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(1 )
Ca diClate, Committee or Party N me
(3) 3'1~? (JMo f"JI/ tfllJiatlR AI rlJ.
Address (number and street) , City
D Check x if address has changed since last report
(4) Check
. FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN EASURER'S REPORT SUMMARY
(2)
I.D. Number
f);1'
State
'33/VO
Zip Code
\
Candidate (office sought):
D Political Committee
D Committee of Continuous Existence
D Party Executive Committee
Check if PC has DISBANDED
D Check if CCE has DISBANDED
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(5) REPORT IDENTIFIERS
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Report T~ ~
D Amendment D Special Election Report D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks $JLC>!.!~ Monetary .-I./.tl.-'dD
Expenditures $_.
Loans $_. Transfers to
Office Account $_.
Total Monetary $_. Total Monetary $ .IJo.r5o
.
In-kind $_. (8) Other Distributions
$_.
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$ , 'I7a---DD $ , tf/{).~
(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
OS-DE 12 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES pa ~ It;)
CAMPAIGN TREA~ER'S REPORT -ITEMIZED EXPENDITURES
(1) Name J?O r/./ tt-L._p (' 'J(LtO f5t1'------- (2) l.D. Number
(3) Cover Period 1 1 through _1-"_ (4) Page / of /
. I
(5)
Date
(6)
Sequence
Number
OS-DE 14 (7/98)
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
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ff~(
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~
/0
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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