Shapiro -G3 Amended
FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) .11FR 1"" I t-l S-HJtp I R6 (2)
Candidate. Committee or Party Name I.D. Number
(3) t1 j:SL-f))JD Ave: JJ: 15"1/ f'1,A}1\ 1S~Ac.tf Fi.- 3:1/31
,
Address (number and street) City State Zip Code
o Check box if address has changed since last report
(4) Check appropriate box(es):
[KJ Candidate (office sought): M '{) yo f?- t1" F" ,~I v\ /4 f ~ ~vJc H
o Political Committee o Check if PC has DISBANDED
o Committee of Continuous Existence o Check if CCE has DISBANDED
o Party Executive Committee
(5) REPORT IDENTIFIERS 63
Cover Period: From 10 I Cj I CjCj To ItJ I 2-?? I 1'1 Report Type ~
~
o Original ~ Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks $-, Monetary $_. 4~ ,J:.g~'
, - Expenditures
Loans $_. Transfers to
. - Office Account $_.
. -
Total Monetary $_. , - Total Monetary $ '-12- Pli-. ,-/0
_' t _
In-kind $_. , - $_'_~t_-., .~
(8) Other Distributions
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary expenditures to Date
$ , , - $ , j~ ,] q I .J!!.
(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
UO f/}J FL t::- 0 t: }J ( (-- M rtf-I J y:S-/--J A-p I ?-t/
Name of ~rea~u? Depu~ Treasurer Name of fKJ Candidate o Chairman (PC/PTY
I ~ I X t\'IKI-t ,{&, ~ Only)
X ,.! . /'"
,/ C
\ I '---
Signature "- 7 -
Signature {
OS-DE 12 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name -t" t\(V, \ Y 5 J-Jltr I ~ (2) 1.0. Number
(3) Cover Period ~/~/ f1' through ~f '];1 /~ (4) Page .I of ..r
(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
("\,'0/'1\ H-~~At-O 1+]:) fttJ jJ ADD / )'0_ 00
ItJ / 11-/?9 I l-t ~ (2-fl j...1 PL--(t'7.-A
;062.- M d~r,-, . pI.- ;
L./~ CpLo (2- L"'B Pflt71(:, /'1c;ty 1100 t :?, 06
/0 j2- 1-/71 8'S'J {)II)SH 1t0-7~Tt' Y BV€ ~CJC~.S"'~).Pv--
106] /'1 {f} f1 t ~~ j\-C If F L
'55/31
/ /
/ /
/ /
/ /
/ /
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OS-DE 14 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES