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DS-DE 12 F1-09 BowerFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS ~ CAMPAIGN TREASURER'S REPORT SUMMARY ~ ° (1) - a~ OFFICE USE ONt=X ~ `"`.~ Name ~ a' ---~ r ~ ~i~ i- (2) ~ "i `-cZ ~-~ X10 ~~ - -v - _~ ~'~ ~ -~^, ress (nu er and street c r ~, 3313 L ='~' . City, State, Zip Code w s ~ `D ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Candidate (office sought): O __ D - U ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ 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~ / ~ To Oq / ~ / ~ Report Type {~ ~(~ q Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ ~~~ , ~ Expenditures $ I ~ ` Do Loans $ Transfers to Office Account $ Total Monetary $ ~jjo0 ~ ~ Total Monetary $ i 3~ ~ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 55ao , oc~ $ 13~d , 00 (11) CERTIFICATION It is a first degree misdemeanor for any pers on 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 h ve examined this report and it is true, correct, and co ete. correct, and co pl te. (Type name ~Q ~ (Type name) o Indivi I for T easurer ^ Deputy Treasurer Candidate ^ Chairperson (only for PC, PTY & electionee un.) ~ election 'ng comm organization) X X Signature Signat e DS-DE 12 (Rev. 08/04) U /'/~(~ J I/'J C3Q (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (2) I.D. Number (3) Cover Period U1 / ~ / ~ ~~9h ~ ~ ~ ~ ~ (4) Page I of (5) (~) (8) (9) (~~) (~~) (12) Date Full Name (6) (Last, Suffer, First, Middle) Sequence Street Address 8~ Contributor Contribution In-kind Number C' State Z'i Cade T Occu T Descri lion nrner,~eM Amount O~ ~ ~ S}~~C~ -~` C p~~ ~ ~ ' ~ ! ! t~ f- c ~ 1~~ ~.1NCsY,IJ W ~ ~ t~' ~E ~ ,~ C~ ~ :; .~'E 2E 331 ~1 ! ~ ! ~ s5o P~~s g 1 L~ ~ ~ c~~ ~~o M~ Sv ~-f-E ~~~ ®~ j+e.A~C-~~s, ~-- ~ .~,L~$~cc.~~ o ! ~', ~ S R- ~~ ~~ II 5c , , ~~~ ~,~ O ~ S~ ~~ I~ C->~~. ~c~ ~ cl ss o~ ! ~ , A~.i,~ 5 S~ ~ / ~~ ~~4~' ` ~ ~ l ~~1~' V~--' ~~ ~i? 1~6 ~ ZL>D ~~ ~ F ~vl ~\~ i P.la~ i C~l~ U5 ..o tsrx~y~351Q 33 i v a~ ~ ,~ ! ~~~N~ Pte- g~~~~~~ ~ ~ ~ ~~~ c ~E 5~ ~~ ~-~ Sum ~~ _. ~aW~l, 1 ~~- - I~~' - 3 1 ~ ~~~13u ! ~ I 5~ g ~A ~~~'~ t LTMa~ s~sT~ ~~~ ~~ ~ ~', C~-~ ~,~ ~~ CAP Al, ~~,~ - ~ . 3 3 O , o ! o ~~ ~ ~~s ~' 11, G~ ~ ~~ SvtTE 12a~ _. l D5-DE 73 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS ANO CODE VALUES ~~ ~ ~-~ (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (2) I.D. Number _ (3) Cover Period ~ / ~ / ~ tl~rough ~ 1 / ~ / ~ 1 (4) Page ~ of (5) pate (~) Full Name ($) ~9) (~~) (11) (12) (6) Sequence Number (Last. Suffix, First, Middle) Street Address & C' State Zi Code Contributor T Occu Contribution T In-kind ' lion ~a~oc Amount ©~/ ~ /~ Q ~ 1~.51~~~~ ~ Ci(~ T~ ~~~ ~0.5 S~~A`{S~ ~o~ ~2~ ~~cc~1.~Ti ~ 313 o , .~, , PAM , ~., --.- , +,- ~ ~,~ ,~ i5i~ ~~~~ ~?~~ ~ 3313 i ~ S~ C~ 12AO Caco~~l C ~ i33 t.l.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ DS-0E 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~ ~'~ CAMP GN TREASU R'S REPORT -ITEMIZED EXPENDITURES (1) Name Q ~~KK..__-- (2) I.D. Number (3) Cover Period ~/ O~/through ~ 1 /~/ ~ (4) Page ~_ of (5) Date (7) Full Name (8) Purpose if (9) (10) (11) (8) SNumber (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought contribution to a candidate) Expenditure Type Amendment Amount `~ `~ c~~ ~ -~r ~ Q~i ~ ~~ i ~~ MoN 131~~ 00~ . ~ ~~ ~,.~ ~ ~~q~ I ~ 3313 , DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P , / ,/ 0 Y /w