DS-DE 12 Q1-08FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMA ~; ~- ' ~ ~ r~-
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Name
(2) ~~ If~yA2~ ~/-t'Li~'l ~'1/p.,t.l~ CITY CL~i;,;'~ i,i,~}_,,,,.
-.-
Address (number and street}
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City, State, Zip Code ~u~Q ~{~i~~o~
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es): GtT`-f O ~ MI A~~ ~J.IR'~-N'"~
~andidate (office sought): GOMM 1551oN~- l ~/~y,~
^ Political Committee ^ CHECK IF PC HAS DISBANDED
^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED
^ Party Executive Committee
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(5} REPORT IDENTIFIERS
Cover Period: From Q ~l d ~ l ~ Qjj To ?j I ~ 1 / ~ Report Type
riginal ^ Amendment ^ Special Election Report ^ independent Expenditure Report
(ti) CONTRIBUTIONS THIS REPORT (7} EXPENDITURES THIS REPORT
~,
Cash 8~ Checks $ G~jC7 Monetary
Expenditures $ 33R '=-
Loans $ Transfers to Office
' Account $
Total Monetary $ Total
Monetary $
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Cor~ibutions To Date
2
~
`f (10) TOTAL Monetary Expenditures To Date
i
$ ~'
j 2,0
- __---
$ ~~ ~~9
(11) CERTIFICATION
It is a frrst 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,
' !certify that I have examined this report and it is true
con
ect, and complete. ,
correct, and complete.
(TYPe name) ~"~ ~ ,, i ~ ~
(T Pe name) ~i-rrJtd-(. /r'~ l~--C~~i~=~~~-J
^ ~~ ~ ~ ~ ~ _ easurer ^ Deputy Treasurer
_ Candidate ^ Chairperson (only for PC, PTY &
. , ~; : ,
~~
X
..,
X
Signature Sign
DS-DE 12 (Rev. 08104)
PACE i a~- 3
CAM AI~aN T~~SURER'^~EPORT -ITEMIZED EXPENDITURES
(1) Name ~~~~-~/~ ~- ~(~~ (2) l.D. Number
(3) Cover Period t / ~ / ~~through ~ /~/ ~ ~ (4) Page
of
(5)
Date (~)
Full Name (8)
Purpose (9) (~~) (11)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address ~
City, State, Zip Code (add office sought if
contribution to a
candidate)
Expenditure
TYPe
Amendmen
t Amount
p ~ ~ ~ ~ ~~~
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-~ ~~ ~"~~~ ~~~~' SEE REVERSE FOR iNSTRUCT(ONS AND GORE VALUES
~~
~~~GE d ~~ 3
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name ~J 0. ~j~le ~ tC , ~Q ~` ~~t' ~1 (2) LD. Number
(3) Cover Period a I I b ~ I v~ through D ~ I 3f l 4~ (4) Page ~ of P
(5)
Date (~)
Full Name (8) (9) (10) (11) (12)
(6)
Sequence
Number
o ~ o / ~ (Last, Suffix, First, Middle)
Street Address &
Ci ,State, Zi Code
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Contributor
T e Occu ation
~~~
Contribution
T e
C~
In-kind
Descri tion
Amendment
Amount
~200~
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i 7 ~ r3~y5~~ ~ ~ ~~~
1 1
1 1
/ ~
/
1 1
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DS-DE 13 (Rev. 08103) 5EE REVERSt hUK INS 1 rcu~ ~ ivrva r+~ru ~.wc Ynwc.~
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