TR2 ReedFLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTION8
CAMPAIGN TREASURER'S REPORT SUMMARY
(3)
Candidate, Committee or Party Name
Address (number and street) C~
[] Check box if address has changed since last report
(4)
(2)
I.D. Number
State Zip Code
[] Political Committee [] Check/if PC has DISBANDEJ~
[] Committee of Continuous Existence
[] Party Executive Committee
bY'Original [] Amendment
(S) REPORT IDENTIFIERS c,-; ~ <:
[~] Special Election Report [] Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $__ , ,
Loans $__,__ ,
Total Monetary $__ ,__ ,
In-kind $ ~ ,
TOTAL Monetary Contributions to Date
(~er
(8) Ois~buUons $
(10) TOTAL Monetary Expenditures to Date
(11) CERTIFICATION
It I, a fl~,i degree mlmJemeanor for any person to falsify a public record (ss. 839.13, F.$.) ' .
I certify that I have examined this report and it is true,
correct and complete
Name of [~"/~rer [] Deputy Treasurer
x
Signature
De-DE t2 (W01)
I certify that I have examined this report and it is true,
correct and comp(Jeta
Name of [~_.~idate [] Chairman (PC/P'TY
Signature
Fo~ INSmUCT;ON8 ANO CODE VN.UEa
~._ CAMPA~IGN ~TI~SURER'$ REPORT-ITEMIZED EXPENDITURES
O) NM~e ~ (2) LO. Nm~4~