DS-DE 12 Q1-07
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS " I')
\ CAMPAIGN TREASURER'S REPORT SUMMARY C:)
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(1) F /.sA OFFICE USE OHOY -0 m
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Name rrl -
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(2) {1t{ '1 ~ -
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Add~~SS (nu,mb7and street) fl e, :z: m
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City, State, Zip Code I ()
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o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) ~k appropriate box(es): (;, 5: ~
Candidate (office sought): c-tl~I/SS/~tJt'r - Ko,)jJ' V-
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
Cover Period: From 0 I 1 OJ 1 f2.1 To 03 13/ 19.Z.- Report Type Qr
o Original o Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ Expenditures $ IQ7. ~D
---
Loans $ !:JO, 000. to Transfers to Office
.' Account $
Total Monetary $ Total
Monetary $ /QI. 00
In-Kind $
(8) Other Distributions
$ r75
/
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 5t). 000. t1U $ /9100
.
(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. Jf{&VIZCG correct, and complete. JqQ ui ZC'J.....
(Type name) E /~;q (Ty~ name) v<=/SL1
o Individual (only for S Treasurer 0 Deputy Treasurer o Candidate 0 Chairperson (only for PC. PTY &
electioneenmun.) U (''\, ~oneering commun. organization)
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Signature () (j Signature T~
OS-DE 12 (Rev. 08/04)
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(1) Name
.-CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
k / ,<';,0 U f7 4J I ~ ~ (2) I.D. Number
(3) Cover Period --1--1_ through --1--1_
(4) Page
of
(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
3 //3/0'1 au,/"uJ~' .-<;a~>~i~
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OS-DE 14 (Rev. 08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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