TR2 GuerraFLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TR. ff..ASURER'S REPORT SUMMARY
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C~ndida~Co~mi~e o~ P~y ~' ~ ~ I.D. Numar
Add~s~n~m~r and str~) Ci~ StYe Zip C~e
[] Check box if address has changed since last report
(4) CrC~ appropriate box(es): ~
~Candidate (office sought):N_[_-,! , !m. ~t. ~ ~ ( ~
[] Political Committee [] Che~k if PC has DISBANDED
[] Committee of Continuous Existence [] Check if CCE has DISBANDED
[] Party Executive Committee
c~
Cover Pe.o~: From /0 ~1
~Odginal [] Amendment
(5) REPORT IDENTIFIERS
r-~ special Election Report
(6) CONTRIBUTIONS '~ REPORT
~\1
Cash&Checks $ ,~ , . __
Loans $ , ,
Total Monetary $ , ,
In-kind $ , ,
(9) TOTALs M,o,n~~. _tary C! ribution(~t~Date
Monetary
Expenditures $
Transfem to _(~
Office Account $__ , ,
(8) Distributions $__, ,
(lO)
TOTAL Moneta~..Ex~eod[turee t~ D_ate
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a'public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true,
Name of ~ Treasurer ~ DepUty Tr~rer
si0..t '
DS-DE ~
I certify that I have examined this report and it is true,
correct a~mplete
-I
Name of~.~ndidata [] Chairman (~C/PTY
-
CAMPAIGN TREASURF. J~S REPORT - ITEMIZED EXPENDITURES
i~u (~U'F.~rd (~~n~ ~,.....~r
(s) (?) '(8) (e) (1o) Crt)
Date Full Name Purpo. e
(6) (LAM, Suffix, Flint, Middle) (~d o~ ~ught ·
~ue~ ~ Add~ & ~n~b~Wn ~ a
Numar C~, St~, Zip CNe candMa~) Ty~ ~ A~unt
~CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(3)CoverPeriod~_./~/ I{~ through ~-/~ / t~) (4)Page / of
(S) (7) (8) (8) (to) (ll) (t2)
Date Full Name
Contributor
(6) (La~t, Suffix, First, Middle)
Sequence Street Address & Contrimmon In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/ /
/ /
/ /
/ /
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/ /
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DS-DE 13 (2/03) ~.1: HI~VP.R~P. Pt,tH IN~I I (U~ I I(JN~ [NU I,;UU~' ~ ;ALUI:::$