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DS-DE 12 TR Campaign Treasurer's ReportFLORIDA DE PARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIG TREASURER'S REPORT SUMMARY ,~ N (1) R A F' lt'J,~ ~L ~ n ~1A /y OFFICE USE ONLY1' ~ /~ ~ Name (2) 4- ~ 9 y ~~ c~Ti,~ . Z o `'~ ~ S iDR i vim' ~~ ~, ~, Address number and street) ~= y ~ n _ 2g2~ ^ ~ i = 1~ .~c~ ~ ~MI ~3 M L . ~, - ~3 ~. City, State, Zip Code -~{ ~ t~ ~ ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: ,~! ~}, r~~ (4) Check appropriate box(es): Candidate (office sought): ^^ (7~ ~I~ /~/ ~~/~ CI~ ~/7 ©~ ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committe e ^ Electioneering Communic ation ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From / / l p ~ l ~ pp 7 To ~ `~', l y ~ l 2 ©m~ Report Type T/Q Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ ~ Monetary Expenditures $ ~ 8 ~ ~ 9 , ~ ~- Loans $ ~ Transfers to Office ~ Account $ ~ Total Monetary $ ~ Total p Monetary $ ~S~ ~~J ; ~~ In-Kind $ ~ (8) Other Distributions NvNC $ (9) TOTAL Monetary Contributi ons To Date (10) TOTAL Monetary Expenditures To Date $ .~. ®~~ obi , o ~ $ 5 ©l~ o9i, o~ (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 r eport and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) ~ A Pl,~~l ~L ~~~/p ~yA,t~ (Type name) R ~ Ph~i9 ~L /7 ~~ .~I~)iy ^ Individual (only for Treasurer ^ Deputy Treasurer ®Candidate ^ Chairperson (only for PC, PTY & /~ electioneering commun.) electioneering commun. organization) X R ~~~~ ~~~ - X ~ ~.-- Signature Signature DS-DE 12 (Rev. 08/04) ~ ~ ~ - ~~" ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name ~ a P~~ c~-. ff,E'R M /~ N (2) LD. Number J/• •~} (3) Cover Period ~~ l OZ l ~7 through d 2 / ~"~ l ©~ (4) Page ~ of ~ (5) Date (~) Full Name (8) Purpose (9) (10) (11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount I l 02 0~ l?/~PNA~L l-lx'•RA°l,~~v , P~3 I D 8~><c ~ f ~i.9v NA u rr ~ us ORt v MIAMI BEACN~~L-331 L o~ ~ ~ ~~/ ~t! ~ , 18 ©P~~ d 11 07 0~ R ~ Pf~A~G- f~~R ~-IA.y ' A~~rl zus ~Ri~ pry 1 D ~/l ~k .~ ~f`9o ~ M i A ~J I ~~~-CN, ~ L 33/~ ~- ~~ i1~ ~ p~ ~,! ~. 3~. ©~ ~- N O O ...~ Z G~ t Ts ~ ''n '~ J DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~'AC~ ~ ~ a