Q4 Amended - DS-DE 12 Bower
(1)
FLORIDA DEPARTMENT OF STATE DMSION OF ELECTIONS
CAMPAIGN TREASURER.S REPORT SUMMARY
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Name k
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A~~ress (nup!>ber and s~)
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City, State, Zip Code 1
o CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es): \ \
~ Candidate (office sought): \\J\A.yo~
o Political Committee
o Committee of Continuous Existence
o Party Executive Committee
o Electioneering Communication
OFFICE USE ONLY
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o CHECK IF PC HAS DISBANDED l' ,
o CHECK IF CCE HAS DISBANDED
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(3) ID Number:
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o CHECK IF NO OTHER ELECnONEERlNG
COMMUNICAnON REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From ~ I ~ I 05 To \ ~ I ~ I OS Report Type ~ ~
o Original Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
~ Monetary ~
Cash & Checks $ Expenditures $
Loans $ \CD ,00 Transfers to Office 1
Account $
Total Monetary $ \ 00 J~.:O Total
t Monetary $
In-Kind $
(8) Other Distributions
$
(9) ~OTAl Monetary ~Do Date (10) 7Al""'-'" rdilures To Dale
(11) CERTIFICA nON
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 "'I"lplele. ( conecI, and e.
(Type nameillf\~\A ~f:..\-6 G 0T ~ (Type name) \})S
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Signature
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(1) Name
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
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(2) I.D. Number
(3) Cover Period ~ I ..QL I 05 through \ 2- I .3 \ I ~ (4) Page -L of ~
(5) (7) (8) (9) (10) (11) (12)
Date Fun Name
(6) (Last, Suffix, First, MICIdIe)
Sequence Street Address & Contrb.ltor Contribution In-kind
Number Citv, State. ZiP Code Type Oa:uDation Type . . AmelIdmeIIl Amount
\0/ 23/05 ~, ~~e.-
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DS-OE 13 (Rev. 08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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