DS-DE 12 G3-11-1 Bower FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
OFA� USE '
Name 2011 FEB -8 A14 9: 38
Add (num and street) - ' i7{ Flr'�
C
City, State,Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
Candidate(office sought): c��Ck' b� t QM
❑ 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 _C, / To _�,D f Zo{1 Report Type_
❑ Original Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash&Checks $ 4�1 Expenditures $
Loans $ Transfers to Office
Account $
Total Monetary $ Total
Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expend3 res�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 1 have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and plete. correct, and pleette.,
\\
(Type name) ` W �b--
(ordy tnr remurer ❑Deputy Treasurer Candidate ❑Chairperson( fipr >
e .) f X X
ign Signatur
DS-DE 12(R .08104)
CAMP#jGN TREASWER'S REPORT- ITEMIZED EXPENDITURES
(I)Name EJJK 1 y3l - (2)I.D. Number
(3)Cover Period Ob O _Z through��/ / �1 (4)Page of
(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
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DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES