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DS-DE 12 G4-07 Amended CruzFLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (~) Candidate, Committee or Party Name I.D. Number ~-- - _ ,~ . ~ __ Address (number and street) City State Zip Code ^ Check box if address has changed since last report (4) Check appropriate box(es): e ~ r-_. andidate (office sought): ~~~C.._ ~ i ~ . 1 ^ 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 $_,_=~?~~ O ~ r Monetary _ Expenditures $`,~.~~~ Loans $_,~(~,~~, - Transfers to Office Account $_, Total Monetary $_, , Total Monetary $_, , In-kind $ , _ (8) Other Distributions $_ (9) TOTAL Monetary Contributions to Date $ ,~~., ~ 3 7 . ~>~ (10) TOTAL Mon to Expenditures to Date $ ,~, ~v"~u~ act (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 I certify that I have examined this report and it is true, correct and complete true, correct and complete Name of ^ Treasurer ^-'6~eputy Treasurer Name of andidate ^ Chairman (PC/PTY Only} ~. ~.~,.~ X ~ __ Signature Signature DS-DE 12 (7/98} SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (~ ~-~, E ( v`~ y CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name .~;;-c~~'~ (~~-~,~'~..., (2) I.D. Number (3) Cover Period / :;t / irj ~ through ~ / . " / C)~- (4) Page of (5) (7) (8) (9) (10) (11) (12) 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 ~ i i ~ C ~k tG;~~1-~ to rl~ ~t~ C~~ 1- A ~ .-~,~ ~ '~ ~ ~ ~ / / ~ // y, y ~ i,. l L-a Y~C~~1~~L'l ' ~ ~ . . ., - /~ ~ ~ . F- ~ -^^ Y.~~'C.i~~ C .~. ~~ ~ +~ ~ v~1~ t, ~1-~ ~ L- _ 13- ~ i I / / ~`' '~ f/f~~17.~1~ ~I~~~ t '''C>.) ~l (~( C~~ (~l ~ ' ~~ ~~~a ~} t~~ 1 ~ e -~ `j L"-Y _ `' _ . i C' i= ~ -~a. r CSC, +^~q~ff ~~~,u~~~ ~~ ~~ l t'1G_ t~ T~.~ ~ C.C; . ~ _ ~~~ ~~~~~,~~ clo ~t.~~.c rl ~ .~ ~, ~ ,~ ,~ ~ ~ ~~~, a-YYu ~~-C~C k'r~ F= l_ sy ~ ~~ •yr vK/ ~~ S ~~`~ li ~ /o n - d 3i ~ 1.~/~ ~ c~ d ~ ~ ~ ~- ~~ aY~~- ~~ ~~- ~~ l ~ 3 ~ b~ ~ ,~ 7~~'s 3 ; -~ ~ , ~~ Lc; ~ DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~ a--~ ~-__ __ _ ,~, l j U (1) Name (3)Cover Period i i i CAMPAIGN TREASURE'S REPORT -ITEMIZED CONTRIBUTIONS Simon Cruz (2)I.D. Number Run off 11!2/07 to 11/15/07 (4)Page 1 -5 Date (7) Full Name Contr (8) ibutor (9) (10) (11) -12 Sequence Number (Last, Suffix, First, Middle) Street Address & Ci State Zi Code T e Occu ation Contribution T e to-Kind escri ti mendmen Amount t I/15/07 Simon Cruz I loan add 1 5828 Pine Tree Dr Candidate ~~0 127.00 Miami Beac FL 33140 ('~C- ~ ~- y ~ 4 CAMPAIGN TREASURE'S REPORT -ITEMIZED EXPENDITURES (1) Name Simon Cruz (3) Cover Period_~/?/~-to ~jl~ r~~ (1) Page (5) Date (7) Fult Name (8) Purpose (9) (10) (11) (6)Sequence Number (Last, Suffix, First, Middle) treet Address 8< Cit State Zi Code Expenditure T e Amendment Amount -~a~s ~,; ~.~.,... ~ t_... •~~~ rid d ~ ~°°° -, ~a ~o~ ~7-\l.e ~. ~ c~esS~ 1<~~°Ie~S~-~.4'~~ ~- ~. ~ . J"Yl1 r~~,.c' ~.c-~-~ ~ -~ add 3'3105.~~ ,~ ~ ~~o~ ~a ~. ~-. __;, G, ' o~- " ~4 ~ a~-~ us~~ po5~~e-- us ~`~ ~ -9 c~$ Tota I ~ ~ ~ ~ ' ~'~ ~'>•t-~'c y ~- ~ G ~