DS-DE 12 Q1-07
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SU
(1) 4/JBOl/ UJ l2eof::t=::{/.'/
Name
(2) ~:;;aC} JZ,yAf...> P/rt4'71 /Jl!6'MlJU
Address (rwmber and street) . . 0
1v1/IHV1J BR.At.H r:::L 3314
CitY, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
BCandidate (office sought):
b Political Committee
o Committee of Continuous Existence
o Party Executive Committee
o Electioneering Communication
.
JIII/HVIi
OFFICE USE ONLY
2001 APR' \ 0 PM 3: '8
cITY CLE.rUrS Off ICE
(3) 10 Number:
Beut-l Ct 'rT1 ~11?11S".i:st Q-/\.J ~l1-
o CHECK IF PC HAS DISBANDED
o CHECK IF CCE HAS DISBANDED
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 0 I I ~ I 'ZO(J7 To ~ I ~ I '2007 Report Type Q)" 01
Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
;z; b ~O c,,?
Cash & Checks $
Loans $ SO 107.40
Total Monetary $ 5'2, 7~'7 40
,
In-Kind $
(9) TOTAL Monetary Contrib~~ns To Date
$ I?Z j 7177'd4
"
(7) EXPENDITURES THIS REPORT
Monetary
Expenditures
$_~ n_
Transfers to Office
Account $
Total
Monetary $
(8)
Other Distributions
$
~
(10)
~OTAL Monetary E~enditures To Date
(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,
correct, and complete,
\\ /1. ",~"1 .
(Type name)~)~ll'-j ;, L :.. ('" ,f
o Individual (only for ';', Treasurer 0 Deputy Treasurer
electioneering commun.) '. ,.
'./ ~'"
V <::;';"".. ~<:. ."".;_."~ ..,)....
1\-:...- <<":" ' ' , "~
Signature -,-.
OS-DE 12 (Rev. 08104)
I certify that I have examined this report and it is true,
correct, and comp te, 6/J-61J.llU
fZc::o~,u
o Chairperson (only for PC, PTY &
electioneering commun, organization)
x
t~'
Signature
pQ~Q l iJ2) ~
(3) Cover Period
(5)
Date
(6)
Sequence
Number
, t~, 01
01
~ Ie; ,0/
0'2-
3 ,q 07
,
O'?
,e'1
04.
?, ;4- ,07
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
6A.8l21,LILu
1,--7.,/, l
L--&p~N
(2) 1.0. Number
L 1 ~ 1 07 through ~ 131 1 O~7 (4) Page
of
(8)
(9)
(10)
(11 )
(12)
In-kind
Descri tion Amendment Amount
.:f ~~:;"r ~
c
"500
PAU0(
~~
00
500
1'lt It,'1_ /'~.l.~
t:.z. L/(7c-
<.:'(J
,- of)
?
u
'QJt
60D 0(;
M l,j 'Y1 L--
.f plc(kiL~' {~tfe
. i?<..'
150
,
LI/~_n c~ C
"Ht:
1:'<
5c>C
[Ok
co.L:. c ~.
c
y
joA
/0740
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
f'Ct y:.. ~ 1 ~
OS-DE 13 (Rev. 08/03)