DS-DE 12 G1-11 Meruelo f -
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUp A RI ‘, /
(1) fl OFFIC USE ONLY
Name
SEP 3 3 0 P 3: 04
( 6727 J7'? C
• !✓Err CLERK'S OFF ICI
A. • ress (numb and s reet
i
/ n �
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
Yi /
Candidate (office sought): i t /,d Cl/ / fr I — 6 e
❑ 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 7 / / / I To q / / /1 Report Type Oki/
%Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
"- (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ Expenditures $ a .7
Loans $ c P6,4 Transfers to Office
r Account $
Total Monetary $ .3 I &, l Total
sA/ q 31
Monetary $
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
3. $ qoz,` 1
(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) S A G C as Q (AUd (Typ name) plarla Mafel
❑ individual (only for [ Tre -surer ❑ Deputy Treasurer Candidate Chai Chairperson onl
❑ � (only � PC, PTY & electioneeri g commun.)
electioneering commu • • anization)
`�i:4�/ l ./ � i./ // t
Signature Sign
DS -DE 12 (Rev. 08/04) Ple/
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name G` /1G'L i , 27 eri ' eh (2) I.D. Number
(3) Cover Period 7,' l / / ( through 67 /,. / 1 (4) Page / of
(5) ( (8) (9) ( ( (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
/ / er k/
57 & p' /.fit i(919
01 Saw/ "ed
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orlia ifipaid,
5727 efwme9e,fr,...v
Mill' al_ 4tifek- ir2-
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1'91 9 1 „,3 1 1/ Rittrog,66
b-7;z7 r /,,M
0 .3 *Milli Pi--
,2
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/ /
/ /
/ /
/ /
DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAPG REAS RER'S REPORT — ITEMIZED EX�'' " ^"'
(1) Nam AI/ T/�'� l i�� a
(2) LD. Number
{a) Cover mod _. J / ,11 /1
(5) ( 0) (9) (10) (11)
Fun Name
(6) F� iriddle) ( W
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tnurer i �Y 1"iw�w�a .iic �x 1.��iY.iis.a�sa �S '� :" •s, • - -_• t, ate Z Cr ode tie) T ,Amount
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: 14 Rottienfee
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19 * A ge 1 3/
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DS-DE 14 (Rev. 08103)
SEE REVERSE FOR :J=4 ." ; .'. °`-�` _—
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