DS-DE 12 Q2-07FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ~ lh~.~7~ ~~~' ~_ OFFICE USE ONLY
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City, State, Zip Code ---
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: _ `~- ,„.
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(4) Check appropriate box(es): ~~ ~~,
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~andidate (office sought): ~it`~l7~llY/~~~ O /L~~,~ ~" ~
^ Political Committee CHECK IF PC HAS DISBANDED - . ~
^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED
^ Party Executive Committee
^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From ~~ l ~ l U7 To ~ / ~~~ / C% Report Type
^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
_ ~~
Cash & Checks $ ~ ~ (~--~ ~~ Monetary
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
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(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, I certify that I have examined this report and it is true,
correct, and complete. correct, and complete.
(Type name) (Type name)
^ Individual (only for Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY &
electioneering commun.) electioneering commun. organization)
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DS-DE 12 (Rev. 08/04)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
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Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Cit ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount
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(4) Page of
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(7) Name
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
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(3) Cover Period ~ / ~ / ~? through ~el 3C!~ l ~ ~ (4} Page of
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