F4-06 - DS-DE 12 Elsa Urquiza
(1)
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
C MPAIGN TREASURER'S REPORT SUMMARY
/C ISA 1f?tf..cJ;~
Name - /J. /I / 7\
~::(1 K. rr,'v'o l1/h t1?J
Ad~~s"V1umbJlf and street)
t..:1J5 1-1 ~33 13 i
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED
(4) Chefk appropriate box(es):
~ Candidate (office sought):
o Political Committee
o Committee of Continuous Existence
o Party Executive Committee
o Electioneering Communication
OFFICE USE ONLY
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(3) 10 Number:
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o CHECK IF PC HAS ISBANDED
o CHECK IF CCE HAS DISBANDED
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
Cover Period:
[1Original
From It
o Amendment
(5) REPORT IDENTIFIERS F- o~
I ~ I ~ To ~ I ~ I Db ReportType .E~a;
o Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
Cash & Checks
$
50,Pi)
Monetary
Expenditures
$
R; .y.31. ~5'
Loans
$
Total Monetary
$
Transfers to Office
Account $
Total
Monetary
$
In-Kind
$
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ 33 315. (.17)
,
(10) TOTAL Monetary Expenditures To Date
$ .,<1.5'1-1.3cr
I certify that I have examined this report and it is true,
correct, and complete.
EdW1r) C,.",ff),s
(Type name)
Dlndividual (only for !2rTreasurer
~ction"ZZmmUn) _____
Signature ~
(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,
correct, and complete. J
(Ty~ name) E /...,~ 11 'If~;z......
B candi~ 0 Chat rsan (only for PC, PTY &
~ ! ~ ~ctionee commun. organization)
X .~~~
Signature
o Deputy Treasurer
OS-DE 12 (Rev. 08104)
p(A~ I f(-
:3
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name blx.. \''''t;)llr. . (2) I.D. Number
(3) Cover Period -.kLJ..-JD-t4- through -IL.J~-'1L (4) Page I of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, Flnst, Middle) (add office sought if Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
10 iN-I ~ CK'e'l ;"ve> IJet:fs 1Io~
4,O'l't {,z
OQ( d~ ' (;
14M,
I~ Id71a.. 5';;,.) 4sf' M()~
OOz 7bJ', .ro
!/)Idtla, !l /, 'c4 C ~ !r!/n7~.s 1M,:)
h,,, 't 10"''>7>1' ~f(~Il~ II ~.t1I)
10 1c:l~//)b ~ lolte,tf $C?vr' /oAoN
19O-t 6C<&n'7vf 3pv~ /'1 13. 04~ IJl)
10 /301 c6 !(;~ Oil / /., r /ll.O~
cor- filii; *,,' 0e'l.-bl bO./)3
(01.3/1/){; Ill; ala. cas!d,?" Ylt)S' M.O~
OlOb 1/!'tI )')1 ; a~/; ;y,,/ #V
""'1'
1 1
1 1
OS-DE 14 (Rev. 08103)
SEE REVERSE FOR INSTRUCTiONS AND CODE VALUES
po.<f ~ J)- 3
(5) (7) (8) (9) (10) (11) (12)
Oate Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number GiN, State, Zin Code T~ OccuNltion Tv~ Oescrlntion Amendment Amount
10,/1 10C. 5.fMO 71/
a,\ If<Kj1 af-t Ik (/I t3' Eo. IQ
H -( 3~1"^
1 1
1 1
1 1
1 1
1 1
1 1
1 1
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name
E-ko
lJ..: (0 ;,7c,
(2) 1.0, Number
M
(3) Cover Period 10 I -1!::L I l'to through -11- I 0 ~ I J21. (4) Page \
DS-OE 13 (RoY. 08103)
SEe REVERSE FOR INSTRUCTIONS AND CODE VALUES
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f~ 3 15 3