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DS-DE 12 F1-07
FLORIDA DEPARTMENT OF STATE DIVISION OF ~T$OIL CAMPAIGN TREASURER'S REPORT SUMM RY (1) ~ ~_~.` ~~`~ ~oUJE~- OFFICE USE ONLY '~ Gf FIDE. ~h;= ;' ^iTY , _ ~ Name ~ ~-F ~~ ~ J ~~~~o , t2) 1 Addre s (number and street) -~M -F~ ~'"~1J City, fate, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): _ ~ ~ ~ A`('cjZ- y\~ \~ ~ ~ t~ ~1 ~~C~ Candidate (office sought): CHECK IF PC HAS DISBANDED ^ Political Committee ^ ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Parry Executive Committee ^ Electioneering Communication ^ E BE FILED COMMUNICAT ON REPORTS WILL (5) REPORT IDENTIFIERS Cover Period: From p~_ / G / c, To C I ~ l ~i Report Type ~-- _1 -~_ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT ~ $ {c,~3 GC k Ch h 8 C Monetary c)p Expenditures $ b~0 ?~ 3 ti~` , _ s ec ~ as Loans $ Transfers to Office Account $ Total Monetary $ ~, ?~ 3 ~ , ~ C Total Monetary $ ~~ ~ I In-Kind $ i (8) Other Distributions (9) TOTAL Monetary Corrtributions To Date (10) TOTAL Monetary Expenditures To Date (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, 1 certify that !have examined this report and it is true, correct, and co p te. (Type name) ~~~ --~\ '~~ ~+V ~ '~ correct, and co te. (TYPe narr~) ~~T~ ~~U`~~--' ^Individual ( Treasurer ^ Deputy Treasurer Candidate ^ Chai~ ~ ~m u electioneering .) ~ ~ lion) n. orga m ring - X ~ ~ n ~ 1, /~ ~ ~` ~ ~ Signature ; \' ' Sign r '" ncsc ~~ Geo.. AR/f1A1 ` \ CA~~ TREASURER'S REPORT _ CONTRlB!)T101~tS (1) Name r C~ ! C ! d~ ~ ! ~ ! ~ (41 Pale ~ of 3 (3) Cover Period .~ .___~. (~f (ion t~~) tip c5~ ~ f ~ m ~~ , ~ ~ (s} Ca,trfi„6o„ 1r--ia~ b r N ess 8 StueAddr Code T ~ T um e .- ~r!{j~~~1~1J'G' l~' ~~~~, e /tip ~~~ l l~~ ~ _ ~~~ Lf ~ n ~ / ~' ~ f~,gjLarri~' ~~~' ~~115 /~~~~~ - ~~ ~ ~ ~ ~/,~ ~Tr~ ,~~- ~s~~ ~ ~ ~ ~-qL-'RCS l,l-~~ / s ~ ~~lpyc~ ~~~U o1 y ,~ ~ ~~ ~~~ ~ ~/~~ ~ m l ~ 3 3 ~ / ~ L /~/ ~~A 1l /~/IA~YJ /~ !7' L ~ ~ ~~ 5 , ~~ s G. C/1~..e1Z ~Doo ~~ s;~ C f~ ~ , ., asE les/~4 ~e rl~ ~~8~ ~ ~~E . 4u ~1ii9/~1i ~/ 3 3 3 _ ~ • FEt1~R?1g~lr~ 4! ~ R ~ ~ ~ ~ -c1a~ ~~~ . , ~ ~., . ~~ ,~ov ~~ a.~~ - .5~~ _ ~- ~~ 3~ ~ DS-DE'13 (Rev OSlai) SF-E R~RSE ~d3E2 [~!s'~'UC~'iol~S A9~lD CODE VALUES ~a~ad~s CAMPAK,~1 TREASURER'S REPQRT - ITENR~ CONTR[BUTIONS ('~ Name (2) i.D_ Number (3) r.01/B< ~@fldd ~._!_- ~ .~- j ~=--+-- c C ~ -~=+- ~ ---t' t~~ P~ ~ °f _3 ff} (f2) (5} m (8} (J} (f0) ( ~ ~~ ~s) (tom Suibc. lFi~. ) Sim Address 8 ~~Df C,ordn tr--idnd A„,~,arr,~-t otad A Ntmdber ~O~ ~ m 5 ~ ~ _ ~ G T~s f-,RAJA j US ~ Gcl f~7 `>~ ~-- ^S ~~ c~G~~ - (} 7 ~ /~/yl 33/ ~~ tT~l ~~' r~v~e~y~r~~t~ ,~ Cf~~ ~~ ~. ~ l go~Ca~,n/s A~~ ~ ~~i l l ~ ~/~i~,3~3/ ~~ / / ~a/ _ ~~~ ~~~~ ~' "~! ~i : ,~~~%~~~ ' -~ ' ~ ~i ~~~y~ ~~ ~~~r~~ -- Cif r j~ ~~;1 ~1 ~r ~ ~~/ N os-oE 13 (Rev osioc;) sib R~~ts~ ~R t~as~RUC~o~s Area cotes vAe.uEs P a~ 3 `~ s ~~ .iREl1SllRER'S ~pO~ _ ~~ CONTRIBUTIONS (. ~~ ~ ~ (2) LD Number (1) Name ~ ~ ~, (3) Cover Penod L ~ ~_ 1 ~~ ' r-~, C~ ~ !~- ~ ~,r t4~ p~ _~ of (5) to t8) (~ (~o~ (z1) (12) Dam ~ t~ ~ ~ ~„ ire-wRa Seque~e Code T ~. Ainots~t Ntnribet '~~ ~~ ~~ ~ "y' . ~~~ ~~ r 5 ~~~ i /~ ~ ~ ~~ ~~ ~/~~ ~ 33~ `~ 3 ~~ ~~ i~s~ ~ J ~ ~/f~ ~ ,~ ~ ~~ Rk ~ ~~_ h l ,~ ~u~ ~~- ~ _ ~ ~ ~~ ~ ~, m P~ ~ ~~ r~~ ~~f~is'~ ~~ f~~~ J N, ~ v~ ~~~ ~~ - ~~g~~~y~G~>~ -~- ~~ ~'~.~3 ~ ~/ DS-0E 13 (Rev. 081ai) SF~ REt4ERSE ~9E3 A9~AD CODE VALt1ES r---- ~~~ ~ ~~ ~AMPAIG(~ TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ ~~\ ~} r>\rJL~_. (2) I.D. Number (3) Cover Period ~-? /~_/~_ through ~%~~/~/ L (4) Page ~_ of (g) (7I ($) l9) (10) (11) Date Full Name Purpose (s) (Last, Suffix, First, Middle) Street Address 8~ (add office sought if contribution to a Expenditure Sequence Number City, State, Zip Code candidate) YPe Amendment Amount ~IM-P1-~ TErG~I ~S ~~z N.w,L~ ~~~, ~ ~~ ~ P . ..- . . N ~ ~,N~ Mn ~ ~~SI a~ Sv ~~e- 103 , G+~\M Pti ~T~iE:U 1E5 ~rz tiT N~ Mc~~ ~ ~I ~~ ~5 -~$ N~ ~~~ ~ ~ ., ~ , ~ o o~ ~~t~- ~~g Z.~ ~ ~x~CoN~~v~sP-~(?S,~ ~~~~T~s~tu~ ti1~'tJ ~~~~,C(~ ~~ SJ N ~ oS 1 ~~,~~~ ~',0, PAX 1°I1~~~ c 11 ° ~ R Z 1 ~ ST~E~r 1 c~~,~, tip, ~M~ ~~~N , ~-L ~~3~ ~ ~ J ~ ~ ~i ~at N - ~ ~~d0 ~D q ~1AM\ ~~C~ ~ ~~ 3313 I CITY c~j=~~iAMI ~Ct-~ ~~,~,1_tv='(ir-~ ~~~''ti' ~'~ l~1? C~~ ~~ o " , 1 ~ no C~\1~~ ia~ CT~ ~~. 1 ~ ~ ~ _ ~~~~Mt ~~=~c~~ ~-~`~ 33l ~1 ~ Z Nw I~ ~ ~ s . ~~ ~~ e. 1~3~ DS-0E 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~