DS-DE 12 Q1-13 KR Gonzalez FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) nS� D� `'OFFICI=d9E ONLY
(2)
Name AK-4 �31)r l,av\L II bnvc 2013 APR 10 AN 9: 11
Address (numbe street) CIl Y CLt:fi1;'S OFF I C F
�--
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
Candidate (office sought): GVl mi 55%Clyk R-y- (�
Political Committee ❑ CHECK IF PC HAS hISBANDED
❑ 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 2
Cover Period: From / / ZO 13 To 3 / 3 I /Zn 1_� Report Type
XOriginal ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ ler Expenditures $ •�
0 °
Loans $ CJ Transfers to Office
Account $
Total Monetary $ To o O Total
Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ J-00 . 0 0 $
(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 t is report and it is true, I certify that I have examined this report and it is true, .
correct, and corrp�ete., tiv,-d Pe5 e I correct, and corn l te.
(Type n e) I �• t (Type na ) _ *41-1 �
❑Indi d al only for Tr rer ❑De ty Treasurer an i to ❑Chairperson(only for PC,PTY&
election Bring ommun electioneering commun.organization)
X X
Signat Signa
DS-0E 12(Rev.08104)
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name (2) .I.D. Number
(3) Cover Period / /70 1_�Jhrough. / 3 /ZD 1-3(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
f va
l
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VA ES ./�
CAMPAIGN LOANS REPOR, TOITAEMIZE®
CITOdejeL � 'C OF F IC6-f
(PLEASE TYPE)
FU L NAME,4ff ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
i -v k
OCCUPATION: v Y OCCUPATION:
O�
AMOUNT OF LOAN: �' AMOUNT OF LOAN:
DATE RECEIVED: �/ �I DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08103)