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DS-DE 12 F4-07FLORIDA DEPARTMENT OF STATE DIVISION O~ ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ~ `S~ ~~ V~Zc•~ ~ ~ ~_ ~ ~ ~ ~ OFFICE USE ONLY Name (2) 221 ~L '~~v 6 A1~o ~r 2Qa1 N _z PM 3' 44 Address (number and street) ~~.~~, ~tt:;e~°~ OFF ~~~- ~ iavN~ ~C~c~ ~ ~~ 33(~G City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Ch ck appropriate box(es): G "~ Candidate (office sought): C,awnn ~.,,p n; ss,o~nc~r 1~-- ^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 Cov r Period: From 1~ / t3 / ~_ To _~ / \ / C~ Report Type ~ -p ~- [~Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ (, , ~r~ , Op Monetary Expenditures $ 1"~ ~ S (~~ ,O°', Loans $ Transfers to Office Account $ Total Monetary $ (, ~ ~ ~ ~ d ~ Total -~ Monetary $ Iq Sb~ , (7q In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ~~ ~Z~FS .oc~ $ ~S, go~4.2 (11) CERTIFICATION It is a first degree misdemeanor for an y person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete. I certify that I have examined this report and it is true, correct, and complete. //~~ (Type name) [~a~` ~ l.av- ~i S (Ty name) -' /S J/ Z~ ^Individual (only for Treasurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY & electioneering commun.) ctioneering commun. organization) X X Signature Signature DS-DE 12 (Rev. 08/04) (~~ / ~ ~` CAMPAIGN TR SURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~ /S~ /`~t~tc/i Z~,. (2) I.D. Number _ (3) Cover Period ~_ / / ~ I ~ through ~ l Q/ l ~ (4) Page '~ of Z (5) Date (7) Full Name ($) (9) (~~) (~~) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address 8 Ci ,State, Zi Code Contributor T Occu ation Contribution T e In-kind Descri lion ~^d~ Amount ~a , ~~', ~a~ ~ 00 ~ / ~~ ~. ~! ~~ /) G/ivr ` ~ f"' G v~ ~~0~ //L~ iv ~ r~ ~ ~ ~~~ ~A~ ~~ oat ~. ~ / / ,/~ ,~ 'l~Sf Diner ~-~ 1MdJt ,~5d. /U , ~ ~' ~ 6~ ,~,>;, ~a ~o ~ ~ ~ ©o-~ ~8 9y Co //` ~ ,~1f~ rl~. ~~ 3~~~o L ~~ ~-~;~C1 ~~ ~~ ~~ - ~ Od q .0 ~ ` /~'~ ~1 / ~ar~,' ~ e LiY~ GI~ 6d ~~ D , /~ ©o ~ /~~ ~~ 3~/ ~ dr~`n~sr ~ 6~, ~ ~ D/ Cb //,~is ~~~ ~ ~oN a,.3v ,a ~' P`~~,, o .~ ~~l ~~ ~~~ ~5~. ~ f~ ~ 3/ ~ D ~~, ~~~ ~ ..~ ~~ dv! o~ DS-0E 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (~ ~ .~ ~/ CA~M-PAIGN T ASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name off... /~S/-~ ~Q~J/~ ~ (2) I.D. Number (3) Cover Period I ~ l J~ / ~ through // / _~ / ~ (4) Page 2 of Z (5) (~) (8) (9) (10) (1~) (~2) Date Full Name (6) Sequence (Last, Suffix, First, Middle) Street Address & Contributor Contribution In-kind Number Ci ,State, Zi Code T Occu tion T e Descri tion nmendn,ent Amount /U l /~ l d ~~~e ~' S ~e ID ~ /b / 6 ~~~~~`` S ' ~'V~o~ 010 GT 29 ~ ~ ,`parr; /~~ ~ ~/~3 ,~ ~C~ ~ SOI . ~p %b i 1 d' 1 d ~,-,e~~'c~ ~~~ 24.50 S~ a y ~e ~ //JJ _ ~ ~ ~~ti~ _ o~~ ~ /`~~n; ~l 93~ ~3 Jc `~®~ ~o 10 , r~ , d 7 ,~~~ ~'~~ f,9C. ~ ~~ ~~ °'~ M~~~ n~z i 33oitr ~ G~ ~ ~lld ~ 65 ,t3 - 3/ ~3 ~ al/~ .67 ,r~~~ X717 - s ~~~ ~ ~ ~ ~cs~ ~ N~~~~ ,~ w ADD ot~1 i 3 it~izr~ _ G . /~ l ~ ~ / 6 ~ ~~S/ ~ V~/7 .~~j~ t/Q ~ ~ ~ ~ o~~ 33r ~ ;~,,,; l Pte- . ~~_ ~ ~ ~ G ~l~- C~7 otb .~,,~ DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE vALUEs P~ 3 ~ ~ CAMPAI N TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ ~S ~ A ~ ! 2- *'~- (2) I.D. Number (3) Cover Period /b / ~/ /through ~~/~„Ll~ (4) Page ~ of (5) Date (7) Full Name (8) Purpose (91 (~~) (~~) (s) Sequence Number (Last, Suffix, First, Middle) Street Address 8~ City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount ' /~~ /', ~ . ~~ 33 ~ 3~ ~ ~ ~~ ~'pD, oa ~i ~~/ ids /' ~~~; /~/ J e i~7yq-~a ~v ~~ ©r ~ / ,-lam 5~~ ~ r Q /c~.- I j j~ `~ ~ ~ V DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~ ~