DS-DE 12 TR-13 E. Urquiza CAMPAI N TREASURER'S REPORT SUMMARY
/4 . OFFICE USE ONLY
Name `' o
Addr ss number n street, a r
331 fir. N A
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): . -
4 :
o
Candidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From �� / �j /�O/_3 To �a / /� l�Di� Report Type: 7g-/,3
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ Transfers to
Office Account $ ,
Total Monetary $
Total Monetary $ 0?v
In-Kind $
(8) Other Distributions
$ , 3! _
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ jQ Q $ // 9 901 00
(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, correct, and complete:
(Type name) 41 t'i (dos (Type name) c/,/9
0 Individual(only for IE [Treasurer ❑ Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X
Signaturr Signature
DS-DE 12(Rev. 11/13) EVERSE FO INSTRUCTIONS
SCANKLUSi
CAMPAIGN REASURER'S REPORT — ITEMIZED EXPENDITURES,
(1) Name s/� /�• /4�Ji Tom., (2) I.D. Number '
(3) Cover Period 1-5--1,&13 through 649 l /7 /c20 (4) Page � 20��F,
(5)
(7) (8) (9) 001 .
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
CYO/
NO A,)
9 �
d
r
f/ 3
S1-
.S
77/9
�/ 33141 v �/0�/c'e-'2 eA)
//MP A
P7 `�m ' 33 / 3 0 �l �11e-X-c- 0?-) /. U. /'0
17' Z3
�-
/q qz3
So 0 Als�;-77
CJo.zzlc- �o. w
DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES &Z)
do`
AMPA�N TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name S Ji (2) I.D. Number
(3)Cover Period 00i through OQ 7' l a0/ (4) Page oZ of
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
M �3 S ccq
9 0 p X7, &?--
iy /Var-:!ve% L 79 e�
/-3 IV4 A)d4-O
-;Z :3 3 POO
f 4F/ f-3 X. '.)elz
� �11
yvi Sc�
113 St
3311-3 C2.
j
3 St
S-00 /4 141
16 3 � �v
DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �j
CAMPAIGN THE SURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name .�_ s ' 'u (2) I.D. Number
a=
(3) Cover Period through 0� / /7 (4) Page of
r (5) (7) (8) (g) (10) (11)
Date Full Name Purpose
(g) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City, State,Zip Code candidate) Type Amendment Amount
/)09 aA .614/-0
tso ,4 oeMI.
/7- 1116 /9 3 313 oe /20 - to
�'onl'r Art
cd /i 3 St-
�
33/75
3313Y
33/ 3 -���
cJ ( 1r � Sit /4 A) �. �5O•o0
� o/ s
// 3
,23 f-1 3 3 7-3
f, : T
DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /°/
I
�AMPAIGN T EASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name_ S (2) I.D. Number
(3) Cover Period /6--/p?0/3through dal--� / (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
-3 -31-13 40 Ac �51 3
700
lq,6 e&)F(-)A,) d
CU lq6: 3 3/ 3
Dee-
ze o�e40
71
G �6 ssCJ � 3 s�
3o n)
Ao-9 d/o�csz,-)) -2;'
A �
31 -�,� d
�i 33/ 36 s ,
DS-DE 14(Rev.08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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