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Q-1 Amended FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) JOSE SMITH (2) N/A Candidate. Committee or Party Name 1.0. Number (3) 887 NORTH SHORE DRIVE MIAMI BEACH FL 33141 c Zip CPde -n ~ ...."'.. ;"~") .....'... , \ \J C) \~ -" "n ;;;. ~-o .,,~ c/; -~~. in ~:i c!,? 0 C) (:J'\ en Address (number and street) City D Check box if address has changed since last report State (4) Check appropriate box (es): o Candidate (office sought): D Political Committee D Committee of Continuous Existence D Party Executive Committee MIAMI BEACH CITY COMMISSION (GROUP I) D D Check if PC has DISBANDED Check if CCE has DISBANDED (5) REPORT IDENTIFIERS Cover Period: From 02/07/01 To 03/3101 01 Report Type Q1 D Original 0 Amendment D Special Election Report D Independent Expenditure Report (9) TOTAL Monetary Contributions to Date $32,320.00 (10) TOTAL Monetary Expenditures to Date $ 2,051.63 (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, correct and complete I certify that I have examined this report and it is true, correct and complete x JOSE SMITH e D Chairman (PC/PTYOnly) JOSE SMITH Deputy Treasurer Name of CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name JOSE SMITH (2) 1.0. Number (3) Cover Period 02/07/01 through 03/31/01 (4) Page 9 of 9 (5) (7) (8) (9) (10) (11) (12) ""iA Full Name (6) (Last, First, Suffix, Middle) Contributor Sequence Street Address & Contribution In-kind Amendment Amount Number City, State, Zip Code Type Type Description Occupation 02/09/0 1 Mr. Jose Smith 2450 N.E. Miami Gardens Drive I Contributiou CAS ADD $120.00 87 Miami, FL 33180 By Candidate r's-- 2. 66-3 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name JOSE SMITH (3) Cover Period 02/07/01 through 03/31/01 (2) I.D. Number (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) ~ Full Name Purpose (6) (Last, First, Suffix, (add office sought if Sequence Middle) contribution to a Expenditure Amendment Amount Number Street Address & candidate) Type City, State, Zip Code 02/28/01 Union Planters Bank P.O. Box 522800 Bank Service Charge MON ADD $15.08 10 Miami, FL 33152 02/02/01 Union Planters Bank P.O. Box 522800 Ordered Checks MON ADD $59.01 ~II Miami, FL 33152 Check Book PO-- 3 f- 3