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TR2 Dermer· FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) DAVID DEEMER Candidate, Committee or Party Name (2) I.D. Number (3) (4) 4195 No. Bay Road Miami Beach Address (number and street) City [] Check box if address has c~anged since last report Check appropriate box(es): [~ Candidate (office sought): MAYOR OF MIAMI BEACH [] Political Committee [] Committee of Continuous Existence [] Party Executive Committee Cover Period: [] Original (6) CONTRIBUTIONS THIS REPORT From 10/31/03 [] Amendment Cash & Checks $ -O- Loans $. -o- Total Monetary $ -O- m-Kind $ ' -0- TOTAL Monetary Contributions to Date $ Florida 33140 State Zip Code Check if PC has DISBANDED -< -,3 [] Check if CCE has DISBANDEI~: (5) REPORT IDENTIFIERS To. 02/02/04 [] Special Election Report Report Type: TR2 r~° co O1 m [] Independent Expenditure Report (7) EXPENDITURES THIS REPORT Monetary Expenditures $ _..-..o-_ Transfers to Office Account $ -o- Total Monetary $ -O- Refund to Contributers 118.4~ (8) Other Dis~bulJons $ 750.00 Donation (10) TOTAL Monetary Expenditures to Date $ 18~ 199.47 (11) CERTIFICATION It is a flint 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 YAFFA nF. RM]qR Name of "~'~ Treasurer [] Deputy Treasurer )S-DE 1~v/(7/98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I certify that I have examined this report and it is true. correct and complete Sighature CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name DAVID DERMER (2) I.D. Number (3) Cover Period 10 /_ 31 / 03 through._~(_002.__/ p4 (4)Page 1, of 1 (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 Code candidate) Type Amendmen! Amount The Jewish Museum of Florida 12,/26i/~3 301 Washington Avenue ~-[~-.~-- Miami Beach, FL 33139 DONATION MON 750.00 Yaffa Dermer 01~2 / 04 2525 Flamingo Place Partial 'Miami Beach, FL 33140 ReturncontributOfion MON 118.4~ / / / / / / / /