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DS-DE 12 TR-11 Meruelo FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Maria Meruelo OFFICE USE ONLY Name 2012 JAN 31 PM 12: 05 (2) 5727 Pinetree Dr r f r Address(number and sit) CITY Miami Beach, F1 33140 City, State,Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ❑ Candidate(office sought): Miami Beach Commissioner-Group V1 ❑ 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 lo / 28 / 2011 To o f 1 30 / 2012 Report Type TR-11 Original ❑Amendment ❑Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 0.00 Expenditures $ 218.44 Loans $ 0.00 Transfers to Office Account $ 0.00 Total Monetary $ 0.00 Total Monetary $ 218.44 In-Kind $ 0.00 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 40, 882.05 $ 40,882 .05 (11)CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record(ss.839.13,F.S.) I certify that 1 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 AC o K�J U can (Type name) Marta-A4_wq el b ❑Individual(only:or Q Treasurer ❑Deputy Treasurer ❑ e ❑Chairperson(only PC,PTY 8 election ring commun-) r e9eolioneero�Wim ngzation) X X Q! Signature Signature DS-DE 12(Rev.08104) 1 . . I` CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Maria Meruelo (2) I.D. Number (3)Cover Period 10 / 28 / 2011 through 01 / 30 / 2012 (4) Page 1 of T (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Sulfnc,First,Middle) Sequence Street Address& Contn"butor Contribution In-ldnd Number City,State,Zip Code Type Occupation Type Description lion Amendment Amount NONE TO REPORT I DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ^9 a CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Maria Meruelo (2) I.D. Number (3)Cover Period 10/ 28 / 2011 through 01 / 30 / 2012 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) TYPe Amendment Amount Maria Meruelo Miami Beach refund $210.44 01 21 12 5727 PineTree Dr Commissioner- ' Miami Beach, F1 33140 Group VI 01 i DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES