Amended F2 - Guerra FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
/g~r{di~l~ale, CBr~n~tiee o?Pa.y N~m~ [' I.D. Numar
AddCe[~ (numar and ~reet) - - Ci~ State
~ Ch~ box ~ address has chang~ sin~ last
(4) Ch~k appmpd~e ~x(es):
~ Politi~l Commiff~ ~ Ch~ E ~ has DIS~NDED
~ Commiffee of Continuous ~i~en~ ~ Ch~ E CCE has DISBANDED
~ Pa~y ~e~tive C~miffee
(8) RE~RT IDEN~FIERS ~
CoverPeri~: Fm~ /~/~ To J0 I[0 103
~ Amendment ~ S~al El~ion Repo~ ~ I~ependent ~nditure
Original
(6) CON~lBU,ONS *IS RE~RT (7) ~PENDI~RES *IS RE~RT
/
Tmnsfem to
Loam $ , ~ , Offioe A~ount $__ , ,
In.nd $ , , (8) Distflb~ons $ . , __
(9, ,OTALMo~ta, ContflbutionstoDa.$ ,~ ,~7¢ . ~ {10, TOTAL Mon~ ~.i~,~--g'e, __ ,' (-- .--.. '_.
(11) CER~FICA~ON
It is a flint ~g~ mis~meanor for any ~mon to falsi~ a public ~ord (ss. ~9.13, F.S.)
I ~di~ that I have examin~ this m~ and it is tree, I ~i~ th~ I have examined this m~ and it is ~e,
"~' ~~_ _~ ~_ ~W~'~ corm~[~and ~ete
n~_n~ ~t tm~ v ~ * SEE REVERSE FOR INSTRUC~ON8 ~ CODE VAL~E$