Shapiro -G3
FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ft'\ IHZ;I) ~ -~ f)t1p) p~ (2)
Candidate, Committee or Party Name 1.0. Number
(3) q ~ c;t fr ~D tAJ <i- -t\" I ~ 1\ tvt I A)-1I ~ e rl c,/-/ FL- 55/37"
Address (number and street) City State Zip Code
o Check box if address has changed since last report
(4) Check appropriate box(es):
o Candidate (office sought): /VI ..f\ 'f IJ i2 C'F h f A), ( 8 0 A c ~)
o Political Committee o Check if PC has DISBANDED
o Committee of Continuous Existence o Check if CCE has DISBANDED
D Party Executive Committee
(5) REPORT IDENTIFIERS 63
Cover Period: From 10 / ~'( / 71 To ICJ / :J--d"" / crY' Report Type e5J r
o Original o Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks $ S~ o'7S- ~p Monetary $_. 42-. Sb9.JM.
-' . -- Expenditures
Loans $-,---1-.. 5'CZ7.~ Transfers to
Office Account $_. . '-
Total Monetary $-, 4 I 0s 00' $_. 4/-., r(,f.~
. '- Total Monetary
In-kind $_. I .M...!!.!:..
(8) Other Distributions $-, , -
(9) TOTAL Moneta!)' COJ'trlbytions to Date (10) TOTAL Monetary Expenditu4s to Date
$ ,'TL,~~oo $ . Sb , SIb .~
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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
Name of ~:e Deputy Treasurer Name of (1J Candidate D Chairman (PC/PTY
~n~~ Only)
X 1\ ~ /
Signature ~, /
OS-DE 12 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALf~ I<%-[ ~
s9contr5.xls
10/28/99 2:09 PM
s9contr5 I CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
I
Name: Martin Shapiro I, I. D. Number: 30281
. .. ~
,
Covered period: 10/9/99 through 10/28/99 , 1'1--
Pages: I 1 of: ,.r
Date Full name Contributor Contribution In.Kind Amendment Amount
Sequence Street address & Occupation Type Description
Nbr. City, State, Zip Code Type
10/11/99 Arlene Conklin Bander Mortgage
2134 NE 23 C1. I Broker che $ 200.00
1 N. Miami Beach FL 33180
10/11/99 Stacey Robins Real-estate
...
230 - 5th S1. I Broker che $ 500.00
-
2 MB 33139
10/10/99 Kenneth Swartz
6131 LaGorce I che $ 100.00
3 MB 33140
10/10/99 Blue, a design Co., Inc.
5632 LaGorce B Designer che $ 500.00
4 MB 33140
10/10/99' Kathe Richman
. 5747 LaGorce I che $ 200.00
5 MB 33140
10/10/99 Doris Benson
5600 Pine Tree Dr. I che $ 100.00
6 MB 33140
10/10/99 Jack Mishkin
5150 LaGorce I che $ 25.00
7 MB FL 33140
10/10/99 Marian del Vecchio
301 Ocean Dr. # 604 I che $ 100.00
8 MB 33139
10/10/99 Blackie Hunter
485 S. Shore Dr. I che $ 100.00
9 MB 33141
10/10/99 Bruce Foerster
5860 PineTree Dr I che $ 50,00
10 MB 33140
10/12/99 Howard J, Lubel
801 N, Venetian Dr. I che $ 75.00
11 Miami 33139
10/12/99 Linda C. Binder
4404 N. Bay Rd. I che $ 50,00
12 MB 331340
10/13/99 Ft. Lauderdale Transportationlnc
POBox 7193 I B che $ 500.00
13 Ft. Lauderdale FL 33338
Page Total: $ 2,500.00
I
, ,
Page # 1
f\~ )- t ,~
s9contr5.xls
10/28/99 2:09 PM
s9contr5 CAMPAIGN TREASURER'S REPORT - I ITEMIZED CONTRIBUTIONS
Name: Martin Shapiro I. D. Number: 30281
Covered period: 10/9/99 through 10/28/99 1"-
Pages: 2 of: ;r
Date Full name Contributor Contribution In-Kind Amendment Amount
Sequence Street address & Occupation Type Description
Nbr. City, State, Zip Code Type
10/13/99 USA ParkingOfLouisiana Inc. Car
POBox 7193 B Parking che $ 500.00
--
14 Ft. Lauderdale FL 33338
10/13/99 USA Parking Associates Car
..
POBox 7193 B Parking che $ 500.00
15 Ft. Lauderdale FL 33338
9/29/99 USA Parking System Inc. Car
POBox 7193 B Parking che $ 500,00
.
16 Ft. Lauderdale FL 33338
10/10/99 Sheila Jaffe
6423 Collins Ave. # 1109 I che $ 100.00
17 MB 33141
10/13/99 USA Parking Associates III Car
POBox 7193 B Parking che $ 500.00
18 Ft. Lauderdale FL 33338
10/13/99 Howega Inc. Collections
1111 Lincoln Rd. B che $ 100.00
19 MB 33139
10/13/99 Normandy Bay Corp.
7950-8000 N E Bayshore Ct. B che $ 100.00
20 Miami FL 33138
10/13/99 Ward M. Wilson
301 Jefferson Ave. # 6-A I che $ 100.00
21 MB FL 33139
10/13/99 Robert Schwatz
6360 Alton Rd. I che $ 250.00
22 MB 33141
10/13/99 Rosine Bretton TV
1776 Jefferson Ave. # I Productions che $ 500.00
23 MD FL 33141
10/15/99 Irene Garage Corp. Garage
425 E 61 st St. B Operator che $ 500.00
24 New York, NY 10021
10/15/99 Quick Park of FI. Inc., Garage
425 E 61 st St. B Operator che $ 500.00
25 New York, NY 10021
10/15/99 Irvin Garage Corp. Garage
425 E 61 st St. B Operator che I 500
26 New York, NY 10021
Page Total: $ 4,650.00
Page # 2
rv 3 d( 1~
s9contr5.xls
10/28/99 2:09 PM
s9contr5 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Name: Martin Shapiro I. D. Number: 30281
Covered period: 10/9/99 through 10/28/99 (~
Pages: 3 ! of: A
Date Full name Contributor Contribution In-Kind
Sequence Street address & Occupation Type Description Amendment Amount
Nbr. City, State, Zip Code Type
10/15/99 Evan Garage Corp. Garage
425 E 61 st St. B Operator che $ 500.00
27 New York, NY 10021
10/15/99 Mel Schuster Real-estate
21 Bay Heights Dr. I Developer che $ 200.00
28 Miami FL 33133
10/16/99 Alan Wesler
10155 Collins Ave. # 1810 I Writer che $ 200,00
29 Bal Harbour FL 33154
10/16/99 Lucille Acocella
1228 West Ave. I che $ 25.00
30 MB 33139
10/16/99 Erika Brigham
1411 Collins Ave. I che $ 100.00
31 MB 33139
10/16/99 Jerry Marsch
1390 Ocean Dr. # 407 I che $ 25.00
32 MB33139
10/16/99 Constance Hoffman
6120 LaGorce Dr I Retired che $ 25.00
33 MB FL 33140
10/16/99 Old World Renovations Inc. Bldg.
5410 N. Bay Rd, B Renovations che $ 500.00
34 MB 33140
10/16/99 Yaffa Dermer
2525 Flamingo Dr. I che $ 500.00
35 MB 33140 l/Jvt~.(rJe.
10/19/99 Esther Vidaurreta
400 S. Point Dr. I che $ 50.00
36 MB 33139
10/19/99 Stanley S, Schwartz
445 Grand Bay Dr. # 1003 N. I che $ 100.00
37 Key Biscayne FL 33149
10/19/99 Morton Kamlet
6039 Collins Ave, # 826 I che $ 100,00
38 MB FL 33140
10/19/99 Janine Alter
9801 Collins Ave. # 11-U I che $ 100.00
39 Bay Harbour FL 33154
Page Total: $ 2,425.00
I I
Page # 3
fJ 4 Q-- Ig
s9contr5, xis
10/28/99 2:09 PM
s9contr5 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Name: Martin Shapiro I. D. Number: 30281
"sICf/~ : I lolz-J?/%
Covered period: SU25,'9!' through 1-9:8/99"- l~
Pages: 4 of: ;r
Date Full name Contributor Contribution In-Kind Amendment Amount
Sequence Street address & Occupation Type Description
Nbr. City, State, Zip Code Type
10/19/99 Mark Abeno
5555 Collins Ave I che $ 100.00
40 MB 33140
10/19/99 Peter Ehrlich
770 NE 69 St. I che $ 100.00
41 Miami 33138
10/19/99 Carol Ehrlich No
19500 Turnberry La. # 25-0- I Occupation che $ 500.00
42 Miami FL 33131
10/20/99 Eli Erlich Furniture
19500 Turnberry La. # 25-0- I Manufacture che $ 500.00
43 Miami FL 33131
10/20/99 I Herbert Rice Swimming
1200 N, Bayshore Dr. # 301 I Pool che $ 500.00
441N. Miami FL 33181 Contractor
10/20/99! Barbara Rice No
1200 N. Bayshore Dr. # 301 I Occupation che $ 500.00
45 N. Miami FL 33181
10/24/99 Stanley Spewak Real-estate
310 NE 47 Ct. # 302 I Broker che $ 500.00
46 Ft. Lauderdale FL 3308
10/24/99 Grethe Spewak No
310 NE 47 Ct. # 302 I Occupation che $ 500.00
47 Ft. Lauderdale FL 3308
10/24/99 Jesus 0, Maura
I Insurance che $ 250.00
48
10/24/99 Robert Ashnoff
824 Raymond St. I Dispatcher che $ 250.00
49 MB FL 33139
10/24/99 Julio Anorade Auto
1310 15th St. # 2 I Towing che $ 250.00
50 MB FL 33139
1 0/24/99 Modesto Obregon Auto
1384 Marseilles Dr. I Towing che $ 250.00
51 MB FL 33141
10/24/99 Night Vision Inc. Real-estate
155 E. Ames Ct, B Developer che $ 500.00
52 Plainview NY 11803
Page Total: $ 4,700.00
Page # 4
r~~- If {~
s9contr5.xls
10/28/99 2:09 PM
s9contr5 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
I
Name: Martin Shapiro ,I. D. Number: 30281
~f~~Ul-1 ' 6/J.-.?lrp
Covered period: through 1018199 I 'V'
Pages: 5 of: T
Date Full name Contributor Contribution In-Kind Amendment Amount
Sequence Street address & Occupation Type Description
Nbr. City, State, Zip Code Type
10/21/99 Molly Stein Real-estate
420 Lincoln Rd. I Investor che $ 350.00
53 MB FL 33139
1 0/22/99 Craig Orear
7330 Ocean Terrace # 2704 I che $ 100.00
54 MB FL 33141
10/22/99 Edward Levinson
407 Lincoln Rd. I Attorney che $ 300.00
55 MBFL33139
10/22/99 Abraham Abramovich Gas
9805 E. Calusa Club Dr. I Station che $ 250.00
56 Miami FL 33186 Owner
10/22/99 Miami Gas Stations Inc. Gas
1698 Alton Rd. B Station che $ 250.00
57 MB FL 33139
10/24/99 Jack Bernstein
12 LaGorce Cr. I che $ 100.00
58 MB FL 33141
10/24/99 Sonja Zuckerman
9999 Collins Ave. # 4B I che $ 100.00
59 Bal Harbour FL 33154
10/25/99 Fragments On the Beach Inc. Beach
8901 NE 10th Ave. B Equipment che $ 150.00
60 Miami FL 33138
10/25/99 Amcorp Financial Svces Inc. Financial
1177 Kane Concourse B Services che $ 500.00
61 Bal Harbour FL 33154
10/25/99 Humana Health
POBox 1438 B Insurance che $ 500.00
62 Louisville KY 40201 Owner
10/25/99 Hal Spaet
55 NE 15th St. I Attorney che $ 250.00
63 Miami FL 33132
10/25/99 RealtorsPoliticalActionComm. Realtors
7025 Augusta National Dr. B Association che $ 500.00
64 Orlando FL 32822
10/25/99 Maiko Realty Enterprises Inc.
5500 Collins Ave. B che $ 100.00
65 MB FL 33140
Page Total: $ 3,450.00
Page # 5
Pf' b ~[8
s9contr5. xis
10/28/99 2:09 PM
s9contr5 CAMPAIGN TREASURER'S REPORT - ! ITEMIZED CONTRIBUTIONS
Name: Martin Shapiro 'I. D. Number: 30281
Covered period: ~7~9J through . IP/~/'fcr
1~ 1'2.--
Pages: 6 of: y
Date Full name Contributor Contribution In-Kind Amendment Amount
Sequence Street address & Occupation Type Description
Nbr. City, State, Zip Code Type
10/26/99 RDP Development Corp. Real-estate
2600 Virginia Ave. NW # 606 B Developer che $ 500.00
66 Washington DC 20037
10/26/99 Lloyd N. Moore Jr.
1250-24th St. # 350 I Attorney che $ 500.00
67 Washington DC 20037
10/26/99 Carmen Oiaz
150 Alton Rd. # 115 I Housewife che $ 500.00
68 MB FL 33139
10/26/99 Carmen Holoway
8635 NW 8th St. # 406 I Secretary che $ 300.00
69 Miami FL 33129
10/26/99 Judi Gopman Restaurant
740 Gary Ave. I Owner che $ 500.00
70 MB FL 33141
10/26/99 Arcouib Aberrhahim IV Restaurant
u
70371stSt. I Owner che $ 100.00
71 MB FL 33141
10/26/99 Herbert Gopman
709 E. OeLido Rd. I Engineer che $ 500.00
72 MB FL 33139
10/27/99 Leonard Diamond
3301 Flamingo Dr. I Attorney che $ 300.00
73 MB FL 33140
10/27/99 Max Savell Coal &
175 High St. # 1200 I Gas che $ 500.00
74 Columbus OH 43215
10/27/99 Wayne Boich Coal &
175 High St. # 1200 I Gas che $ 500.00
75 Columbus OH 43215
10/27/99 Robert Margoulies
1408 Brickell Bay Dr. # 314 I Illustrator che $ 250.00
76 Miami FL 33131
10/27/99 KeepBonaventureBeautiful1 nc Property
12000 Biscayne Blvd. # 810 B Management che $ 500.00
77 Miami FL 33181
10/27/99 Sunrise Land Associates Ltd. Real-estate
12000 Biscayne Blvd. # 810 B Investments che $ 500.00
78 Miami FL 33181
Page Total: $ 5,450.00
Page # 6
Ps- 7 g---l~
s9contr5.xls
10/28/99 2:09 PM
s9contr5 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Name: Martin Shapiro I. D. Number: 30281
Covered period: ~/1l'~1 . through : (q~ IIr
tOfS,
Pages: 7 of: ~
Date Full name Contributor Contribution In.Kind Amendment Amount
Sequence Street address & Occupation Type Description
Nbr. City, State, Zip Code Type
10/27/99 Stephen Herz
767 Arthur Godfrey Rd. I che $ 100.00
79 MB FL 33149
10/27/99 Sharon Valentino General
3317 McKinley St. I Contractor che $ 500.00
80 Hollywood FL 33021
10/27/99 Mel Harris
10800 Biscayne Blvd. I Investor che $ 500.00
81 Miami FL 33161
10/27/99 Int'llnsurance Group Inc.
10800 Biscayne Blvd. B Insurance che $ 500.00
82 Miami FL 33161
10/27/99 Deutch Technology Corp. Computer
POBox 398381 B Systems che $ 200.00
83 MB FL 33239
10/27/99 Harry Cherry
810 Euclid Ave. #3 I che $ 50.00
84 MB FL 33139
10/27/99 Shirley Martinelli
7135 Collins Ave. # 532 I che $ 50.00
85 MBFL33141
.- . ~
;,~_.' ....
-
86 :-
~ -
~
87 ........
~ ~
88
~ ~
89
....... ~
90
"-
91
Page Total: $ 1,900.00
I GRAND I TOTAL: $ 25,075.00
Page # 7
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name M' ttrLtl ~ S- h ft~ U (2) 1.0. Number
(3) Cover Period I 0, 0 '!:is through ( D ,~p, (4) Page f1 of
(5) (7) (8) (9) (10) (11)
Date
(6)
Sequence
Number
Full Name
(Last, Suffix, First, Middle)
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City, State, Zip Code
6(
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OS-DE 13 (7/98)
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Amount
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name -b Pr~1,;J '5/J frP J fJ.t7 (2) 1.0. Number
(3) Cover Period I tJ , l' , 11 through II), z,,~ , q f (4) Page q
(5) (7) (8) (9) (10)
Date
(6)
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Number
Full Name
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Street Address &
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Contribution
Type Occupation Type
In-kind
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name .n 1~J?11 ~S /)11 P / /l(J (2) 1.0. Number
(3) Cover Period /0 I 1 I C/Y? through / tJ I 7-({1 c; l' (4) Page --.LI of 11--
(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 OccupaUon Type Description Amendment Amount
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SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
IS I;). %' (~
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name h "'~-r I ~ S"f/Ir(jJJ ~ (2) I.D. Number
(3) Cover Period J 0 1 ~ 1 91 through I~ 1 .2...p 177
(4) Page I 2-
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
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sgexpd5
1 0/28/99 2:25 PM
sgexpd5 CAMPAIGN TREASURER'S REPORT - i ITEMIZED EXPENDITURES
i
Name: Martin Shapiro I. D. Number: 30281
Covered period: I 10/9/99 Through: 10/28/99
Pages: 1 of: 15
Date Full Name, Mailing Purpose Expenditure Amendment Amount
Sequence Address & Zip Code Type
Nbr.
10/11/99 Maria Alvarez Campaign
211 Collins Ave, # 205 Consultant mon $ 600,00
1032 MB FL 33139
10/11/99 Mike Berke Campaign
1000 Washin~ton Ave. # 524 Consultant mon $ 750.00
-
1033 MB 33139
10/11/99 Words On The Beach
1657 Drexel Ave, Printing mon $ 200,00
1034 MB 33139
VOID mon
1035
10/14/99 SunPost
..
1688 Meridian Ave, Advertising mon $ 1,000,00
1036 MB 33139
10/1/99 La Voz de la Calle
POBox 3187 Advertising mon $ 300.00
1037 Hialeah FL 33013
VOID mon
1038
10/12/99 The Miami Herald
One Herald Plaza Advertising mon $ 1,605.80
1039 Miami FL
10/14/99 E 0 Butler
1640 NE 127 St. # 3 Graphic Design mon $ 200.00
1040 No. Miami FL 33181
10/14/99 Printers Art Service
16776 NE 2nd Printing mon $ 368.00
1041 No. Miami Beach FL
10/14/99 WNFl
330 SW 27 Ave. # 207 Radio Ad. mon $ 500.00
1042 Miami FL 33135
10/14/99 Sir Speedy
1659 James Ave Printing mon $ 51.52
1043 MB 33139
Total: $ 5,575.32
Page # 1
f& 14 ~l~
sgexpd5
10/28/99 2:25 PM
sgexpd5 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Name: Martin Shapiro I I. D. Number: 30281
Covered period: 10/9/99 Through: 10/28/99
Pages: 2 of: y~
Date Full Name, Mailing Purpose Expenditure Amendment Amount
Sequence Address & Zip Code Type
Nbr.
10/14/99 Rosa Cartas
533 Collins Ave. # 705 Printing mon $ 14.00
1044 MB 33139
10/14/99 William Martinez
200 Alton Rd, # 605 Printing mon $ 57,75
1045 MB 33139
10/14/99 Manny Warszawski Campaign
900 West Ave, # 1231 Consultant mon $ 500,00
1046 MB 33139
10/14/99 Brian Velasco
lSoP0 Ct1fItS1 sign installation mon $ 600.00
1047 -h, l.j;ll "', ~ 'Sf"> ~
10/14/99 Serigraph
7230 NE Miami CT. Printing mon $ 1,520.00
1048 Miami FL
10/18/99 Maria Alvarez Campaign
211 Collins Ave, # 205 Consultant mon $ 600,00
1049 MB FL 33139
10/19/99 Wire Publishing Inc,
1550 Lenox Ave. Newspaper ad. mon $ 500.00
1050 MB FL 33139
10/19/99 Printers Art Service
Counter- 16776 NE 2nd Printing mon $ 2,916.00
CheckA No. Miami Beach FL
10/19/99 SunPost
Counter- 1688 Meridian Ave. Newspaper ad, mon $ 1,000,00
Check9 MB 33139
10/19/99 US Postmaster
Counter- Postage mon $ 5,787.50
Check'
10/22/99 Brian Velasco
Counter- 7 So Nt ,q-tff f1, addressing man $ 1,250.00
Checkp M\~M' 5~1~~
10/24/99 ASAP
Counter- mon $ 625.00
Checke
Page Total: $ 14,745.25
Page # 2
P & () ~ l~
'5gexpd5
1 0/28/99 2:25 PM
sgexpd5 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Name: Martin Shapiro I. D. Number: 30281
Covered period: 10/9/99 Through: 10/28/99
Pages: 3 of: ,3"'5'
Date Full Name, Mailing Purpose Expenditure Amendment Amount
Sequence Address & Zip Code Type
Nbr.
10/22/99 The Miami Herald
Counter- One Herald Plaza newspaper ad mon $ 892.50
Check f Miami FL
10/22/99 WWFZ
Counter- 330 SW 27 Ave, # 207 rad io ad mon $ 500.00
CheckC Miami FL 33135
10/22/99 Martin Shapiro
Counter- 9 Island Ave, petty-cash mon $ 100.00
Check /J MBFL33139
10/25/99 Maria Alvarez Campaign
Counter- 211 Collins Ave. # 205 Consultant mon $ 600.00
Check1 MB FL 33139
10/26/99 Manny Warszawski Campaign
900 West Ave. # 1231 Consultant mon $ 1,850.00
1101 MB 33139
10/26/99 US Postmaster
Postage mon $ 775,00
1102
10/26/99 Greg Inch
2154 Hayes St. Mailing service mon $ 270,00
1103 Hollywood FL
10/24/99 Printers Art Service
16776 NE 2nd printing mon $ 1,060.74
1151 No. Miami Beach FL
10/26/99 La Voz de la Calle
POBox 3187 Advertising mon $ 300.00
1152 Hialeah FL 33013
10/27/99 Wire Publishing Inc. Newspaper
1550 Lenox Ave, Advertising mon $ 1,000.00
1152 MB FL 33139
10/27/99 SunPost Newspaper
1688 Meridian Ave. Advertising mon $ 1,000.00
1153 MB33139
10/27/99 City of MB
1700 Convention Dr. copies $ 80.00
1154 MB 33139
Page Total: $ 8,428.24
Grand Total: $ 28,748.81
Page # 3
P? 1(. 1- t~
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name --f:j ~?--"( \ ~ S" fj It P I ~ (2) 1.0. Number
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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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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name fA. f\ 71 I ~ <5 A At> J (L.d (2) 1.0. Number
(3)COVerperlOd~~~thrOugh~ '2....y 1~'7 (4) Page S of ~
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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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