TR
(' FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) :J~/ 1!JjtP7iQC fj!o/~rz OFFICE USE ONLY
Name
(2) 30' tv c?j-f) y::JvE.
Addr~~s (number and street)
1:xJ )(~Uw ~ r-c-'33y3J
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) 10 Number:
(4) Check appropriate box(es):
..@candidate (office sought):
o Political Committee
o Committee of Continuous Existence
o Party Executive Committee
o Electioneering Communication
D CH~K ~~~ISBANDED
o CHECK IF CCE HAS DISBANDED
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 0.3 I oS I ~ To o&:' I 07 I ~ Report Type TR
Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
9-
&
t,-
c&--
(7) EXPENDITURES THIS REPORT
Monetary
Expenditures $
ft-
4r
c9-
Cash & Checks
$
Loans
$
Transfers to Office
Account $
Total
Monetary $
Total Monetary
$
In-Kind
$
(8)
Other Dist~butions 9--
(9) TOTAL Monetary Contributions To Date
$ ts--o
(10) TOTAL Monetary Expenditures To Date
$ '7'?~ .. 7Y;
~
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<-
c::
Z
N
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f{.I
en
en
(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.
(T~ name)
reasurer 0 Deputy Treasurer 5Candidate 0 Chairperson (only for PC, PTY &
electioneering commun. organization)
~g~dr ~
(Type name)
Dlndividual (only for
electioneering commun.)
x
Signature
OS-DE 12 (Rev. 08/04)
,..'
__ CAMPAIGN TREASURER'S REPORT - IT
(1) Name . ~ '/ '.
(3) Cover Period 2/~R- through ---1~...!...t.2-
IZED EXPENDITURES
(2) I.D. Number
(4) Page /
of !
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
31 lIe (; ;Vi ~t! 9:t ( (., t?e-
fJ-J) C C /.jJ~fI)
L; /'9. /J ~'1-Y 32.2<
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I {....
]' / I /0 (J IV I vtI';e ~c ,4 IX--
c;Jv~c W /,vc
L; (~0?d?L~t'f"tv 3', )7.
'A/lr Qt<.. R.. ~, -
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/ /
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/ /
I I
/ /
/ /
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OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES