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DS-DE 12 F3-07 Candidate Treasurer's Report
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CA MPAIGN T R EASURER'S REPORT SUMMARY C t ~ (1) ~ ~ ~ ~~G ~ ~ ~t` ~ ~~ OFFICE USE ONLY (2) tfl9c~ w,~uT~l~us ~Rt y'E ~' ° =~ o Address (ipumber and street) ~ ° - ;Z ~, -~-, City, State, Zip Code ~~ ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: ~ t; ~ (4) Check appropriate box(es): ~ w ~ ,Candidate (office sought): ~~ o/Q O ~ ,/t-~~~}/le~ / B~'~ G~ 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 Cover Period: From ~J l 2 9 / ~ Q®~ To /©l ~~ / 2Op T Report Type r~ - ® 7 ,Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ © Monetary Expenditures $ !~-~3 (~ ~~ OC> Loans $ ~ ~ ~ oao < UO Transfers to Office -~ o ~ a ' (~ D $ ~ ~ ~ T nn Account $ /~- /T , otal Monetary Total Moneta $ ~ ~~ Q(~ o Q ~ p I Ki $ ~ S ~~~ ~~ ry ~ ~ ` n- nd • (8) Other Distributions $ !VO•'VE (9) TOTAL Monetary Contributions To Date $ ~-, 2 ~2, ©y/, oy~ (10) TOTAL Monetary Expenditures To Date $ ~- 2 ®o~ 0.5'2 . o0 (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. //~~ C` ~) A (Type name) 12~ P ~/"t G L /T ~R M /7 ~ (Type name) R A PI~AE~ f~ER M~ N ^Individual (only for Treasurer ^ Deputy Treasurer electioneering commun.) Candidate ^ Chairperson (only for PC, PTY & x R ~~~ ~~'~2~-~~ electioneering commun. organization) x R~ ~>~ Signature f1C ,1C An /n_.. Signature ~I~G~ I ~ 3 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name R /~ P1-~!~ E~ h~ER M~3~ (2) I.D. Number N ~ - (3) Cover Period ~~ l 2 .g / ~ 7 through ~ ~ / ~ 2 / ~ 7 (4) Page 1 of / (5) Date (~) Full Name (8) (9) (1~) (11) (12) (6) (Last, Suffix, First, Middle) Sequence Number Street Address & Cit ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount p 9 ~ ~ p ~ ®~- RA PIfA~G 1,~~ X190 ~!AuT/ZiCS D 'dam R ,. ~'. PHoTvS ~ r11AMt BEAM/ 1 BRo~ ~,NK o ~' %V A• 70~2 . FLoRi DA 3:31~v R . ~, 9 ~ Ri4PNAF~ IS1~i z '"'A'''~ BF~c~ t ~~ ~" `~`~ ,v,,~. N ~, jai Opa tvRrDy 33/10 BRp l d, l d, o~ RAPNAFC 1~ERHA 4~19d .yg tCTrLIlS !>iPr~ I ` e ~. - MIAMI /3EAcH ~ L- o~ iV~iQ, N A• lob ao -3 . F~vRiDA 3 31 ~f a Rom B ~O ' /l ' ° ~ ~ 9~~9KT ~ ° ~ R M/hl~`?I'BEyCti ~ . . LoA ~,iq _ J/` ~. ~ ©8 0© F~'RI DA 3 3! Rio BR®~ ~~ ~ ~ ~ ~ 07 RAPHAE~lfF ~,,y~N~un-~ R . ~', PH~rrzs ~ ~i ~ ~~ 8~ ~ BRnkE 1 ~//~ v ~ H ~, f ~, DOS.. ~!-E'R ~ Dr~7 331 Ala J2 .1~, ~/9o~.9uri~~s~Ri .. ~ . ~. 6 MrAM! 8~.4-cff ' I Bf~'afc '~- ~A ~V. ~4 . ~I/.i4, ~0~ 000 ~~oR~ DA 33 ~a I o ~ / ~ / 0 RA PN~FL N~'RflA µ~~~ yA~n~~s~ ~~ R ~ : , , . 7 ` BRo1'c ~~ 'RI DA 331 ~ ~ are rctvtrc~t rUK INSTRUCTIONS AND CODE VALUES av p0 ~~ ~o ~p ~v ~~~~ a ~ 3 CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name R /~ P/y/~EL ~j!'~R M~,~/ (2) I.D. Number /y~ /~ , (3) Cover Period ~~ l Zg l U 7 through / ~ l / ~- l Q 7 (4) Page ~ of /~ (5) Date 1~) Full Name (8) Purpose (9) (10) (11) (s) Sequence (Last, Suffix, First, Middle) Street Address & (add office sought if contribution to a Expenditure Number City, State, Zip Code candidate) TYPe Amendment Amount ~y Zq n~ RAPtfyF~ Hc~/2 ^-1~4~ ` ~-i9a ~.~uT~~s DieiYE' PAIp ~3Ac% /''ID%1~ A!/~. 18~ oo~ MiA.r1iBEACf~,~LB3l~® Lacey ~ © aq a RA Pf/AEL i~Fi~/'1A~ ' [ P~ l D B~}CI~C /~-/yv..y~9~Crr zus DR dE F M o~ ~'''~ ro ~yv©, ~ NIl ~9.~1 g~Cl~ F~ 3 3/~f D L-~A~ , ~~ ~~ © R~P/f~-FL /~fF'R~IA~ Q~9Ch- P/~l D us om' ~ ' ~ , ~z f-/9 OJp! Y ~yAkt /~©~ N, A. 10~.~ 108 ~ ~l~A~i a~1G~F~33/~ L~A~ , to /r © RA Ph~AEL- /~F'R MA} P/~f0 Qi~Cf~ ~-/9~ ~Al.~TlzuS ORiY ~ rt tAM i BFi4C/~ FL 331c~ L. og ~/ /~~/to ~, A. X07 goo , J2NP/fAFL h~FY2 M~y,~ l© /~ ~ ~f-/9~' ~.9u'T~L~s 02it~6' f''4ld L3i4C~c' ~ Ml~#~!1 BEACh; FL 33/1 ~- DA ~/ /~I G~~/ :'v=~. ~-.g /O®~ ! d / 2 v RA PHf~ FL hlE~2 Mf~.~ p r ~~ D BACK" l~ ~l,~O N~1~LT/LUS Dl~l1/ i'~llAMl BEACl~FL33I4~ ~--- ~~~ MD`s ~~ ~ 52 p0~ ~ nC_nC ~~ /o.... nninn~ _ _ __ .. ,.._.. _.,.,,,,, SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES -v ~~ w ~a w ~o (~~G~ 3 J~ 3