DS-DE 12 TR-09 HermanFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUNI4~~ ! ~'
(1 > R A P/i~,9EL.- ~E.e-/'7A~~ 2a~5~E ~IN~ 41
Name
(2) X90 lYi3~LT7L~-S J~G2%YE'
~ - CITY ~L~f~j~ti'S tIFF fC~
Address (number and street)
M iA/`~% BE~9CH , FL 3 3/ ~ o
City, State, Zip Code
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: /1/, ~ ,
(4) Check appropriate box(es):
~
~ ~ ~ ~
~
~
Candidate (office sought):
j'¢y~/ d~
l
/°/Alb/ B~~~~/
^ 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 ~~ / 3p / p~ To ~ ~ / ®/ / /p Report Type ~"JQ- o~
Original ^ Amendment ^ Special Election Report ~ ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks $ o Monetary
Expenditures $ 2~ 3 e p o
Loans $ ~ Transfers to Office
Account $ /Y, /9 ,
Total Monetary $ ® Total
Monetary $ ~ 6 3 , O o
In-Kind $ ® '
(8) Other Distributions
$ /s! ~
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(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, I certify that I have examined this report and it is true,
correct, and complete. correct, 'and complete.
(TYPe name) R~P/y~~L /r7~F/~MA.../ //~~
(TYpe name) RAP/T/¢~L- %T-~/~/Ll/9/+~'
^Individual (only for Treasurer ^ Deputy Treasurer [Candidate ^ Chairperson (only for PC, PTY &
electionee//ri~~ng commun.) 7~~/ ~ electioneering commun. organization)
Signature Signature
va-ur: -ic trcev. utsruv)
P~ l ~L
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Ie,4P'fi~i4~'~ !~~/e/`'!A~' ~ (2) I.D. Number /Yi¢
(3) Cover Period x_130 /~ through ~~ / O / / /O ~ (4) Page ~ of
(5)
Date (7)
Full Name ($) ~
Purpose (9) (~ ~) (~~)
(s)
Sequence
Number (Last, Suffix, First, Middle)
Street Address >3<
City, State, Zip Code (add office sought if
contribution to a
candidate)
Expenditure
TYpe
Amendment
Amount
l l 0 09 RA Pl~EL /~~ie,M,9.,- P~iD
y~~yv .~.~c~r,%~s ~~¢iyE'
MiA~!<BE ~ 33140 B.4c~
~~~' ~Iv.-~ .v.R . 263.00
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SEE REVERSE FOR INSTRUCTIONS;AND CODE VALUES
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