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DS-DE 12 F4-09 BowerFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SU RY (1) _. . ~- OFFICE USE O L Name 2U09 OCT 30 PM 4: 3S (2) (~Z `~E:-~sa~ ~~ C~T~r c~~~t i~ S 0~ F ~ C E: Addre number d street) ~ .. ~ ~, X313 City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Gheck appropriate box(es): _ C Candidate (office sought): ~ ~.- ~ 1 Politica! 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 COAAMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From ~ / ~~ / dq To ~ d / ~ / ~ Report Type ~ -~} Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash 8 Checks $`~ a~~~5, "~ Monetary Expenditures $ ~ q ~ ~ Loans $ Transfers to Office Account $ Total Monetary $ ~ , ~ ~' ~, ~ Total ' Monetary $ ~ ~ < ~CJ < . In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTA L AAonetary Expenditures To Date ~, t ~, (11) CERTIFICATION tt is a first degree misdemeanor for any person to fatsNy 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 co lets. ( correct, and complete. ~ (Type na ~A ~ \J-11T1~ (TYPe name) ^In ' for Treasurer ^ Deputy Treasurer Candidate Ch irperson (ony foRPC. PTY ~ ele~i .) elects nearing , agardzation) ' X X ~_ Signa Signa re v cal~at~N nt~suR~°s Rt-PO~r - ~~o coNn~rsvnows (1) Name a (2) I.D. Number (3) Cover Period ~ fi ~ O t ~ ttnoorc,gh ~ ~ ~ ~ t ~ (~1 Page- ~ ofi (5) Date (7) Full Name ($) (9) (10) (11) (12) (6) Sequence Number CLast,_ Suffix... First,. Middle) Street Address 8 State,.- ' :Code- Contributor T Q Contribution T In-kind 'on nmendmeM . _ Amount o , ~ , ~ -~i ~Y Nb`e:~ ~W T ~ Z5 , ~ ~' ~ ~ µl-pMt 1 ~T~,~ ~ ~ d , ~ , o ~~ESr-l~ ly~~ ~' l - ~--1VE 5a ,~o ~~c-~-~ ._ - ~ ' b~ ~ ~ ,~ , 1 , ~ ~ ~.u.~ ~ ~~ ~ _ ~~ Sao ,~ . ~ ~ ~~~ i~~, ~ ~~L ~ ~ ~a , ~ , ~ . ~~ ~''.~ S C ~~~ ~ ~Z',a~ ~~ IUo ,ad . ~~ ~, ~~t E ,~` ~'~ 8a~ . 1~u~n~ ~ ~yt~ . to ~ ~ ~ ~a~- ~Y~S ~ ~ ~~¢. ~ ~o~ ~~ . a~ 1~~~ -1~ M ~~ ~1rA3 +~ ~-{--(,, 111 D , ~ , d ~ ~aP ~l`(tJ l A ~ ~~ ~ ~Op ~ ~ .. 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T T Amendment Apnou[-L 1 ~ ~ /^ ~ ~~ . ~A~1-A ~--_, ` ~1 ~ . ~~ _ Zoe ~ O(~ / / s~ ~ ~ 1 ~~' o°~ ~~n,,~~ 33~u5 o I~ ~'~' T ~~~ ~- zL,°'~ , , Z~ ~~(~~~ I ~ M1AM- }~ {~ ~ D ~ ~y' ~ p C~,e~( „'N ~ K,crn~ ~ol~-Ai~i i S ~ P~,~ . ~~ 2~0,~ M~~ us iJG _ 11 ^7 Gi~o ~ o , 5 ,a D . {-~~ ~oo~ -P ~ ~• - 1. ~'~ - ~~ 5z~-c~ ~ Z , oI~TE 1~0 i ,. - ~~ o , 15 o . ----~ , .bus . _ ~,~ Z , t~$b a ~,5~~~~- ~~ _~~ j/~~1 ~ ~~ ~ `~ C~~ ~~~g ~ ~ ~ ~i~~~1 ~~3 13 ~O , ~ 5 ~ ~ S ~' . 1 ~o--~-~ . ~ ~ - ~6,~ ,~ ~ ~ ~• ~NaM19~~~ ~t~ ~o .~ c~ ~- ~~ ~1,33~3~ f w-va,s Rev. vaivs- SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 3 ~~ ~` v ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period ~ / ~d / ~ through ~ / ~ / ~~ (4) Page- ~ of (5) Date (~) Full Name (8) (9) (10) ~ (11) (12) (6) Sequence Number (Last, Suffuc, First, Middle) Street Address & C' State- Zi Code Contributor T Ocru lion Contribution _ T In-kind Descri neon nmendn~ne Amount a ~ ~~ ~ a ~R~~~,~~- ~ ~, ~-T~ c~~ 5aa,~ ~ Q~ ~~ I D , ~ 5 , o ~cs~~J ~~ ~~ ~i~L ~ 256,z~ ~ to ~ is , ~ats~'~l>~ C~ -~-~ ~~ ~~ ~ ~~~- ~~ ~~ 5 ~ 4-aG~~.~I1S~~J ~ -I~ CAE I~a,Cap ~ ~~ ~l~A-~1-.z~11. 1,1~~,~L~3<<-1'd 'Q~ ' G ~ 135b ~f ~~ ~ ~- ~I ~,~1, 33~ `~ ~ ~ i ( ~ a ST~~c~J ~ .~~ ~ Q y5$ ~ ~»~ Cry 1~~ . ~- v~ 1 ZZ fig, t~ ~~~ 10 ~ i S ~ o ~~i ~ 1~N ~ ~ 1 ~ C..~-~c 25 ,~ tol Cx~v-~- . - ~1-- ~ -~ 33 ~3 i a , 5 ,d C~L~~ ~ ~, ct~E 3io too 7i ~ ~(~ 33 i3~ J J r J J ~-oe 73 (RSV. vsru3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~~~ a (2) I.D. Number , (3) Cover Period ~ b / ~D / ~ through ~ p / ~ / ~ (4) Page ~ of (5) Date (~) Full Name (8) (9) (10) ~ (11) (12) (6) Sequence Number (Last, Suffer, First, Middle) Street Address & C' State Zi Code Contnbutor T Occu Lion Contribution T In-kind Descri 'on ~ Amount to ~ 15 ~ ~~''~- S-r ~ ~ ~ ~' ~ ~~ 2S ~~ ~-~~ ~ ~ ~~ o , ~5 , 0 1~-~ ~~~ ~ h C~~ 2~ , as ~ ~ 15 ~ o ~ ~ ~ ~ ~~ ~~- 1~a, c~ ~ ~ ~L ~14~ - v ~ t 5 i ~,I~t~AD.D~-la .~. '~-~~ ~ ~,~.5 ~ ~ 3~1 ~-vaM1-X~ ~- M~,~ 331~b . a , ~ 5 ,~ ~'C~~ z 1 ~,~~ ~ ~,~ Z 5 7S (~,>c~.~, ~,~ 331 y'a 1Q , ~ ~~t -P ~ ~ c T c~ 2~;0,~ UV ~~ ~'V~~ ~~p~~~ ~~ , O / (~ / ~+~cPGdJ nS M~ ~~~ 331~~ ~ - ~~ N5U ._. 1 ~o ~ « ,a ~~~v ~~ g ~e r .e..- C-~ ~~,t~ 3Z 255 ~,~~~~ ~~,, FL 33~ ~ ~~~ ~sut~, us-uC 73 tK@V. VS/U3) 5EE REVERSE FOR INSTRUCTIONS AND CODE VALUES i ~~ ~ ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name l~~ (2) I.D. Number (3) Cover Period w 1 ~ / ~ through ~ 2> / ~ / ~ (4) Page ~ of (5) Date (7) Full Name (8) (9) (10) ~ (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & C' State Zi Cod e Contributor T Occxt lion Contribution T In-kind Descri lion ar~nd-nem Amount / / p ~ ~ ~M~ ~ f.~ibl~j ~ g ~. ~ ~~ ~~ qq 1 ~ ~ ~~Mi ~. 33t3i ~~ ~ ~s~x~~ ~1~i ~, 331 `i-1 tp ~ ~~ ~ ~ ~~~sS F~'~P~D ~#} ~ ~,~ ~st~ ~y E ~~ ~~q ro ; ib ,~ s ~~ ~~~~ t ~e~l~~ ~~~ „~~~~~ ~ , I , ~ ~ ` -l SID ~ 5~ l ~-~ ~ ~~ 3~ ~ ~, ~i ~ ~L I~,oe..K., ~~( ~ e ni " I a ~ ~ ~ o ~~~~~ -~-. C ~~ ~~YJd ~ C~ . 1~ 61 ~ ~~ ~ ~Y loo J - ' 5b v ~ q~ S ~ ~i'Z` IZv ~~ ~ 1 ~~ ~ ,~.. ~O, 1b ,o ~~~~~~~ T A C~~ 5~~~ ~~ ~ v J DS-DE 73 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~ ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS {7) Name ~~ (2) I.D. Number (3) Cover Period L / `~ / ~ through 1 ~ / ~ / ~~ (4) Page k~ of (5) Date (~ Full Name (8) (9) (10) ~ (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & C' State Zi Code Contributor T Ocxu lion Contribution T In-kind Descri lion MrendmeM Amount o , ~~ , J~~MEC~~ ~ ~T~ C+}E 5~,~ ~tggq s~J ~5s-~ Moil ~~ +- ~. f o , ~b , a ~ ~ ~~~~ Z _ G~~ 5r o,do ~~~~ ~~ g~~~ ~1t~~ ~--((~~,, 33 Im S o ~~}~ So~-~ ZaoZ ~ ~~- 3313 10 ,ZZ-, ~~~~t~nhWJ ~ - ~~ 5o,oc~ IZ?v ~es~-Av .e., ~S ~A~CI L 3313 _ ~ Jot Si,~ to3~ ~u~, ,}{~ 33t~~ ~~s ~ o , , d ~~ ,-~at•~s 1 C}~ ~O,ab 1a -~a~-~~t~ ~~aZ t to , ZZ , ~ _ M~ U C~}E 15a c~ `~ ~~bS~z' ~ ~. 1~A~ ~l, .33 3 ~ ~ 1 cam, r J DS-DE 73 (Rev. 08-U3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~ ~~' ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~ ~~•- (2) I.D. Number _ (3) Cover Period ~~ / ~O / 7~- through _~ / ~ 1 ~ (4) Page ~ of c5~ m cs~ c9~ coo) ~ c„~ c12~ aa~ Full Name (6) Sequence (Last, Suffnc, First. Middle) Street Address & Contributor Contribution In-kind Number C' State Code T bon T Descri 'on ~ Amount ~~~~~ M~,~~,~ ~ Id ~ u-,o (L~'-S ~ ' ~ S , C~~ ~~ c~ ~vA~ 5~3I ~ ~>?-11JC~P-A C,G • ~ ~(- 3~13~- ~ ~ , 7~ ~ ~ ~11Sj 1~-~- v, ~~ N ~ ~ ~' 1` ~~ 3~,~ , ~R i 5 to , zZ , -~~ ~. ~-~-~- ~ ~ ~~ Ica C~ ~,~ ~ ~ ~~M1 ~1~3313d , o t o ~ zZ ~v wW.eu~c~ .~ C~ 5~ ~ , g~ o~,~ ~- '~~~ , o , Z~ ~s ~~~~ C,U,~ ~-~. ~ ~ ,caD ~ ~~~ f o ~ ZZ ~ ~''~~.'k' ~ I ~ C~ 5~0 ,cx~ ~~ ~~ -a ~1 ~o ~-c~ to cd -~~v~r~ t-l. ~ l J J J J D5-IOe 73 (Kev. vs/o3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES„ CAMPAIGN TREASURER'S REPORT -ITEMIZED GONTRIBUTIONS 1 Name ~~~ ~'P--~~ ~a ~~- (2} I.D. Number () (S) Cover Perm ~y I 1~ / ~ through l~ / ~ / ~ {4) Page ~ of {5) (7) (8) (9) (10) ~ (11) (12) Date Fuli Name (6) (Last, Suffix, First, AAiddle) Sequence Street Address S Corrirtbubor Contribution In-kind Number C' State Code T ' n T ~^ Amount 10 , ZZ, a ~~t~ ~. S ~~A~ ~ L~cmw ~ ~ ~ ~ ~ ~~ 5~ M. ~L t a , ~, ~N~~-Piu' ~ ~-Y • C~ 5~,~ ~~ v p ~ ~ ~ N~hA1.~ ~ 11~ 1 ~ ~~ ~~ ~ ~t IJ~ ~~ S-T- ~ i~ ~-I 131 ~ r© zz U ~p ~. ~g ~ ?.~ ~~ , , ~as~ v~~,~,~,~~ ~~„~ .. ~ ~ 5~ ~ ~o1~P ~ - -~- , ~~ C~~~.C~~, ~-~1... 3313 ~a ~ Z2 ~ , GAS, ~ ~ ~~ ~l ~ 5~ C{~- 500 ~ ~Z ~~ . c~ ~~~ I~ 3313 5 ~p , ?~, {mil ,-' ~ ~ C~~ 7~ r ~~ ~LT~ ~~ ~ r-l., 3313` o ~ 2~ ~ ~ ~ ~ 3. C~t~. ~SO~L1~ DS-0E 43 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES b CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1j Name ~~1 ~£-~A ~a~~-- {2j I.D. Number (3) Cover Period 1 b / ~ b / ~ through ~ / ~ / ?~0~ (4j Page ~ of (5) m (t3) (9) (10) ~ (11) (12) Date Full Name (6) (Last. Suffix. First, Middle) Sequence Street Address & Contrbubor Contribution IMdnd Number C' State Code T tion T Descri 'on ~d~n1 Amount ~o ~ 2~, S~T~I~s~ blo 1 ~ ~ ~ ~ ~~~~ ~ 2~o,tn ,,,. c q ~~~ ~~ 33~ 1 10 ZZ ~ G~cwT s-, ..~ C~l~ Sao ~ ~ , ~ BUJ IZ S- ' 1 ~~ ~ i U '~O ~~~~ Ztd ~~I ,~L331~ d ~ ZZ ~ ~-sr~~o 'p. '~, 1-~~NtAe-3~~jJG .g ~~,~g~ ~(~ gyp, D~ ~ i ` iB~~ ~ N ,~ ~hAMI ~~(..,~12Z o ~.~ ~ J,CAf~EU..~~'1,1.n~c., ~ Gam,, C,~-i~ soo,N~ ~ iCb 1~ 12 S s CoOTi~ SUTE Zlo rA 331 ?lo ~b , 26 , a ~,L-I~,SM~~ -g CAM C,~ Sooroo 20225 ~ 3~t "1~ -~-`112 -AM ~L 33184 10 , ~ , ~, (~-~~ -v ~ CAE 3~,~ ~ Mg,~~ 33(~~ /o , ~ , ~~ ('_ ~ ~"~ C~ 200 ~ ~ i?+6NAL~-i ~- ~~ ~ -~CotaQS Suw~st~ ~.33t5 D5-DE 73 (R@v. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS 1 Name ~i ~`~\,l \ 'tom ~~-- 2 LD. Number O O (3) Cover Period ~a l ~~ I ~ through ~~ / ~ / ~ (4) Page ~d of (5) m (8) (9} (10) ~ (11) (12) Date Fuli Name (6) {Last, Suffix, First, Middle) Sequence Street Addn~s & Contributor Contribution In-kind Number C' State Code T lion T Descri 'on ane~dment Amount 2r ~o ~at~4t.i,~ ,~vc~MM~ ~ ~~ 3 F~0 ~ ~ ~ 8 d~ i - -A~ ~ o Z o ~~`~cu~-sK..~ ~ C4-~ 25 ,~ r ~ ~ ~ ~Bi7a ~~~ ~ ~~ (., 3313 to ~ o ~~M~ _ ~ ~--~ 5a ,~ , , ,av~,~~~ -~. ZZo . (~ 33 ~ ~ ~o vE-~.~ ~ ~, ~ ~ 2~~q~ ~ ~ ~ ~ r A ~ ~"t =~ t" ~ N,C " ~~ ~l~(~-l. 331 I® ~ ~ ~D ~~ p_ 1~~~ ~ ~ 'T ~ ~ CF~~ ~~ .INCt~L,I.~ x-1'00 . I ' I o , 2~ .o ~'~-pp- ~1~ ~ISGDIA 1 ~-r~c~' CAE ~ ~~ o ~ 2~ ~ o ~t'w~~i ~ ~a~ ~ 5~ ~ -7 ~ "i~~ s~ ~~ S-~ ~ ~~ I t--~lt ~ -.- ~? o r 2~ P ~~~#I~ty~EeMA1J l ~ta~^~-- ~#}tr ~ ~Zb 8~ °~5 ~J~ I (d~~v ~~;~~ -~~ J J J J DS-0E 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALU S err"~ '~~ ;' CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~'~ ~ ~~~~-- (2) I.D. Number (3) Cover Period ~ b / ~ b / 2~~ through (d / Z~ / ~~ (4) Page ~ of (5) Date (~ Full Name (8) (9) (10) ~ (11) (12) (s) Sequence Number (i~st, suffix, First, nniddie> Street Address & C' State Code Contn'butor T tion Contribution T in-kind Descri ~ ~d~ m ount A ip ~ ~ ~o ~l~-k~,A~E~1~A~ ' ~ ~b~,- ' ~~ ~, ~ ~ \ „`" ~~ 8 ~ ~ 1 !S N SNae~- ~~,-~~ -~ ~~ ~'~ ~D ~ ~ ~~q S"-~T~ ~ SYs~ ~ -xs ~- ~,~ ~ p ~ ~ ~ d ~ ~~~_ ~ ~~ki~. ~ ~ ,tom 1~ CQ-~x~v~ ~ I ~ , z~ , "~-~-5 ° t~ ~v~ (1~ ~vE ~~~I~i g -~~~ c~ S~,~D ~ a ~ ?.F~ I D j ~~~bJf~U l ( ~ -~~ C~ '~ ~ Q~ ~J r ~ lAM1 ~'L~'~'~ I J ~~ ~ B~, ?~b3~1-~~ ~~ ~vlc ~ ~ 33~ $ I D ~ Z~ ~ D Cz~P1sNA~ ~ STaeA~ ~ ~,~ 13~1~0I ~ s~G -~- ~. 3~~ c~ , ~ ~ ~=~ c ~'~ ~ ~a,~ ~g 1 ~~5~1s~~1~e, ~ ~~ ~~, y-, ~,, ~~ J DS-0E 13 (Rev. 08J03) SEE REVERSE FOR INSTRUCTIONS AND CODE VAL S ~ ~ ~ ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~ ~ ~o~r,~ (2) i.D. Number i (3) Cover Period `~ / ~ O / ~ through ~ / ~ / ~ (4) Page ~Z of (5j Date (7) Full Name (8) (9) (10) ~ (11) (12) (6) Sequence Number (Last, Suffix, First, Middb) Stmt Address & C" State Code Contributor T Occu 'on Contribution T In-kind Descri lion ant Amount ~D ~~ ~ ~~. ~~IZif~ ~ ~ ,Z~p ~~.~ ~ ~ ~~ ~~ ~ 8~B ~~~u~~ 3313 ~ o ~ 2~ ~ ~ ti~Ttz~~ ~ ~ ~~ ~,~ (~ I I ~ L~-~~.s' `P~ a, ~ ~~ f~ ~ ~ ~~ ~U ~thAI.L~T1 -1-. ~~~ C-4~~ -oa,q) ~2 151s~1 P~~ ~'~^~ I ~ 3312 ~ f '~~~ ip ~ ~$ ~ a ~u~G~~~ iaqut~ r 3 -le ~ ~ ~T ~N ~~ Imo, cap ~ a ,~ I I ~ ~ ~ ~~ c-~~wu ~ ~t3,9 Ct~ E I~ ~~ 3q~ ~ ~~ ©~ ~ ~~ ~~ ~,~-II~C: C ~ ~~v~ ~ l~~aD q ~ sne~,~ A ` 1"\tPM~ i ~'C.~~~ ~ ~ ~ 2.~ ,o ~~-ic~~~~ ~ ~ C~~ ~,d~ ~1/ f ~ ~ D ~, ~~~ ,o,~ J DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS ANO CODE VALUES ~j~~ 13 ~ b <~' V CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~ ovJF~-- (2) I.D. Number (3) Cover Period I V / _~D / ~ through (O / G~ / ~ (4) Page ~ of (5) Date (7) Full Name (8) (9) (10) ~ (11) (12) (6) Sequence (Last, Suffix, First, Middy) Stn:et Address & Contrbubor Contribution In-kind Number C' State Code T lion T 'lion ~~~ Amount ~ ~ 2~ ~ a I~o~,s ~,~~- 3 ~ ~ --~ q~~i~r~ C~ SDo , ~ _ 1 ~ I _ ~~ to ' Zg , ~"~~~' ~ ~'~ ~ ~ ~ ' ~?~ ~o~T-~s~~ ~~ C~~, ~L 1`~~.~ ~I~.~~E S-c~~-T~~,t~1~ 10 ~ Z$ ~o ~~~~.5~&'~-A ~ ~~~~ ~~ I~ ~~ ~~ ~~~ ~L ~ , Z~ , Yac~~J, I~-. -~..- ~ C~ 1 ~,ba P,t~,~ 1~~~0$ ~ ~~ ~ ~~-~, {-L3311 q a o Z~ ~~~ ~ ~ ~~~ ~ c~ Ic~o , , ~ 3101 ~~ i aZ '~`~ 1w- 1D to ~ 28 .o ~1tJ~.1SC~+, ~ ~ V~:IJ`l'~ ~{~ l~~od lp~ la&~g -~ ~ - ~~~~~~~ L ~i ~ ~~ i o / Z$ / 0 1~~P~~ -~' ~~ C~~ W ~~u~ ~ - ~R Sao ~ ~ ~ -~{~ 33 (3~' ~ ""-'~~ ~~ ~^~~• ~~t see rceveKSe FvR 11VSTRUCTipNS AIdD CODE dALUES r ~l~~f~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS 7 Name ~ Q icXR~.~A ~ 2 I.D. Number O ~T'~ O (3) Cover Period ~ / ~ / ~ through ~ p / ~ / ~ (4) Page ~ of (5) (7) (8) (9) (10) ~ (11) (12) Date FuA Name (6) (Last, Suffix, First, Middle) Sequence Stn3et Address & Contributor Contribution In-kind Number C' State Z.i Code T Occu lion T Descxi lion Arnena~M Amount ~ r Z$ ,- \ \ W IL~IC-~ ~~Ar~~~ ~ ~.tF-~ ~ ~ jj s~l~t~~ ~Q1C~- I ~ ~~ I o , 2~ /d 1~r~LC~~ ~ GHQ ~,~ ~m~~ ~ ~~~l~t % ~~ ~I sT ~ 1~~, ~L 33 iy~ I d ~aR~-~ ~ U°~ ~ ~~ ~ 1 l / ~~ - N~ W 1 1 w ~ ~ue y~32 ~~ DO ~~ ~ ~ 33~ ~b o / ~ / ~~~~JU ~ ~ ' c~ ~ ~ 7~,0~ I ~'~~v~~s~~n2~ 1~ ~~ p ~9 E-L 331~~ - L ~ C~ Z~~ ~' b ;,Gb P -3~ 2c~c> '' 3 3 ~ / ZB / ~~ ~`~ ~ca3~TC' ~~ ~ ~~ 2a1 S g-~.~v-~ g ~lf ~' l -x-13 t $ ~ ~ 17i$ / ~.., ` ~~~ G U ~~~ ~ VN ~~ ~~ ~lZ DS-~E 73 (R@V. oS/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ / ~~~~. CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ~`~-- (2) I.D. Number (3j Cover Period ~e / ~ / t~ through ~ / ~ / ~ (4) Page ~ of (5) Date (~ Full Name (8) (9) (10) ~ (11) {12) (6) Sequence Number {Last, Suffix, First, Middle) Street Address & C' State, Zi Code Contributor T Occu "on Contribution T In-kind Descri lion arnenameM Amount !D , Z$ , ~~ I~Mi ,~ ~a ~~ C-~ ~ 113 15~a ~d~-uGia ~~~ ~~ ~l ~~ 22d Id , 2~ , o ~~ M. u.:fl~ ~P ~., , C~~ 5~.b ~ o~ c~ Q~c ~'7Sv ~~~~ fl~ `'~ ~ ~1:~ 33/ . v , ~, ~~Q~ac,~ 5a I~h~ I1 r f I ~,y ~~ ~ ~ ~ ~ 560 ao Ili-t7E 73 (R@V. usro3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~`~~~ CAMP ~ N TREASU R'S REPORT - ITEMIZED EXPENDITURES (1) Name ~!~~_ ~~~ ~ (3) Cover Psriod ~ C7 / ~ ~ /~ through ~d /~/~ (2) I.D. Number (4j Page ~_ of _~,_ (g) Date ~ 'Full Name (8) Purpose (9) (10) (~~~ (s) Sequence Number (Last, Suffix, First, AAiddls) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount ~11~~ Z.a L11JG~i,~,~ 1-.L u~-rE ~ 3~ ~ fL Q2.,11~7T ~~~P-~ -PRE ~22~T ~~ 115 M~, F~ ~3~ . ~~ ~ \~i-~c~~ 1 b Q ~'N~~1.1~ C~ N1c~J ~1~~~ ~ 11a~ _sL~ - ._ v6 ~ ~~~ M~ ~~ ~c3 . DS-0E 14 (Rev. 08103) g~ REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~ ~"/