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DS-DE 12 Campaign Treasurer's Report F1-07FLORIDA DEPARTMENT OF STATE DIVISION O F ELECTIONS CA PAIGN TREASURER'S REPORT S UMMARY ~~ J ~ 7~ (1) ~, /S ~ OFFICE USE ONL~ c~ ~.°'3 ` N/ame /~ ~-~ rr1 r-- -~ -} Address (numb. and street ~,; ..o ,~ N Zip Code City State ~ , , ^ CHECK IF ADDRESS HAS CHANGED c~ _ (3) ID Number: (4) Check appropriate box(es): ~ ~ J ~~ c~rl Candidate (office sought): < n~fic/iS F~ - -- ~~ ^ Political Committee ^ CHECK IF P HA S DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE H AS DISBANDED ^ Party Executive Committee '~ I Fiec~i~~~~eerin~ Gortirs~L~rdic~~i~r: _ CHECK iF 3~G ETHER. ELECTIf~NFERING - COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From .~ / (~ i / p ~ To C~ / , ~ / O '-~ Report Type 1 -O ~- Original ^ Amendment ^ Special Election Report ^ I ndependent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDI TURES THIS REPORT Monetary Cash & Checks $ ~, 4 ~ O ~ C~:~ Expenditures $ < ~ ~~ Z > Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL M onetary 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, I certify that I hav e examined this report and it is true, correct, and complete. correct, and com plete. 1 (TYPe name) ~c~~~c, c~ ~~ ~ ~n ~ (Ty name) ~ /S ~ /~)C~Ji Zr~ individual roniy for ~'freasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PG PTY & ;_~~ t;oneering coy ~~~_,~~ ~ __„~ . ~ _~-.~ ?r ,"inn`] ~ ;irir ,ur >rp: F i a~.or~) ,, ,~ ~. c . ___ Signature ,.~r~= ~ Signature DS-DE 12 (Rev. 08/04) (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS } ~S/-~ (i'(>6~c~i~~~ (2) LD. Number (3) Cover Period `7 / e~ ( / ~~ . through ~ / ~ / G ,~~ (4) Page ~ of ) (5) Date (7) Full Name (8) (9) (10) (11) (12) i~ ', (6) Sequence er Num b (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount ` ~ U ~~/ ~? / ~ r~ ~~ l~a ('d'c~S' /-1P 7 co 1, o / ~ ~ 7 -ls~~~ ~ ~`/`tom%~d : e ~, z ~ 3S Cc,.~~, dal ~{' r3. /'/ 3~~~ _ ~-- ~ ~ n,~ ~ iy ~ ~~' Sao. <2~ i/~ ~'~ ~ ~ ~ ~ .SOD- <~ O ~I i /.~ i D ~~a o~scU ([~.T~) da-~ /U /GS { lti ~ ~, rl 3~i3~ ~ /1,~~,,, ~ ~ 5G~`~- ~ ,~ , ` a.~~ •. / / / / / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES rah ~ °~ S ~~IIPAIGf~ TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name /.S ~ ~ ~~ Ji Z~ (2) LD. Number (3) Cover Period ~_/ C~ ! / ~?~ through q / '4 / ~> ~ (4) Page / of ~ 3 9 (10) (11) (5) Date (~) Full Name Middl (8) Purpose (add office sought if ( ) (6) Sequence Number e) (Last, Suffix, First, Street Address & City, State, Zip Code contribution to a candidate) Ex nditure pe Type mendment mount G' ~ ~~ U`r ~~ .,,~ ~ ~ ~~~ r ~~cma~~ M~.c ~~n o~ ~1~~ t~ ~ ~' (-S~f ~S ll ' . N~UVr ~/y T ~~~/ i ~~ D~ S~ 1a7~ ~ ~-/~~ >,~; ~ ~~ ~~~~ S~~s ~~.~-cam L± ~ d~ D`~ ~G;,b li X r~ ~ ~ ~o ~ Inc- .~ /iy .~f.i~. ~/ 33~3y 99' ~ 1C, ~~~I~er~iS~~~ ` ,~ ~-., ~ /~f D` vS Cc> ~ ~1 r n ~~ ~ ,-, ~ ~ ,'~, ~>~ , ~~ . ~~ ~ ~ DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES j~~3~s CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name L- eta J~°a '?c~ (2} LD. Number (3) Cover Period 7 / ~ l / 0~ through ~/ I-~ / y ~ (4) Page ~ of _ ~~ (5) (7) ($) (9) (10) (11) Date Full Name Purpose ht if ff d (6) (Last, Suffix, First, Middle) Street Address & ice soug o (ad contribution to a Expenditure Sequence Number City, State, Zip Code candidate) TYPe Amendment Amount p ~7 ~0 aC~ ~~ ~' l c~~ /i ~ ~ ~ ~ ©~ ~ 1 ~ ~C~~"~ ~~ .~ Gar lea / iy~~ ~ ' ~ ~' ma i ~ : ~ c ~~ ~;~~ ~ „ ~~ ~~d ~1~~w,~-L, ~~-~, / / ~ ~~ /03. /~ ~ ~~ o~ ~~~~_~.~ ~~o .~ - Y ~ ~~~ ~~ G ~ ~~~.-~~ ~'i -~ - ~ :-, (~~ ~ U` l~~/~-vim--, -z /{'~ j. -~-~-ryzol~ M i ;t ~ c L ~ ~ ~ I C t~ ~6~ ~3 .~ ~ ,~ // ~~ vo f C ~ 1~~ iG ~~ /~ ~ ~/ ~ ~`~ ~,/ ~l ~ rni ~ 'cam Q~ U ~~,C~ ~5 ~ i"~~~c ~! ~j ~ ~ / /~!~ LtS i ///~` ~~- ~`-'~7S ' ~~C~ l~ 7~ f 30 ~~~.,~, i-i ~~i3~ ivaa.~ D i 0~' 07 n~ ~o w ~~ G J ,; P~ ~ E ~ "~~,~ n 1 f'~ c1.J. v 3 , ~,rwn r't,1ti_ ~ti~ c~~ ZZ 2~: ~~ i3 ~ DS-DE 14 {Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~ ~ `~ ~ ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name '= ~Su v (2) LD. Number (3) Cover Period ~ / C:- I / ~' ~ through ~ / ~- / G^ ~~ (4) Page ~, of '~ (5) Date (7) Full Name (g) Purpose ht if ffi (9) (10) (11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address 8~ City, State, Zip Code ce soug (add o contribution to a candidate) Expenditure Type Amendment Amount 1 ~'Z DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~ ~~ ~