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DS-DE 12 Q2-07 Amended UrquizaFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ~.~Sw ~tpu;2 G OFFICE USE ONLY Name (2) 2z7 L 2;~o RIB Apr Address (number and street) ~~ M;~w; b~a~ f=I 33~3q M City, State, Zip Code <- ~ '-''' `~~~ ^ CHECK IF ADDRESS HAS CHANGED ,~-, _ (3) ID Number: - w "'f~ (4) Check appropriate box(es): V> "~ 3! ~ ®Candidate (office sought): ~, (,..r~, P `-' ~ ^ Political Committee ^ CHECK IF PC HAS DISBANDED -- N `` - c ; ~ ^ 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 o~ / a ( / ©-~ To ~~ / -~ / a} Report Type Q2 ^ Original Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ ~~, ~s,pp -~ Expenditures $ ~~_~_$~ Loans $ 2S, pyO,oc~ Transfers to Office Account $ Total Monetary $ ,Ep 3-Z~,or, Total Monetary $ yy ~ ur2 3~ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date II 1~~~ , ~ -t~,. (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, correct, and complete.. t correct, and complete. (TYpe name) ~-- ~S Ct. ~,, ,~-) ~'~~-" ~°° %s'~ (TYpe name) ~%-~ .'.S /a ~. f)~v' ~ ~~ ^ Individual (only for ^ Treasurer ^ Deputy Treasurer electioneer mmun.) .. ^ Candidate ^ Chairperson (only for PC, PTY & { "', else t/yoneering commun. organization) ` ~ Signature ~~ Signature DS-DE 12 (Rev. 08/04)