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DS-DE 12 Q1-07 (1) Simon CruzFLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) SicY~~~Su.'L (2) Candidate, Committee or Party Name I.D. Number (3) ,5~~ ~ c~ r ems. 7r. ~Ylie~,,rtii ~~r~h ~ L ~314~ Address (number and street) y State Zip Code ^ Check box if address has changed since last report N ~ o (4) Check appropriate box(es): =~ ° ~ -` ° `~"~ c-~ ~ '' Candidate (office sought): ~n b [~~ ~ ~ ~. A r-, ^ Political Committee ^ Check if PC has DISBANDED ~;' ~ ^ Committee of Continuous Existence ^ Check if CCE has DISBANDED ~'~' ~ ' ^ Party Executive Committee ~; '~ (5) REPORT IDENTIFIERS ' Cover Period: From _~/~_/_~ To ~ /_~/ ~ Report Type ' ~ ^ Original Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $_,~,~ ~ Monetary Expenditures $_,_1{~, (712.x$ Loans $_, Transfers to Office Account $_, Total Monetary $_,~_, t~0(' -- Total Monetary $_, /Ja , O/ 2.~-~ In-kind $_, (8) Other Distributions $_.. , . _ (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is 1 certify that I have examined this report and it is true, correct and complete true, correct and complete Name of ^ Treasurer Q'6eputy Treasurer Name of ~andidate ^ Chairman (PC/PTY Only) Si nat g re Signature DS-DE 12 (7/98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~ , ,~ ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~~~~ ~~'uZ (2) I.D. Number (3) Cover Period ~ / ( / Q~ through _~ / ~ / 6~ (4) Page of (5) (~) (8) (9) (~~) (11) (~~) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Cit ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount M!G~` J ~~ 3 / ~ / ~ D~~~ ~~ s ~.h,Q.c.~ . ~e.,~ ~ 5~ ~.4 s~. t~ Kli0.rn- F L / ~ H / b~ ~G1o~-~cnu, ~~- ~e.l ~ Soo 3`~ ~~ ~~ ~M~ C~lc~trarl ~ / ~-0 / O~ ~S~C ~~-- G~G~ . -~s m~~ 5 3 /a~- /off l~~s M~°~' Lh~~ S~.S ~ ~g ~SCSfl a ~ o ~,~ ~~e.S i ~ / / / / / / ~Ll~ ~ \ DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS ANI~tsOtjE VALIJE$y~..~ ''" ~~~~~~ P~ ~ ~ ~