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. FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ~J. V~,,~~
Candidate, Committee or ~ Name~ ^ - r::> 1.0. Number
(3) , ~ ~~ ,~ .~ \ """a-:. l)eAcJ,.. ~ ?> l ~ ~
Address (number and street) tity State Zip Code
D Check box if address has changed since last report
(4) Check appropriate box(es): .. /"
~ Candidate (office SOU9ht)C~r~~ <.s::u-~~dI..i:- ,
D Political Committee D Check il PC has DISBANDED
D Committee of Continuous Existence 0 Check if CCE has DISBANDED
D Party Executive Committee
(2)
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(5) REPORT IDENTIFIERS Cl r- rn
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Cover Period: From I 1./Juu.;:JtJo '3 To ~I d.....1 .2",r Report TYP~ L
~al 0 Amendment D Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
Cash & Checks $_. Monetary '.~,oV
Expenditures $-,
Loans $_. Transfers to
- Office Account $-.-.
Total Monetary $_. '- Total Monetary $_1_'_'-
In-kind $-, (8) Other Distributions $_.
'"
(9) TOTAL Monetary Contribution
$
(10) TOT AL Monetary Eltpenditures to Date
$ .., ( fD~.--5!S>
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a,public record ($S. 839.13, F.S.)
Date
I certily that I have examined this report and it is
true, correct and com~le \ ,.....
~~ Vo..~
er 0 Deputy Treasurer
I certify that I have examined this report and it is
true.~...Clct, !nd c~'ete \
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.~ OS.OE'2 (7/98)
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SEE REVERSE FOR INSTRUCTIONS AND CODE VAL.UES
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AMP~N TR~SURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name ~ (2) 1.0. Number
(3) Cover Period -L..J_ UrJthrOugh _;~...J~I 2bt>l{ (4) Page
of
(5) (7) (II) (9) (10) (11) (12)
Oat. FIoIII Name
(6) (lalit, SuffIx, Firat, Mlddl.) Contrlbutllr
Sequence Slreet Address & Contribution In-kind
Numb.r City. StBte, Zip Code Type Occuplllon Type Ducrlotlon Amendment Amount
^' ^ I
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/ /
/ /
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SEE REVERSE FOR INSTRUCTlONS AND CODE VALUES f Ct ~ 2 1J.-:3
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OS.OE 13 (7/98)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1)Name ~Ol~~j(~ (2) 1.0. Number
(3) Cover Period -LJ~/~ thrOUgh~..a::J2<<>tr' (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Pl.lrpose
(6) (Lasl. Suffix, F1~t. Middle) (add offiCe sought if Expenditure
Sequence Street Address .. contribution 10 a
Number City, State, Zip Code c;andldlte) Type Am.nelmanl Amount
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