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FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1 ) r ~~IA"t ,jJort6IlL. Bold: (2)
Candidate, Committee or Party Name 1.0. Number
(3) Po RJ6'( 1D654-3 ---M.e r;lft- :.. . 3 ~< 1-40..,
Address (number and street) City State .. Z' C9d ...U
Ip ...... e{"l
o Check box if address has changed since last report ~,..-
,...,- ,
0.... n
(4) Check appropriate box(es): -~
'..0 .',......
"'.-
'.1: _"t.... rf1
~ Candidate (office sought): J/~or .....:.\,..
0 ~ C
t'
o Political Committee -r\ .r:-
o Check if PC has DISBANDED -. .....1
CJ
o C~mmittee of Continuous Existence o Check if CCE has DISBANDED II'
o Party Executive Committee
(5) REPORT IDENTIFIERS
Cover Period: From 04 1 0 I 1 qq To Ot.P 130 IIqq9 Report Type &;(J
~ Original o Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
,
Cash & Checks $_. 5 '/5 DD Monetary
Expenditures $_. h 51. ..5.Q
, '- ,:J 1.
Loans $-, Transfers to
. - Office Account $-,
,
Total Monetary $_. . - Total Monetary $-,
,
In-kind $_. ,5LYJ..Q.Q
(8) Other Distributions $_. I 55J. $0
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$ , , tc2Dq.-E.L $ , , <001 .50
(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, I certify that I have examined this report and it is true,
correct and complete correct and complete
~5Lu ~U.Hf'tl~tlZ l&ut; (e5~{e _JiO\{{~\(~~llt
Name of IZI Treas~rer U Deputy Treasurer Name of lXl Candidate o Chairman (PC/PTY
Only)
X (':+J\ l~~trt X t2ll~+e(Q
Signature Signature
I..'
OS-DE 12 (02/97)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT _ITEMIZED CONTRIBUnONS
(1) N..... --4f11 t-':l\.attl'll'~ (2) 1.0. Number
(3) Cover Period ~__LQl_/~ tI1rough J&-I2Q.J.1 J)jlS> (4) Page r or 2.
(5)
Date
(6)
sequence
Number
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SEE REVERSE FOR INSTRucnONSANDCODEVALUES
(7)
Full Name
(last, First, Sufftx, Middle)
street Address &
City, State, Zip Code
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(8)
(9)
(10)
(11)
(12)
Contributor
Type occupation
contribution
Type
CH~
In-klnd
DescrlpUon Amendment Amount
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CAMPAIGN TREASURER'S REPORT _ITEMIZED CONTRIBUTIONS
(1) Name Q esU.l-,~rt{'Vlti ~1tt (2) 1.0. Number
\- ~
(3) cover Period ~/..Q,k.J 49j~ ",rough -D!t-122-' j.9 H (4) page RJ of::'
(5) (7) (8) (9) (10) (11) (12)
Date Full Name Contributor
(6) (last, First, Sufftx. Middle)
sequence street Address & contribution In-klnd
Number CIty, State, ZIp Code Type occupation Type Description Amendment Amount
-J~~"-({ \-- ~\tL'tr1tSes IB c,}l$ 50.DO
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4'it. r:wt. 6' '3s.
0..9
/ J
J J
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OS-DE 13 (10/95)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name ~ t s\At jla{Ll1J\.e~ ~~ (2) l.D. Number
t
(3) Cover Period Jl!!:J~*--' 1 ~,99 through ...llIP-'.m-' ..{.9 .99 (4) Page f 01 ~ J
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought if
cqntribution to a Expenditure
candidate) Type Amendment Amount
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0
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::el= REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(i) Name ~"'\(t ~1'll~~ (2) 1.0. Number
(3) Cover Period .Q~L-'J2.L/1.9J9 through oCt> I~ j .9.9.9 (4) Page f 01 .t
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & cQntribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
>>t ttlJ ~as[;1 tSyu t- WS ~ 1:.(.50
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/ /
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:.:j::~ REVERSE FOR INSTRUCTIONS AND CODe VALUES
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