M12 - Report 01-10-23 CA AIGN TREASURER'S REPORT SUMMARY
(1) % 7,97//5 P/LJ(lc 7v OFFICE USE ONLY
Name FILED
(2) (70. r Rely �tC ' /✓rf
Address (number and street) JAN 10 2023
)_�Ey A +c, i�c ; , 3 � CITY CLERK'S OFFICE
City,6tate, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
—7-Candidate Office Sought: 61L1 I/S Si bpi--/t -7)/..S ��-777i c -7 C/
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee(PTY) ❑ Check here if PTY has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From / I / I 7 7 To "� / :3// Report Type: M /
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , O c. 0 0 Expenditures $ , , P79 . (,
Loans $ • Transfers to
Office Account $
Total Monetary $ -r7 , , " ' C L.
Total Monetary $ S'j 17 F.
In-Kind $ •
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
cc $ _ , I , ccs
(11) Certification
It is a first 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, correct, and complete:ve
(Type name) ` /l h Cl /wig%'h is e. (c) (Type narrreITZ rsi\ ? (` ((
❑ Individual(only for IE -easurer ❑ Deputy Treasurer (y Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
1,4
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ✓i E's F)'1 , I, , , �. (2) I.D. Number
(3) Cover Period 1 / U ) / Oa through /-) / 5A / (4) Page 1 of 2-
(5)
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
5/17 ri 4, Cc cu/CuJ
1.y , /--s 0
ir C ,? C 11(2 I
/3 5i,,,,cr '7-S
/l ./ 3) fot/
b,/ b v/a7 LQrSo /0(5//
23`1/ 5. ) /317l, r. 0j ro c'' I 06
/ f &��rnt0/1 6C A..c
33Yz :6
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7
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( ' 0 5°°
1 ` J '- ° J'f '_
�- / 3'3 / 31.
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name 7/16'M/) -f1 A-4/L c./ c) (2) I.D. Number
(3) Cover Period /2 / D/ / >> through /2 / 3/ I ..D2 (4) Page of -2-
(5)
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix, First,Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
/2i / (-/ / ,)- auCk,or-/I-1,
rj A t2, -,4-- Pe-lir re/ 7
G�S Att /S/ p b
d 0 oi,pi..n &l- 3r
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V 7Q�
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3'71i 1 -/ 33 ' F v
151 IQ le 1 c- in a„ . _ 5 W
IgE
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JL
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' / 3 ? V2 c.
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,� s c,I-1-c_ 52 cd c=
17I vt:e r a -? 5
i l a 9/ 2imnrcr -747/
/N6-' Gw,',, a 4
�a� .
y ,P67 / Lc 3 J7
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3) Cover Period / / through / / (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First, Middle) (add office sought if
Street Address& contribution to a Expenditure
Sequence Type
Number City,State,Zip Code candidate) Amendment Amount
742 Al /A ,rj 7/7,y 7/A/6 5/ SLC ?4 a 3 fr-
/ 937 /071/1/1/e X./Q
G e Gt./ 7 F
3: V i
nc
/- , a !j y Pc' yeirGl S7 �j (. , r.J-r
S u
//-e /7>U /� r �' t--e_cs
N-(14..) 0 r At'a n s LA 761/2_
l
l /
/
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES