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DS-DE 12 F1-09-1 Levey--- FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (~) Laura Rivero Levey Name Address (number and street) Miami Raanh FT. X31 QO City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): ^/ Candidate (office sought): Mayor ^ Political Committee ^ Committee of Continuous Existence ^ Party Executive Committee ^ Electioneering Communication OFFICE USE ONLY 0 t,-, ~ (3) ID Number: i-- '~ ~- - ,.... r ~ %.;:: .~ ~.. CJJi ~ .... ^ CHECK IF PC HAS DISBANDED; _.- ~~- ^ CHECK IF CCE HAS DISBANDE)'k o ti.. ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period:. From ~ / 1 / 09 TO 9 / ii ^ Original ©Amendment ^ Special Election Report / 09 Report Type F1-o9 ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 13 6 0.0 0 Loans $ 2800.00 Transfers to Office Account $ Total Monetary $ Total Monetary $ 1360.00 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 2800.00 $ 1360.00 (11) CERTIFICATION b is a first degree misdemeanor for an person to falsify a public record (ss. 839.13, F.S.) 1 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. correct, and complete. (Type name) Laura Rivero Levey (Type name) Laura Rivero Levey ^Individual (only for /^Treasurer ^ Deputy Treasurer ^/ Candidate ^ Chairperson (only for PC, PTY & electioneeri commun.) electioneering commun. organization) Signature Signature CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Laura Rivero Ivey (2) I.D. Number (3) Cover Period 7 / 1 / 09 through 9 / 11 / 09 (4) Page 1 of (5) Date (~) Full Name (8) Purpose (9) (10) (11) (s) Sequence Number (Last, SufFix, Fist, Middle) Street Address ~ City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYf're Amendment Amount City of Miami Beach 1700 Convention Drive Qualifying Fee Mon $1360.00 1 Miami Beach FL DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES