Amended F1 - Guerra FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
~~, bom~ ~r Pa.~ ~am~ '- t ~ I.D. Numar
Address (numar and street) ~-Ci~ - S~e - Zip C~e'
~ Ch~ b~ E addm~ has chang~ sin~ last
Ch~ ap~ri~e ~x(es):
~ Politi~l Commiff~ ~ Ch~k ~ ~ has DIS~NDED
~ Commiffee of Continuous ~ste~ ~ Ch~k if CCE has DISBANDED~
~ Pa~y ~tive Commiffee
(5) RE~RT IDEN~FIERS
(6) CON~IBU~ONS ~lS RE~RT (7) EXPENDI~RES ~lS RE~RT
, . OfficeA~ou~ $~ , ~ ,
To~lMone~ , , ~ ,~q~.. _ ~ TotalMone~ ,~,
Offier
In-kind $~ ,~ ~ .~ ,8, ~,~t~on~ ,~
(9) TOTAL Mo~ Contflb~ion~ Da~ (10) TOTAL Men.aw ~nditu~ to Da~
(11 ) CER~ FICA~ON
It is a flint ~g~ misdemeanor for any ~mon to falsi~ a public mco~ (ms. ~9.1], F.S.)
I ~i~ that I ~ve examin~ this re~ and it is tree, I ~i~ that I have examin~ this m~ and it is tree,
]? ~and ~mplete (~ ~e~ and complete
Name Treas~er ~ Depu~ Tr~rer Name of b Candida. ~ Chairman (P~P~
X r//u// X
DS-DE 12 (0~1] Y ~EE REVERSE FOR IHSTRUC~OHS~D CODE VALUES