DS-DE 12 Q1-07 Amended
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
C1 ~
(1 ) 5\<Y\C,\\ L-\U-z. OFFICE USE ONL Y::::t S :x:l
-< ~ i11
Name C1 ~ .~
(2) 5~d-CO <;(-\~"J){) 'D\\~f2- I
rn - :\1
Address (number and street) ?J (Jl -
mW'n\ ~o CAe 1\ ~l.- ~\4() ~ -0 .<:
c.I> ~ r'f1
0
City, State, Zip Code '"'Tl N r:
., cJ\
o CHECK IF ADDRESS HAS CHANGED (3) 10 Number: -
n ~
.......
(4) Check appropriate box(es):
G;?tandidate (office sought): ("(lo..i 0 ~ 15(m\C\m\~O)
o Political Committee
CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence o CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Elect\oneering Communication o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From --L I ~ I .;l.OC;':J. To ~ I ~ 1..;x:o:J. Report Type Q\-Ot
..
o Original i2(Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 4'0.000. CO Expenditures $ \b ) O\d.-5"'B.
Loans $ O.C:O Transfers to Office
Account $ (~.. DC")
Total Monetary $ 90 I (XX). 00 Total
Monetary $ I tQ ) 0 \ ~ . S"~"')
In-Kind $ 0.00
(8) Other Distributions
$ 0
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 'lS-O) +cc) . G') $_\Cn,5\~.Sg
(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.
(Type name) mOS \. ()J\Q... c..Ct....~.."'Z- (Type name) Si CT\O("'\ U 11 /-
Dlndividual (only for DTreasurer !S?Oeputy Treasurer [0'Candidate D Chairperson (only for PC, PTY &
electioneering commun.) electioneering commun, organization)
X CVnCXA.L~ fYJ..) CJLL7 ~ X C Ec:2~
Signature Signature
OS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name $\ ""'0" C I l 1. L-
(2) 1.0. Number
(3) Cover Period ~ 1 -1- 1 B through 3-1 311 -D3- (4) Page oft
(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, Zip Code Tvpe Occupation Tvpe Description Amendment Amount
3 / C).O/ 0 ":l N~\ mw .A. .:r: :(U>>\\~NA - 1)~ 1- ~6CO, OiD
Q.\.Mr)kCO .. -
~9 ~Sa..\ \'\~Q.
~ / ";).1)/ o-=l J.-\ti~ ~v.bv~NJ DeL & soo'o(
~o .. - -
-
4~\ t>,ri\(-eJL ..\..-
so
/ /
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OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES