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Fontana -G2 Amended FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) /C9~:- /~A./ //!-/l/4-. Candidate, Committee or Party Name (3) \(?.Jb~o !C>,,{)J Address (number and street) City o Check box if address has changed since last report (4) Check appropriate box(es): li9 Candidate (office sought): L':; :)7.1'//1";/:11":',,,1 (' <> h?",/S.Q~I";f' :Q,e"1;'- S- O Political Committee 0 Check if PC has DISBANDED . .?,:~ o Committee of Continuous Existence 0 Check if CCE has DISBANDED'.~ "":J .....;; jr1 o Party Executive Committee ~. .r- (2) 1.0. Number 3/0 Zip Code c' ~, C,) 'i r11 -;..1 c-.J (5) REPORT IDENTIFIERS Cover Period From Vq I )..;, <j q To ~ J.~-' jg o CJ 0:> Report Typr &: - ;( o Onginal ~mendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $-, ..r:.. sO 0 ' Ci 0 Loans $ -' d? - Total Monetary $-, f: JtJo. ell-? - In-kind $-, D. - (9) TOTAL Monetary Contributions to Date $ , ~ t? , t?sJ-.~ (7) EXPENDITURES THIS REPORT Monetary Expenditures Transfers to Office Account $_,~ ;$ 9{_6l/ $-,-, P I 3/~/ /J(/ $_,--L' 7 .-1?t.. Total Monetary (8) Other Distributions'$_,_, tJ (10) TOTAL Monetary Expenditures to Date $ , /7 ,6r-jr.2i (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, correct and complete ..J i) E h N,/A-"v# Name of III Treasurer 0 DeputY Treasurer x~,?~. SIQrtature I certify that I have examined this report and it is true, correct and complete .J L/'- o.c' /V"DA/ //!-A/,;:} Name of ''R(f' Candidate 0 Chairman (PCIPTY LP Only) ~g~ ~-p OS-DE 12 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VAL.UES P& I or L CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name ~CJ~- /~A/;;;#/f- (2) 1.0. Number (3) Cover Period t? 7 / ).S;~ through A-i__L.L.L2L (4) Page of (5) (7) (8) (9) . (10) (11 ) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - /P//'2.j ~J f /e,c',t/6 &-~.Ifj e ~;Vf?~ yAS' ~- tf'1 sF-' )>~C' 1 jpL', Pt.? {i: Iv)- (-, ~-;y, //16}.../ /P //~ /'/ f.(!WA.' CI/.e,tJO e ,~(;,?R/ ~ 1. ':.~ Y)f c; t/5r p-t-L. J :c~ ~/7 !vyc.' A/Y /PP/./ It> / /I / /e; ({j)1/ lie ~ /c1 f4~J, rn.t I' JPt>. It.' /t~ h,/i"J(J/c!/;'N ~<-. /> -~l1m/J3f;L !l3l?l?/j I/.-!:: ' / / / / / / / / . / / OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ff 2- 1 :L