Warszavski -G2 Amended FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
N me
Candidate,
Address (number and street) City
D Check box if address has chahged since last report
(4) Check appropriate box(es):
0
0
Politicel Committee
Comm~ee of Continuous Existence
Party Executive Committee
I.D. Number
State Zip Code
D Check if PC has DISBANDED
D Check if CCE has DISBANDED .'
(5) REPORT IDENTIFIERS
__ __ __ TO ,//~' / ~____../M~' Report Type
'D Original
I~'Amendment
D Special Election Report
D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks '* $__, /-:-, ·
Loans $__,. .
Total Monetary $__,
(7) EXPENDITURES THIS REPORT
Monetary
Expenditures
Transfers to
Office Account
Total Monetary
In-kdnd
(8) Other Distributions $__, , . ..
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$ , /~-, i.z~2. ~ I $ ·/'J ' o ~z. ~ ,~
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.t3, 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 corTect and complete
,, . _ , Only)
Signature .
DS-DE 12 (02/97) SEE REVERSE FOR INSTRUC//~S AND CODE VALUES