F3
1b~T NNlZ-lC 101311 (J 3
(1)
FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(2) 202 - b ~ - 5 If 2 g
l.D. Number
33/3 r -9Ji.{ I
Zip Code
(3)
o Check box if address has changed since last report
(4) Check appropriate box(es): ,
!Q-tandidate (office sought): e,f", b of I1l~i' fSe~h amtnJ5sL~IJ1l.r . ~Yoi;'/:) VT_
( / I
o Political Committee 0 Check if PC has DISBANDED
o Committee of Continuous Existence 0 Check if CCE has DISBANDED
o Party Executive Committee
Cover Period:
IJt6riginal
(5) REPORT IDENTIFIERS
From a I -11- I 2otl' To J 0 I..J.L I 200"3 Report Type F 3
o Amendment 0 Special Election Report
o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $_, --...:1 ' b50 , 00
Loans
$_1--:0:--'_"-
(7) EXPENDITURES THIS REPORT
Monetary 'Q I 2.. 6 <3
Expenditures $ _ ' _ ' 0 .
Transfers to
Office Account
$-,-
Total Monetary
$ ,-r , (.;,5"0 , 00
_--L~_
Total Monetary
$
, ...il2., b ~
In-kind
$
Other
(8) Distributions $
(9) TOTAL Monetary Contributions to Date
$ 8, fn"65.J2J2
(10)
TOTAL Monetary Expenditures to Date
$ ,-1,~. 6'6
x12~
Signature
OS-DE 12 (9/01)
(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, I certify that I have examined this report and it is true,
correct and complete correct and complete
~ r /" un b..e..t d de B r- ~- aV\ MI'Ie,k
Name of [Jt'Treasurer 0 Deputy Treasurer Name of tV Candidate 0 Chairman (PC/PTY
Only)
X'~~
Signature
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
f ClY- ' t 3
(1) Name
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
\3 \" \ UV'\~t} ~" uk (2) 1.0. Number 2 0 Z -Co If ~ 5 i 2 8'
(3) Cover Period jf ,-1L,2..m3throUgh If) )3/ j ')D!)'3:J (4) Page -L- of I
I I
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle) Contributor
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment AmDunt
/O/Hf/,M 12e:frt ci~ . Or ;a,'r C/4y-firJ .....- L04 two, 00
~C~ IUf'(/,Q." Au~~'7tu1 ..L.
, 2.
!1tf4/fl1 r).eqJ,/ PI- -' II J f
.
[0 IJ.O / D 3 De.trii t en'q" Cf'1.r;r-J :r: LoA 125OO,Ol
Cf 00 tle!,J/qfJ AJ.e{ Ul\,ho~
3 (v'llt(YHL' &~,,~/?- 3'3/31
Jo J3/IV3 De-+r;'~ Br'Q~C~t1 T LoA $5'000.00
ro u )W; < dirk I (/111 21~
, ~
Lf- fA.:t{m; PerXAl FL 3Jt3f
/ I
/ /
I I
/ /
I I
U;j-ut: 1" {LlU") ~t:t: ; rur ''''~ I ~u'" IIU"'~ ....Lll.OUUt:
paJe 2- t 3
Q C~MPAIGN TR~AS~RER'S REPORT -ITEMIZED EXPENDIT~~ES " ,.-,~.
(1)NameVMl1h, 'Pe:tr~&-( (2)I.D.Number 'd(}'1-blf--:;lftl.8
(3)CoverPeriod~11! I 03 throughl..{LJ-1L1 03 (4) Page LOf I
(5) (7) (8) (9) (10) (11 )
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip CD de candidate) Type Amendment Amount
to /N/03 BOQl'4 cli1ttj~-DQ~C~~Co/lll')~ :5 C;1y ot tltPfM/ AtoAI t J 22, 6 8
l!/o E1~p1/p" ~ 1<1'4' ~ &e~~ Votu
. It1 WVJ I Sf-F#r2! 1,111 Floor 1..,I4qi yt".ft"/l nAb
2- I'1t4W\;, F l. 3 12 S
, I ~ otF~'t, ~~~~~l~~.':
10 /28/03 :r a (., obe,r tin'" A- J S061'tte.J .AP(ver-Hse~f I MOtJ f S"D. GO
I b 5:7 ])I'lxd Ave"~ S~ife 20G ~l~t'
J1~'4-111/ lk~vAj FL ~ '31 'Jf l off:~€ !J&tJjf " ,
.3
. (i\~",.,; ~~IQ... J
10 /2 gj t>.3 M (,t.4i?: ~a4~ 5~t'\Pob} J4 P tt9t h{ ",k " $32Q,OC
Ib8~ J1e('/d/q"Av~J r;...jf",200 owJ..J\.h ad , MoN
,41.tl(m/ M/ PI.. 13/ 3 '! (f\~'1~; ~tJ""\J1
t
c O_~~;,N(
JtJ /2'1 D3 fV\ tttWlf ~ Lh ~f1 Pof, + )4 pr-t~ bI q(k J32o,OV
Ib~6 hr,Jlff/ A~f ~, h Zoo CINvl J.4}t ad hoW
5 Mf~,'" 8eady rL ~ 11'3 r (MYi~; ~{,h Ct7
C01t.M' ~:..
~
/ /
/ /
/ /
/ /
OS-DE 14 (7/98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES j/M~ 3 dt"3
-.-.----