DS-DE 12 TR-09 SeguiFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
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C .... i ..
(1) ~c./(~,~ ~ ~j ~L^ OFFICE USE ONLY
2010 F
Name
Eg - ~ pjq 12: 3 9
ddress (num er and streetL
~ ECE
,
City, State, Zip Code
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
("Candidate (office sought):
^ 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 /p l ,31j l (~ To ~ / Q~ l 1~ Report Type J,~Q
Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ Expenditures $ v~~o~~
Loans $ Transfers to Office
Account $
Total Monetary $ Total
Monetary $ ~~aa
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 7_3 s'~ $ ~70~~
(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.
(Type name) ,
correct, and comp te.
(Type name) ~(,~
^ Individual (onl urer ^ Deputy Treasurer
eleCtioneerin e~andidate C e ly for PC, PTY ~
X ` ctionee ' un. organization)
X
Signature Signature
ne n~ •n ~s_._ ..~.....
~ ~ ~ 2--
C MPAIGN T ASUI~ER'S REPORT -ITEMIZED EXPENDITURES
(1) Name (D,- "/ (2) I.D. Number
(3) Cover Period ~ ~ 3a ~ throughD~/ Q~/ l~ (4) Page O/ of 0~
(5)
Date (7)
Full Name (8)
Purpose (9) (10) (11)
'
(s)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code (add office sought if
contribution to a
candidate)
Expenditure
TYPe
Amendment
~ Amount
m.~ ~~-~ ~ ~-~
DS-DE 14 R 0 /
(ev. 8 03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i
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