Raul Jose Aguila December 2013 i
Form 9 QUARTERLY GIFT DISCLOSURE co
p4y- ,-.
(GIFTS OVER $100) - -
LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: --
A&VILA , AAVL j o5E- C t of (I(AMf 43&A02,f_( Z FLI
MAILING ADDRESS: ^ OFFICE OR POSITION HELD:
F.d . $ejx (,1073+ (1 SS(STA(Vrt- G A-f0RN�Y
CITY: M(AM ZIP: _ COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR
l oeAC� �L. ? f r G� ❑MARCH ❑JUNE ❑SEPTEMBER gDECEMBER 20 (Z
PART A—STATEMENT OF GIFTS
Please list below each gift,the value of which you believe to exceed$100,accepted by you during the calendar quarter for which this statement is
being filed.You are required to describe the gift and state the monetary value of the gift,the name and ad s of the person making the gift,and the
date(s)the gift was received.If any of these facts,other than the gift description,are unknown or not icable,you should so state on the form.As
explained more fully in the instructions on the reverse side of the form,you are not required to disc a gifts from relatives or certain other gifts.You
are not required to file this statement for any calendar quarter during which you did not ceive a reportable gift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
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❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B—RECEIPT PROVIDED B ERSON MAKING THE GIFT
If any receipt for a gift listed above was provided to you by the p on making the gift,you are required to attach a copy of that receipt to this
form.You may attach an explanation of any differences betty the information disclosed on this form and the information on the receipt.
❑ CHECK HERE IF A RECEIPT IS ATTACHE O THIS FORM
PART C—OATH
I,the person whose name appears at the beginning of this form,do STATE OF FLO ��'T��9�
COUNTY OF_
depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)ands scribed before me this
/ day of 20
herein and on any attachments made by me constitutes a true accurate,
by .(�
and total listing of all gifts required to be reported by Section 112.3148, C, � �:/C���
Florida Statutes. (Signature of Nota Public-State of Florido,%W11111111�,,��
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` (Print,Type,or Stamp ommissioned Name of N +1 ber8,
SIGNATURE OF R PORTING OFFICIAL Personally Known�OR Produced Identifi.�tiort mQ
Type o en ion Produced = • y
ir�y: #EE 196706 S so a
PART D—FILING INSTRUCTIONS �,, •
a raj •e••e•• 0
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 3�1s �S�\,�
cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be filed no later than the last day of the calent tII arter
that follows the calendar quarter for which this form is filed(For example,if a gift is received in March,it should be disclosed by June 30.)
CE FORM 9-EFF. 1/2007 (See reverse side for instructions)