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DS-DE 12 Q3
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) OFFICE USE ONLY Name (2) ~~-~le~~ ~',~~~ N Address (number a~~~re~~l ~ ~v~U~ _., o City State l !f r- -~ :~ Zip Code l~ ~ ~ / ~Q B , , .- , m :.~: ^ CHECK IF ADDRESS HAS CHANGED ~o~ ~ (3) ID Number: ~~~ ~ ~ ' ; (4) Check appropriate box(es): o T ~andidate (office sought): G~~-y C~~l~ ~~ -~ 'D N ^ 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 Co r Period: From Q ? l ~ ~ l Q ~ To ~ / ~~ / D 7 Report Type ~ riginal ^ Amendment ^ Special Election Report ^ Independent Expenditure Report CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary ~ ©~ p~ ~ Cash 8~ Checks $ Expenditures $ / Loans $ Transfers to Office _ Account $ Total Monetary ~ _ Total Monetary $ ~o ~ OOO ~ ~ ~ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions 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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (TYPe name) ~ ~.L ~L G , ~~ f/~-f R name) , ~jfrfi.I.J~ ~~ r~~/ ^Individual (only for Treasurer ^ Deputy Treasurer andidate ^ Chairperson (only for PC, PTY & electioneering co electioneering commun. organization) X Signature Sig ~ture nc_nF ~s ~~ap.. nR~na~ '~/'1~(c' ~ Q~ dsdel4 ~~ http://web.miamibeachfl.gov/WorkArea/showcontent.aspx?id=13454 Page 1 of 2 ~~~~ ~ ~ ~ 10/04/2007 11:31 AM dsdel3 10/04/2007 11:31 AM http://web.miamibeachfl.gov/WorkArea/showcontent.aspx?id=13452 Page 1 of 2 P~~~`~~