Weiss -G2
.~.;~.
1 L e: ~ tJ~ /..> s .
,( ) Candidate, Committee or Party Name
(3) / 9 0 0 3; U 11 S.J21- 1/6t rh o~1' LJ~
Address (number and street) City
o Check box if address has changed since last report
(4) Check appropriate box(es):
[:if Candidate (office sought):
o Political Committee
o Committee of Continuous Existence
o Party Executive Committee
FLORIDA DEPARTMENT OF STATE, DMSION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(2)
1.0. Number
/)/ ~ rL("3,-~{31
State Zip Code
I.."':
L,
i 7. elm A7.1.551 0/1 err
D Check if PC has DISBANDED
D Check if CCE has DISBANDED
, ., -,., <(;;
~',O C(P.1L."':~~
':-1' "
:.:'
Cl
-,-.
-n
....."-: -r.1
C/.' ::.r.
(5) REPORT IDENTIFIERS
Cover Period: From '1 I ~ b,h To /0 Inn
c~
Report Type_~
Original D Amendment D Special Election Report D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks . $_. 1/8. 00 Monetary
Expenditures $-.-.-.-
Loans $_. Transfers to
- Office Account $-.-.-.-
Total Monetary $_. - Total Monetary' $-.-.-.-
In-kind $--, -
(8) Other Distributions $-,- ~ ~.....',..........._\. '
(9) TOTAL Monetar" Contributions to Date
$ ,~}~~..Q.Q
(10) TOTAL Monetary expenditures to Date
$ ,~t fbJD())
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
J 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
x ~>n~/
Signature rI'
.
Name of ~andjdate
X t(J2QO~
Signature
D Chairman (PC/PTY
Only)
Name of [XJ Treasurer D Deputy Treasurer
OS-DE 12 (02197)
seE REVERSE FOR INSTRUCTIONS AND CODE VALUES
P? I d];-d.
(1) Name
(3) Cover Period ~/ A,S/~ through ~/~/ 97
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
L e_ e. W €.. I~S-S (2) 1.0. Number
(4) Page
I
of
I
(5) (7) (8) (9) (10) (11 ) (12)
Date Full Name
(Last, Suffix, First, Middle) Contributor -,
(6)
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
, ~
1 Id~ 99 ( L.l f I <.r j ff) a I'-!Jrj :54 16' ~ I tJ f.} ill)
l 6 1'1 vie sf I(V' .,. r:: Crfc
-
I p] I:J J FL e,.3 IBe;
'01'1/99 L,€ku11"rr>4n t:2tt. 1J,'i :r S< /'40/
.I
I,3,J78.$w!i""CI .:/ 1& 40
fe rnDr~Kf'Pl 1\ ~{ EL- (' 0&.4 " t:' rt e
d
-:2 ~- A::t t!' T
-
/ /
-
/ /
/ /
/ /
/ /
/ /
OS-DE 13 (02/97)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
fJ ,) f); ?-,