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 $_.. ,
.
_
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is 1 certify that I have examined this report and it is
true, correct and complete true, correct and complete
Name of ^ Treasurer Q'6eputy Treasurer Name of ~andidate ^ Chairman (PC/PTY
Only)
Si
nat
g
re Signature
DS-DE 12 (7/98) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name ~~~~ ~~'uZ (2) I.D. Number
(3) Cover Period ~ / ( / Q~ through _~ / ~ / 6~ (4) Page
of
(5) (~) (8) (9) (~~) (11) (~~)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Cit ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount
M!G~` J ~~
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DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS ANI~tsOtjE VALIJE$y~..~ ''"
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