M11 2021 Report 12-09-2021CAMPAIGN TREASURER'S REPORT SUMMARY
Name
(z)�
0 Check here If address has changed (3) ID Number:
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-VN15
(4) Cmc appropriate boxes):
grcamrdate officesought #ave. $e to G►-;�# C�y�m { D ,��- 3
❑ POWKMI cMMWDe (SSC) — -
❑ Bectiorwering Communications org. (Eco) 0 Chi hem if PC or ECO has disbanded
11 Party B ecutim Cormnittee (PTY) 0 Check here if PTY has disbanded
0 IndepeMW Expenditure (IE) (aim covers an C Check here if no other IE or EC reports will be filed
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(5) Report IdentfEiers
Cover Period; From 1 ( / `L To t L 1 30 1 r–k Report Type:
1�
0vnw 11 Amendment ❑ Special s�tion Report
(s) Contributions This Report
`- Cash& Checks $ .1. . NL 10
t
Loans $ -
Tctw Monetary $In -Kind s—
-
(9) TOTAL Monetary Contributions To Date
.A,—,�- �0
M Expenditures This Deport
Monetary
Expenditures $
Transfers to
Office Account $ ,
Total Monetary $ ' .'7 3
(8) Other Distributions
(10) TOTAL. Monetary Expenditures
(jjT'/oDate
$ moi.. 1 i � . ja
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certyy flied i have a unined this report and it is true, correct and cwpk te:
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CAMPAIGN T'REASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name acrnab �V l� (2) I.D. Number
(3) Cover Period l 1 2.L through 1 ! / 2 (4) Page _�_ of
(5)
Data
(7)
Full Name
{s) (9) (10) (11) (12)
(6)
Sequwce
(Last Suffix. First, Middle)
Street Address &
Contributor Contribution In-kind
Nwnber
C , State, Code
Type Occupation T7Tc Descrip ton Anw4rmd Amount
`t
11 2I. ,Zt B'I-4I5hE� �'
tl ZrZ J 2A �I ,
5
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DS -0E 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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';0GAMPAI 'N 1KtJkbUKtK'b KEPURT — ITEMIZED EXPENDITURES
. (1) Name T�rv+.,�j � (2) I.D. Number
(3) CQxw Period
�� f � � f '2A through (4)
Page
L of
(5)
Date
(6)
Sequence
N
M
Ful time
(Last, Surifb% First! Middle)
Street Address 3
Ci;jr. State, Zlp Code
t8)
Purpose
(add Office sought N
contributionto a
candidate)
(g)
Expenditure
TYPe
(10) 01)
anaas>,►t Amount
1 f� Zt
C. fifer-. 6iV ;'
166S � 33 5
\qo ei r►�
c6Y�
IZ
tub h1 ''"
VaN.VA+ti
DS4DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES