DS-DE 12 4/1 - 6/30/03(3)
(4)
· FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
Candidate, Coh~miffee or Party Name
Address (number and street)
(2)
I.D. Number
[] Check box if address has changed since last report
Check appropriate box(es):
~ Political Committee
[] Committee of Continuous Existence
~1 Party Executive Committee
Cover Period:
Original [] Amendment []
REPORT IDENTIFIERS
Cash & Checks
Loans
Total Monetary
~n-Kind
[] Check if PC has DISBANDED
[] Check if CCE has DISBANDED
_
Special Ele~on Report
Report Type:
[] Independent Expenditure Report
Monetary
Expenditures
Transfers to Office
Account
(7) EXPENDITURES THIS REPORT
~ It-¢75,
Total Monetary
~ ~ .
~. 1(~75, oo
(9) TOTAL Monetary Contributions to Date
s ! 5122-fl,%
(10) TOTAL Monetary Expenditures to Date
(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
Nature o~
)S-DE 12 C7/98)
Treasurer
M'
I certify ~at I have examined fl~is report and it is true,
correct and complete
/
[] Deputy Treasurer Name of !:~ Candidate [] Chairman (PC/P'~'Y/O~n~)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ¢~:/~ i ~ ~~/~i;.
__-- CAMPAIGN TREASUEER'S REPORT- ITEMIZED CONTRIBUTIONS
{1, Name I~'~.` CE I~ (_~]q'l,~?'~ [ fx{__ .~. {~,} I.D. Number
('} Cover Perio(~-~/~ ,01 /0,3 ~hrough (~/ ~ /03 (4) Page I of (,40
($) (7} (8) (9) (1 O} (1 '1 ) ('12.)
O~te Full Name
(6) (Last, Suffix, First, Middle) Contributor
Sequence Street Address &
ConutbutJo. In-kind
Number City, State, Zip Code Type Occupatlo~ Type DescriFtionAmendment Amount
Qb/05/O~ P.o, ~ok iqot~77
Omcn Hotcti nqa ' ' ~--'~
~(o/os,os ~lOs~r, ~_~cG~E l~qcr'ch~ $~00.oz
3~/~/:B ,./109 ~tsc~,,4ne~8/t
' : (~,) ~t) 02)
, (s):! (7) (8) (o) ,
Dnfe I I Full Nnme Co~tributor ,
'(6)::' ' : (~M, S~ Fi~ M~b)
Nu~ c~, ~o,~p ~ T~ ~ T~ ~ ~ ~t Am~.t
: ':, I
(3) cov~ ~,. / ~h,o~
: ': ', : ' ~1t) (12)
~ ~ ~) (8) (~)
" . ~ull H~ ~o~or
: ~, ~ S~ ~m & ~ I~ 'L
~ N.~ r C~, S~, ~ Ty~ ~ ~ ~ ~d~ Amount
i~-~EE~:~~ TREASURER MIZED~N~mbercONTRIBUTI0Ns
cover ,'er~ throug, (
ir (7) (8) (9) i (18) ~t 1) (12)
' Contributor
(6) (Last, Suffix, Firlt, MldClle)
Secluen~ ~ Street Addre~ & contrlbuaon In-kind '.
Nu~. City, State, Zip Code Type _Oc~__~_-~tion Type ~rllton A~t~ndment Amount
,___ tdGN TRE~ ~R~'( -ITEMIZE ~,CO"?RIBUTI NS
CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES
(s) (7) (8) (o) (1 o) (1'1)
Date Full Name Purpose
(6) (Las1, Suffix, First, Middle) (add office sought if
E~luence Street Address & contribution to s Expenditure
Number City. State. Zip Code candidste~ Type ~ AmoUnt
d, cOImi~m(
~b;~.~~T-I- ~ ~ut:~ll~ · ' -
coe~,o~ I~'-~, bl{la~ ~qn Mo~- # PO/to
CAMPAIGN LOANS REPORT ITEMIZED
Page of
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER:
166 dro.n
- ~ .... ~ ' ~ C~ ~' ~
FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: ":
AMOUN7 OF LOAN:
DATE RECEIVED:
FULL NAME 'AND ADDRESS OF LENDER:
OCCUPATION:
AM~DUNT OF LOAN:
DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER:
OCCUPATION:
AMOUNT OF LOAN:
DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER:
OCCUPATION:
AMOUNT OF LOAN:
DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER:
OCCUPATION:
AMOLI ,~ OF LOAN:
DATE RECEIVED: