E3 - 2010
(4)
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
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Name -'--
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Ad~ss (number ~d stree.ll ry (,
15...HNnrV t5 6ft/ ft. ::5 3l( c;l
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
Ch~ appropriate box(es): /)
[gCandidate (office sought): (YJfJ'(6R~ uN tF et'fNTIIV {jC(~-ci/
o Political Committee 0 CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication
OFFICE USE ONLY
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o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
Cover Period:
c:tt6riginal
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o Amendment
(5) REPORT IDENTIFIERS
I L I/)OfO To f). / K IJolD Report Type
o Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
3 t5$t) . / Monetary (/; l{ 0 9. ?IJ ./
Cash & Checks $ g() Expenditures $
Loans $ -e- Transfers to Office
Account $ ()
Total Monetary $ Cl Total
Monetary $ 6L(O?1 71} /
In-Kind $ () -
(8)
Other Distributions
$ ~
(9)
TOTAL Monetary Contributions To D7te
$ /q, '-!1r2, OJ
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(10)
TOTAL Monetary Expenditures To 7
$ (0, ?lf7, '11--
I
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.)
I 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.
OS-DE 12 (Rev. 08/04)
/JCAMPAIGN)jREASURER'S ~EPORT - ITEMIZED EXPENDITURES
(1) Name ~ fV flt() ~ lie-If @fYQ (2) I.D. Number
(3) Cover Period _s!2...Lr_/~ through ~ /K/~ (4) Page I of 1---
(5)
Date
(6)
Sequence
Number
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(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
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SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name (2) 1.0. Number
(3)COVerPeriod~ S /~thrOugh~L;-In- (4) Page 1.,- of V
(5)
Date
(6)
Sequence
Number
f) I ~ I~
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(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
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SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name~tf~iD ~Y~/;J~ (2) 1.0. Number
/ If /JOIO_J!lPage / of 2-
(9) (10) (11) (12)
l~t~~~!~_~er~<?_d ~L ~ ,Jo /0 through d-...
(5) (7) (8)
Date Full Name
(6) (last, Suffix, First, Middle)
Sequence Street Address &
Number Cit ,State. Zi Code
In-kind
Descri tion Amendmenl Amount
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DS.DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
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Full Name
(Last, Suffix, First, Middle)
Street Address &
Cit , State, Zi Code
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(5)
Date
(6)
Sequence
Number
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tJ{:({ IHW (2) I.D. Number j.
through Jr / ~() 1f1 . (4) Page t.- of 1/
(8) (9) (10) (11 ) (12)
Contribution In-kind
T e Descri lton Amendment Amount
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- DS~E 13-(Re~~-08103) -~--. ---- (---- SEE--REVERSe FOR INSTRUCTIONS AND CODE VALUES-
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6Dependable
.. Iransport Co., Inc.
~'\J'e:ST PA:.U~' SEACH'
". R",3"34' S.T"
PO Box 1046 . Boynton Beach, FL 33425-1046
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