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FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
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(1 ) 0/ ro/Vj~A/~ (2)
Candidate, Committee or Party Name I.D, Number
(3) J? J/'o ,g 0 c:r:~/i) s dJ/e:: ~ ~~";/'2e:/p~;; , /--L _ $ '?:>/ {/o
Address (number and street) City State Zip Code
D Check box if address has changed since last report
(4) Check appropriate box(es): -
[t] Candidate (office SOU9ht):~-Y' ":Jf~/4'~..;&&i.c0h747/f..>/.e>-vEe -&1~.~~ ,r
D Political Committee D Check if PC has DISBANDED ,.'"
D Committee of Continuous Existence D Check if CCE has DISBANDED ;~' ,,)
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D Party Executive Committee ",,'-
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(5) REPORT IDENTIFIERS C) ~...,)
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Cover Period: F~mL:P 1 /~ 14 To~/.A/ 1 9? Report Type ~- ~
o Original 0' Amendment D Special Election Report D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks $_. b t9cJo cO Monetary $_.~~ .?2
' '- Expenditures
Loans $-, tJ. ~D Transfers to
, Office Account $ ,5? lHD
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Total Monetary $_. c: Dt?C:> tJO $_, ?-&, tf!'..Ll
, - Total Monetary
In-kind $-, , O. po
(8) Other Distributions $ 0 DO
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(9) TOT~ Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$ ~ ,t:?JA , ~ $ , If'(, 37ft. I ~
(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
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Name of ~ Treasurer D DeputY Treasurer Name of W Candidate D Chairman (PC/PTY
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Signat~ Signa e ~
OS-DE 12 (02/97)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
J o~ ro /~U.vA- (2) 1.0. Number
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.. (1) Name
(3) Cover Period /p' 1 /6 1---Z2- through -.&-/~";ZJ----2j..
(4) Page
of
(5) (7) (8) (9) (10) (11 )
Date Full Name Purpose
(6) (Last. Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
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OS-DE 14 (02197)
SEE REVERSE FOR INSTRUCTIONS AND CODE .vALUES
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