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FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) /I.ti. -aHPSt:JA.J
Candidate, Committee or Party Name
(3) ~/~O ~.r )~
Address (number and street) City
D Check box if address has changed since last report
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(2)
1.0. Number
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Zip Code
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State
(4) Check appropriate box(es):
~andidate (office sought): /l..,rll;~/~N ~~/~ (c~ of J.t,;w..,: a~
D Political Committee D Check if PC has DISBANDED
D Committee of Continuous Existence D c~eck if CCE has DISBANDED
D Party Executive Committee
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Cover Period: From
(5) REPORT IDENTIFIERS
/0 <PLf 177 To /,2 1/3 17'1
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'1 <1"\
Report Type -n o. 0
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Independent Expenditure Report
o Original D Amendment 0 Special Election Report D
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
$-,~ Monetary ~.:J~
Cash & Checks - Expenditures $_.~~
Loans $_,-fi Transfers to
- Office Account $-,-.-.-
Total Monetary $ ~ ~
-' - Total Monetary $-,~. '-
ff
In-kind $-,
- (8) Other Distributions $-.-.-.-
(9) TOTAL Monetary Co~tions to Date (1 0) TOTAL Monetary Ex~tures to Date
$ /.2 ~ 7~.z. ~,~. $ :,G 7~.2-. ?'14.
(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,
correct and comPle~
~;eL. ~ *1' /StJ --.J
.
Name of ~easur
.
Deputy Treasurer
I certify that I have examined this report and it is true,
correct and comPlet~
~a ~~N
Name of [jCandidate D Chairman (PC/PTY
~ Only)
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Sign
OS-DE 12 (02/97)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAI~N JREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name ~;L::& ~,..., ~.s:" -J (2) 1.0, Number
.
(3) Cover Period A:) 102-9 19? through /.:z I /31 9'? (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
/,2/ /3/77 ~c'/~ 74"'t,t1s~ "\J tEf~'1~d Cl.t>sc.. /kt. If)VN f
02/~O ~'s ),e PH/rt b-J ~
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/fIB;, R.~ 3-3/~/ 1~~ ~~dA,. ~~-
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/ /
/ /
/ /
/ /
/ /
*
/ /
OS-DE 14 (02/97)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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