DS-DE 12 Campaign Treasurer's Report Q2-07_~,
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) I ~ I (~~~ ~n ~~~ ~~~~~~> ~C ~'~~-r~r ~~~,i1~Off~,~ y OFFICE USE ONLY
~+~^"-
l
~l~r~r5
N
ame
Address (number and street)
City state, Zip Code
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
^ Candidate (office sought):
~, 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 ~ / (~ ~ / ~ To ({, / , j~ / (J 7 Report Type ~'
[?~, Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ ~ 2 ~~ c) - `~~ Expenditures $ ~1 ~-~ .~ ~
$ ~
L Transfers to Office
oans
Account $ ~~
Total Monetary $ ^ Total
Monetary $ ~ ~~{~C~
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,
plete.
correct, and com correct, and complet
e.
nn
(TYPename) II~~~~t~ ~~T.`,fi'i~~~ n
(TYPename) AAI~DIV I~~~~;itl`
^ Individual {only for ®Treasurer ^ Deputy Treasurer ^ Candidate ®Chairperson (only for PC, PTY ~
electioneerin ommu ring commun. organization)
X
Signature __
Si a ure
DS-DE 12 (Rev. 08/04)
P~ ~ ~~
CAMn PAIS~ TREASj~ER'Sf ~R,~PORT -lITEMIZED CONTRIBUTIONS
1} Name Yin ~ /~~~ ~+`' ~'~'~~~ 1 ~'~~~~~""~r ~~ G' ~'j'`'`^"~ ` (Z) I.D. Number
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(3) Cover Period ~ / °'~ / `~ i through ~ / ~'~! ,~7 J (4) Page ~ of
(5)
Date (~)
Full Name ($)
Contributor (9) ho) (~~) (~Z)
{6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address 8~
City, State, Zip Code
Type Occupation
Contribution
Type
In-kind
Descri tion
Amendment
Amount
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D5-DE 13 (7/9H) Stt KtVtKSt tUK INS I KUL I IONS ANU (;VUt VALUtS
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(` CAMPAI~N TREAS RER'S R,EP RT -ITEMIZED EXPENDITURES
(1) Name I ~n ~-~..o-~r~^ ~c.~- "~~ ~ ~ (2) LD. Number
C~~*
(3) Cover Period ! /~/ ~ ~ through b l ~-~~~ l `~ ,? (4) Page l
of
(5)
Date (7)
Full Name ($)
Purpose
ht if
ffi (9) h o) (~~>
(s)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code ce soug
(add o
contribution to a
candidate) Expenditure
Type
Amendment
Amount
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DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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