F3-06 Elsa Urquiza
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS,
CAMPAIGN TREASURER'S REPORT SUMMARY
(1 ) E\5,c... c.)r-q \ ,,'; .~.L fi~i1fa
~U\"Z (A 2006 OCT 20
Name PM 12: 1 7
(2) '2'-7 E 'P-klD A-ho n~
Address (number and street) CITY CLEHK'S OFF ICE
fv\ .'v. W\ ~ 'i1(c..(~ ,1=\ ?;~\sc\
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
[j'Candidate (office sought): L.cW\VV\: ~s \'0 \'\l"r ~i'00~ 'r.
o Political Committee o CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence o CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication o CHECK IF NO OTHER ELECTIONEERING
COMMUNICA TION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS ~G'
Cover Period: From C\ I -So I 0 (, To 10 I \~ I Db Report Type tJ-O (,
- - -
Q'6riginal o Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary 40.. ~\ z..(
Cash & Checks $ 0.00 Expenditures $
Loans $ Transfers to Office
Account $
Total Monetary $ Total
Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ !'"s I ~ z."S' t) 0 $ 1(" \\1.1,4
,
(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. J.
(Type name) Edwc;{d (pit' to <;. (Tyye name) F/6f.l fit ,'fa-tit Zcz-
Dlndividual (only for BTreasurer D Deputy Treasurer o Candidate D Chairperson (only for PC, PTY &
electioneering commun.) X ~ ~"I;o~m: o~,";,,',")
X M~
Signature Signature 0
OS-DE 12 (Rev. 08/04)
/13
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name El s.c... Vv. \N" 0 : L '^ (2) I.D. Number
'--
(3) Cover Period ~_~_L~ through _12.L~_/~
(4) Page
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of t
(5) (7) (8) (9) (10) (11 )
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
If.:) I '7 I ()~, rrtVVlc IllI"'t s,c"V\ lo.J )
11.::,7 kn'\'..vJ GQ~r(-ey Y'L6 VA. 0 V\ ~ 1s,CJb
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OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
c/13
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
E.. kc.
(2) I.D. Number
o J't v t7D\
M
(3) Cover Period ~ I ~ 0 I 0 (, through ~ I ~ I ~ (4) Page
t
of \
(5) (7) (8) (9) (10) (11 ) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, ZiD Code Type Occupation Tvpe Description Amendment Amount
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OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
313