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DS-DE 12 Q2-13 -1 MR Islam FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY ( ) ® ��� �. � ° OFFICE USE ONLY Name 013 JUL 29 PM 1: 17 Address (number and street) `I I t' ,l_E it S 0 F I C.E City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Che k appropriate box(es): RCandidate (office sought): (5 P4_00 _ !L ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED Committee f Continuous ❑ e o Existence E] 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 0+ / O A / 2013 To 0 r, / '-2>0 / 2-dj, Report Type ❑ Original �mendment Special Election Report independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $, -4®O. rt Expenditures $ Loans $ 01A Transfers to Office Account $ N Total Monetary $ 10 O 1 rb Total —� Monetary $ In-Kind $ F8) l ther Distributions (9) TOTAL Monetary Contributions To Date OTAL Monetary Expenditures To Date $ 1©C5, lsv (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 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) (Type name) M00-4Cj'> L LAM ❑Individ (on or [:]Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC,PTY& electioneerin com un.) electioneering commun.organization) X n X Signature Signature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name M 0•t�M jL sL,B�f��f (2) I.D. Number, Ky6 t IE_ (3) Cover Period d / O / 20 1 2,through 2s 1,2, (4) Page Z of 3 (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 d� � 03 >�1d�MM�.��1- � ��t2Vr� �� .100► U 6k HIP T-2 e� A 4- 3 �-t } G pz(T_- ��- 33 14c sT� DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES a 3 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name W) 9--A- MME-t> 5� (2) I.D. Number (3)Cover Period O4- / O( /2-0(1 throughOL / 36 /2-01 (4) Page j of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (S) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES