F3
, FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(3)
Address (number and street) City
o Check box if address has changed since last report
(2)
1.0, Number
33/ d
State Zip Code
'c) C>
(4) Check appropriate box(es): --I w ;0
, C> rn
o Candidate (office sought): c.' ~
-1
r '-"-' ('")
fT' rn
o Political Committee o Check if PC has DISBANDED ;::0
?'. <
o Committee of Continuous Existence (/) ;po.
o Check if CCE has DISBANDED :x
0 00 rn
-n 0
o Party Executive Committee ...,., U1
n -oJ
(5) REPORT IDENTIFIERS
From -/f1...;---!J-t (f? To --/fl;::J2; 03 Report Type f ..3
o Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $-}JQ&
Loans $_,
(7) EXPENDITURES THIS REPORT
~~::ures $-1/f2/lk-:
Transfers to
Office Account $,
Total Monetary
$-,
Total Monetary
$ ,
In-kind
$-,
(8) Other Distributions $_,
(9) TOTAL Monetary Contributions to Date
$
(10) TOTAL Monetary Expenditures to Date
$ OD
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (
I certify that I have exami
I rrect and compl
fb-y. I 't-2
(1) Name (2) I.D. Number
(3) Cover Peri I-/-LJ I"'.J?hrough (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
Contributor
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type Descri tion Amendment Amount
J
DS-DE 13 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
ftlJf ,c:< oJ- 2..
(1) Name
(2) I.D. Number
/ -/./-/ -Cl3thrOugh
(4) Page
of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
/ / ~ F;\,
I rtL1J'1q~~ i.-
..J-~ I 'i i'>
. , \.' '\.0 '"/
/ /
/ /
/ /
/ /
/ /
-
/ /
/ /
OS-DE 14 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
fase 3 f :3