale (olfice sought): ~
'""] Political Committee
r-]committee of Continuous Existence
'-'1 Party Executive Committee
CI~"~' CL£,~,K,$
I.D. Number ~"~'£
Check if PC has DISBANDED
Check if CCE has DISBANDED
Cover Perioa: From Z// /
Original ~ Amendment
(5) REPORT IDENTIFIERS
(6) CONTRIBUTIONS THIS REPORT
Report Type
[~] Special Election Report [] Independent Expenditure Report
(7) EXPENDITURES THIS REPORT
ca~ & c~ec~ s , , ~Y .
Loans $ .....
Total Monetary $__, , f..)¥ .__,~L
In-kind $
Monetary
Expenditures $_, , ~5'5... ~
Transfers to
Office Account $ .....
Total Monetary $ .... _~ F~ . ~?~.
(8) Olher Distributions $ .......... __
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$ , , ~-~. ~ s ....., _-q~-c,~. ~ I-
(11) CERTIFICATION
It is s first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined this report and it is
true, correct and complete
Name of [~ Treasurer ~ Deputy Treasurer
x
Signature
DS*DE 12 (7/98)
I certify that I have examined Ihis report and it is
true, correct and complete
Name of Candidate ~ Chairman (PC/PTY
Only)
~ignature
,
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES / ~ ~
CAMPAIGN TREASURER'S REPORT -ITEMlZED CONTRIBUTIONS
(1) Name /~' L-~. /~ ~ (2) I.D. Number
(3) Cover Period C~ / ( / ~. through ~ /~ /~ (4) ~ge ~ of
($) (7) (e) (9) (10) (11) (12)
Date Full N~rne
Contributor
(6) (L~lt, Suffix, Flrat, Middle)
Sequence Street Acldrlll & Corltrl~ullon In-kind
Number CRy, State, ZIp Code Type Occupation Type D#cription Amendment Amount
/ /
/,/
I
/ /
0
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
1) Name /'~ 'l ~7 ~'~~ (2) I.D. Number
3) Cover Period ~ / / /~,~ through ~ / ~ / ~_ (4) Page. // of /
(s) (7) (8) (9) (lO) (it)
Date Full Name Purpose
(6) (Last, Suffix, Flint, Middle) (m~i offloe eought if
~quenoe ~ A~r~ & ~ntri~lon to a ~nditum
Number City, StYe, Zip ~e candidate) T~ ~n~t ~ount
/ /
/ /
/ /
S-DE 14 (7198) SEE REVERSE FOR iNSTRUCTIONS AND CODE VALUES '~' ~'3
~- ~.~