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DS-DE 12 Q2-11 Bower FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SU I IpIY 1� F 1 ) (1) \ � `�` , .. - OFFICE USE ONLY Name all JUL I I PM 2: 40 ( \ Z Ac-~E.E-G01 CITY CLERK'S OFFICE Add (numbccand street) ( FL.. 3Sr3 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number. (4) Check appropriate box(es): � Candidate (office sought): \ at 1-W I ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence 0 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 Of ' / C\ / 2o(f To C9 , / / 2 Report Type Q 2 -1 I Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 32. ( c\\E oO Expenditures $ ‘■)(--k Loans $ I, Transfers to Office Account $ Total Monetary $ "?,1 1 12 , D0 Total Monetary Oi I\ In-Kind $ Z Eb , 0 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 31 I , q , (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 • iete. correct, and com 1 . ` ► (Type ',tia14 • P - Z . , (Type name) , to\oefs__ I for T urer ❑ Deputy Treasurer rA Candidate ❑ Chairperson (oriy for PC, PTY & _._ `� '. ) A. A/ A, II, X 44' S - W Sign ► - DS-DE 12 (Rev. 08104) ?- � �-. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name W iTl Lea- (2) I.D. Number (3) Cover Period ® I d I 1 \ through , 1 1 (4) Page I of (L. (5) ( ( (9) (10) (11) (12) Date Full Name (6) (Last. Suffix. First, Middle) Sequence Street Address & Contributor Contribution in -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount f� C 50, fOS l 01,1 \\It-MMI { .S ( t/ OS I oTJ�P� 1 i \vItc.wig— C }� c "15 Ib�iS C.1.E-v ot gliktAtENN `�, f , , S ` l�r�'�G, C a ,P tic ��, cot, �' . ao ,cO c , 05 f i Aga g. ��1a ►_ o \ osiAkK%I ,c1-R t Ik'(c f, o25 tkmAl ,c13vk1 2 � k _e„.Ackk 4, 05 VOA ■1 L-k 2-Lt),CO `TSB[ (,� O \\,\ 31 AC{k, kP N k l -k �s C ::_ 300, co o� f o5 f i ( � 7'�.vsr ' (5 is 5 otNiE De, Chi routik , 6-3311 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 0 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name %1/4 -E� K (2) ID. Number (3) Cover Period ( i 0 \ I I, \ through Q(--, I / U (4) Page :).. of I-- ( ( (8) ( ( ( ( Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution in -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount o s q 't✓t- 3e Ja,Z Z1ra 8 ST -�E 0 Z.51 \\Ati*At 1 R 331 d''/ 0 5 i 1 I LI t36& WC- 21 SUJ 8 Sr 0 S MbkM1,ct,33t3S */ \ E vt5Ce>LUI�v 0 \ IttA FL- 33t%XU 4FAM1 C4 (_ °3 33139 ° 4.1 c\ 1 k -�R-0 ae," i I 34srMT (- v a+_> ,CO 5632. LAGcer be,v € ADv is 033 MrnMi &NCO , q 33t46 kr�M1 , Fl- 33140 &. a3 Z52s 6 c e1 33t-vo 64 t , t t c ,Silekg I kir Y C , co ,,on j x. (.41410L.K1 4... 03c, 331 -I-1, DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES fid r 20) 0 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name KrCA LE?_ (2) ID. Number (3) Cover Period OT / O ` 1 \I through 1 J) / ( (4) Page 3 of ( ( (8) ( ( ( ( Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Co ntr tutor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount kA 2,5d $ \1 NE sT 6.2 Su cre 4.102- N k 1,k-L 1Q 04i 79\ r Aybaki-F, I 2C0 c 4\ VG q 039 i irNw ht o�-,' o MrAm1, F� .3■� MGM do Z q 1 I Me-W INgS _ " c t 2 r - = o kt l rAMl , Flo z )- 2 1139 , 29 / 1 I s rs ° 6k 1 Ck£ 750 c> 1.‘ , FL 331 s() o41 ! t =A c , ,c�+4 L C 250 ,cam 3 c- v P-A-fi JD (CO / 1 I z�� �,G wejg. C 2 DS-DE 13 (Rev. 08ro3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P/1 V et / 7 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name T1 \V e-.. (2) 1.D. Number (3) Cover Period / 01 / `\ through C0 / 30 / 1 (4) Page k i of Ike (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount zol ti2-it tAk.i--Nic. L MrAM1 qi r F..s t.-1 C 11 (A lr 6F41 g A s Cki ZOO ,CC Yo At-2,11 I■vkMt I R_ FIZZ, o f , m / II is v t40 i r r J -f Z2 MGM, CEACM , i L �2,t2,q 1 cts"--2-1 gu 1 \ CAS ►c0,co `i., () Isu 0t.N\iG 001 11 101 MFG, , RL A Pk*. 33 i (��' I I I t T� - \ . u 30 -" i t ` I MAo46.10G., \ DO i Z� 1 q I \DC >U S - GC-EC- . T I - A�'t" 1 z � IAMt 4 e4\ CTL 3AA3k3� � O q t 29 1 I I �Mlcot IG 3>C_ g Tt� . (' `-�'R-e I ,Cf_3 N 101.4w,,-FL 33 v 2 \ o-- c� a l 1_. ; , C - , 1a0,o0 52 1 4 ‘ 4A1 + 1..c_i `SC, DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P/W s f a CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name T -a' (2) ID. Number (3) Cover Period Q9 / 61 / \ through C / / (l (4) Page 5 of , (5) ( (8) ( (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount (_- � nom lam, ao O / 2C k 1 44 ID-S a1,3 rPAt c'I; 331 �}D s.) l M t.�k Z q I ( , Akt E.�fEec I� , 55 CI- 1 Z- , 1k - ��� t€6 Cat 5�,00 t-ANii c I Stew; [ , �°' lizA) -, l 3[3q ( "t, Z , ,i ,/ i �. I M� t C 5 Z NItAMt FL 33.13° Fouttaid ()q lakk)l- I LI t.)1,0 I pok) tco,c I ik") r,,, 41 s DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES PMe e ' 7 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name \'VS\ � .� >o� P a- (2) I.D. Number (3) Cover Period / ©' / l\ through / 3 / k (4) Page of j-, (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description anent Amount 6 k 2-c1 1b 4- _ So i co (v N M 14-m .D6A I k 3tc 0L(', ikN�� I tecrciL C I�,aa lu AMA p`f'� 2-1 I t 41 wr013 C T tfi� 50,00 eolz 6,/ Abw,A13-1-; o9, z5\ kccss , 1 , i C 5ova) 7,c1 l (( � '�''Nil�ElS ` C, 501C0 / X65 CEA∎A 361 !o(c) NI+tAMt--PC 3 I 3 1 o tt t cA Ck.k€ 50,00 tpi 2`1, (I . Rzze,us, CANNA T HOME , 25o,co to qco e o MAKER DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES OW ? f-/7 `J CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name g,,„;--, v,0,2_ (2) LD. Number (3) Cover Period 0 ( / O / t through 0,G, ! J O / t' (4) Page 1 Of IL (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount o 29\ « oo Sv► �$I 0 , l T C--t\ 500 k2,00 x -t'�� vt k\tA zq , I\ �.t L1 I .Na C.k E 5 ,� J 10 Sv1 1016 1, 4rAM1 , cL 33 131 04, 2,(A � .fix - Pct, o , ���. T CAA G.., 5� ,°0 � -11 �� �JJ1�At3� l Uesr -V, L+ ... T t GCE SOn i on °T/ Z�i� loc0 S.Pa►. D� J • 313 z .c coo, _, CE O k i VA [ -gvets _ v.r� s e..,, Tub 13 s c\ -._ 320 3312 b`i, , Zc\ , 1 � �s, �.Nt '�, t . 6,L., C 0,oa -IT •io\n: 33q I °�, z1 , 4 1JTAFAs uNk,,xs C CAS" 5QD,ro 5 X21 -\ , iIM■i gooA ,R_• Z1 �1 sT CAE 50 ,� 3 l ` DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /4cS" t /7 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name 1�- (2) I.D. Number (3) Cover Period * / C I / through / 3 / c I (4) Page O of ( ( (8) ( (10) (11) (12) Date Full Name (6) (Last, Suffix, Frrst, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount OJ / 21 / t M u.' -''. . 1 1 C 2cc , DO it OIAMi, -- 33 �L� , 251 t C 'o, F tEyL 1 C loo ' v,. _3t3� a5 , Z1 , ( 1 r�-,� , v� 1 50,00 .-I1 b2� i 1 Vee.F:: i V- * bcokkkoe "I b L CA \ ‘ ScO . cO Z Sk i�� e/ b, , 02 , t'A0 M ,C e+sV t* i Liou � \ ■cam -I Ci 4 -.. Scau j °L'' P 0r I S Z S000 6 Z -34-k v ilt ,L 3314v z2ay ()' °?-- << � , (,ut� L . , 100,o0 J S ‘,44.A , a ,-/( DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Pii-6f 9g- i 3_ 0 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name \AKTT1 \JrY--rzY IP`xik- (2) I.D. Number (3)Cover Period k / ' -.-1 / U through ('L ' i 0 ( Page Ci I of 4 ( (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind _ Number City, State, Zip Code Type Occupation Type Description Amendment Amount , 1 Lot.Y.I.A.0 ‘ a cZ , n? - I " 156 S) ki' ikt ,. qi-mil ( ---1_,.st■-0 \I 1-isAY Iskiw-63 k 1 0 ,, t_4 — /1 ° \Ava\NS.52}0 r L , \AE_ITA\c-1 r\ek-sit br -7 _ ft, OL / 637 \ \\ T 1 Sc) ‹-rit-k-v,AER-k. 4) IT ?, "A \ ge'CAA 14- i 1 e-413 44PrcalESUS- b LI CA\c, 00 ico i ° " (101 '4404 28 k\X1441-N 1 VrACA\ (.- ' rc.k.rco3 -N-k-k-p - 1 A C 0 c. ( J -- 12., s_c_ I .--)-. T o n ,( 336(L, ' ., R,i , , Is,,,,, ,,• Ef.g.111.)c., F--) p , ( ,,___ 2-5 o i Do " °211 " `S1 ,.1( eD.- av lb 4 k-A.V.A1 KG>C-Ick 4 1, --\ hiNt.- A p ( A-if- 150c() c- S4 1 -S1 1 SA) 2l WI_ 'htil C\ \ \\) I ct- skir wil / i W.zoP-IsZcALATM- k ■ I 33kL( DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES / t'7 - , CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS 1 Name �.�,..� ' ` ` (2) I.D. Number f) tN«1 (3) Cover Period _y' I C >I I 1 through I 1 H (4) Page ( 0 of 14) (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Co ntibutor Contribution in -kind Number City, State, Zs) Code Type Occupation Type Descry Amendment Amount ao Pte , - ,Se Anbr_w, CAS 2 5b,zx.) U.), oZ, x 1 1 S oo J gr� tu T �rz 93 V■JklAitEpokii-L331... 2 9 \,.,v, )e.. f C ' ) \1 4 41A&ItAk R33I 3 S1 s -AQC). -(-�, L C 504), co °C- off- It\ \o6 icev y fie.. f 5, , bc, oz._ t lv:Z�e,'CCo,. ll J� viip ' 9,, �{ v)0 R2zo Nws ., -pDr_ M� J ME+ s rec g Ct+E ►5dr� c � oZ , ■ t e a � ei.ls L 'a (VI 14230 k l$ MG 1 3tgk OG , kotvz ■ A i f s. E 5 I I alN S'U T- vFz2.0 mi l, g 1AMt . -• r � 33\ S \c kk-AMI l V.Z-S , 3C>((., 2- / 1 , - C4 C, -A , C)O Z DvSe -`( €�LV t6 M"•Mt,I - 33121 DS-DE 13 (Rev. 08iO3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES t6 7 0 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name AIVT( Lk) (2) I.D. Number (3) Cover Period e)''/ D1 i V through r,( / / i ' (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount ( (., csZ1 CU1J1C., 1 � , % _ L -#f "15 ' 1ND — i � �� (1� S1 P 1"n ( t 1 01PMI , ii, . 1y'1 ? 1cde, -v -- o t.)t_ t C AA. C 2 ( T c »/ i r (( Ge ', ,c_ (02- l2 g, �{I ?, �ia�a 1� '�U'9 u�Mt ,c-L 33\$` - T, \iz; , NIA 06, CAE (CO Op/ oZ f \ \ Cv_r-o? i - ioN loQ� tai t2czo gl- `(t U , P d� -*- -7 ii( c _ / (-NM ( - l - {, 1 % \ cb / oz / l \ ,- SAC.R -1 S. k\ef_T-?. (E gYTKe 63 \i kjt ,,DC , CAA FL 33t 1���3 `l l S � C sT41- , f 33(kf) � 7/ a� I s :\ M� -t-� < 25a, co 2622 �� j k c CwA�-T, 1 L J 3(z) o2 t , S N �. = � CIAO: z saI� 7 `�ZZ. li 21 CS\ �� � L( 4 \-to - c �. C., , „ r_ 5oa co (1 - kr ` \S ?, �`{ PE h Y MHs.MI,F 331 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES "46 C /d f /7 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Vik-v\--1 L f ,-u�E� (2) I.D. Number (3) Cover Period 0* / 0 k / t \ through 06 / I k (4) Page . 12_____ of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, Fast, Middle) Sequence Street Address & Contrthutor Contribution In -kind Number City, State, Zip Code Type Occupation Type Des ion Amendment Amount / cc), oz- , 11 de - -k>4, a-1--c- l "10 i e �v Fsi" k41Nt'Al / L . ci c - G' i C Z- / k 7s co W B 1cT i`,k V 1 6 3 O -act, 1 / 1 \ \D\ sw 1q V 33 � T It4a t 1 5,,,) 8S skvE woe_ 1 tz 4tflMl, n, 3 To P�sT,Tt,3C, G C,t 'CO 0 {2 , cq , (\ 3v1 N G t Ave. t ^' I uw ,,, ,/ 113 -1--e, \ tit ant t , (It, '3t C , 41?-- A _� - An - &-„61 Cie- , e)("21 °Z ' tl `;‘5t t ,* -ve tt`- PeMgk , l- 30z2 c)62 1 0 2 (I C-. ,tE, ,Gco 1 b- Ck --)0 fob i Ws77-f.�v,J5t Lk) 325 -bu ybr2-, DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES r / /3 /7 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name \ Tfl ' ~ . -e - (2) I.D. Number (3) Cover Period C)* 1 z' i I 0 through d / &b / 1 (4) Page (3 of (t ( ( (8) (9) (10) - (11) (12) Date Full Name (6) (Last, Suffix, Fast, Middle) Sequence Street Address & Contributor Contribution In -kind Plumber Cry, State, Zip Code Type Occupabbn Type Description Arnendment Amount E C AN, -6I\ T i 6 C E ,ca a,, c i 1 I ym 1. j 111 \■-aMt EW,A.k I - 33t kk1 - .5sw101 fl 112 Mt I,FL. 1 2S 3 141 PL l G ti, , 1 Nc- GieT -A, o4e.tar Q5 . o21 aZ i 11L0 ' IoS 5∎ - i-2 1\ c\ gia 4e.gDast-Nots 1 si ,p cam, &z"-- , I I fiNv w ■scvoi�, F. _ 1 v&L�,C Cti� ,cam 2.D 9\ , I 33155 Icy, 1 21 Ztioo w 8y S i IAt£�F{ r � L✓ 33a Ig v ,oZ i" . '� ��c., 1- Ct� I o,� M.1 N 1 1 FL 3313 . E ca key J 4 , 02 i (( '1V 0 4-be tcNs f 12� MI trckN , __ 3∎41 DS-DE 13 (Rev 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Pm9 /Y 9 /7 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS r (1) Name ' ��1 )■e- (2) I.D. Number (3) cover Period t c).1 t through 6 t So t ( (4) Page 1 I of I f (5) (7) (8) (9) (10) - (11) (12) Date Fui Dane (6) (Lest, Suffix, Fast, Midas) Sequence Street Address & Cow Cortrbution in -kind Numb Cat, State, Tip Code Type Occupation Type Description Amendwent Arnaud CG I by 1 11 bi �T �. CPC_. , J emu«- , • / 12 ` -F � � u 1 E-L 31 1 01 v( 02-- i( C , sou. AOs T,G Wri V 9 ( '),f-AI �� oz. , ( 24 c$ �,OT C44- , on 121\ WA1 pL, 3 3k3°1 °k', bZ, a.L k 2 r ► � �7 - Na_.. i (3( 7/ `')2- , (( IA g AO-SL, CHG Z,SO ICO job. 1\11\M1 Nisi -- I q km NW (6/ kJ C A V M+÷M �k- -(1 L ��' ot, 1 / 1 (i , c9 , \ . ,� ��Ts Cm Soo, C6 116 .gpz„ 4„* k f Sui- 1 ,(',' .c-c- LaodEe�le ( DS-DE 13 (Rev 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES oiA6 /.r 1 ,7 _ jam I CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name \\ t - ' -- (2) I.D. Number (3) Cover Period Ct / Q ∎ / through Oto / / 1 I (4) Page LS of t to (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contrbutor Contribution in -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount L S SCA T1 � ,r... a CA-K.__ b,� cc,, l / ' 516) IJ ) l2 1 C i;ACTC u(T a1 / t* / 11 TPAS ti'Siz INC sAU�NA CAE 30 ym c ixx..aY , f ( 33 V, p.m \ 1 1-L . 3313''1 I* P (,�-L. 155 135 • .i t Cr SOI 20 1 yo-pmt 1 4=L. ? Z- . bD[A4 /(t lyOh4022 u1p \ Rif ( ff, - 1 -A G�� h iv CAA-e- S q) 00 I (Lt/ / k 1 - A�.nos is 1Nc. o \p J .-1 14oI, Pk0 B '24,\I E wkw,t tAva oG ( � ( �R kc -Al.- OBMJ1 i� i1 Ai.)1 � Z ,�j 1� ' 3 \A .N, k- (.3 _,( CIG f (((-' / t) ' ODD u) �G SAL�r� DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 'e& `6 p7.?? CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name \' (2) ID. Number (3) Cover Period Ot / O( / y through 1 1 ( ( (4) Page I of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount (%k,I Z' A\ y \�l i��• - - i C Z5 ,cC, k2 s., 2,3 ST 3 `k I `Zs I CNC � , A\M \\ gF f C(-4 F OC / t r \ s C ,p St 1 I I I I 1 1 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /A 17 9 / 7 j