G3 Report 03-10-23 {
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Pawl/ L ��ol/aj/ OFFICE USE ONLY
Name yJ� FILED
(2) yell/ '/adk MAR 101023
Address (number and street)
L?tAC'7 g31/3�, CITY CLERK'S OFFICE
City, &fate, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
2/Candidate Office Sought: (11/r1/MSS/1>/2€r Ls r,C,q- /
❑ 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 0,2 / t rl I a2 3 To 3 / bo) / ‘,73 Report Type: L,3
[Original ElAmendment 7 El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , �— . Expenditures $ . 60
Loans $ , , Transfers to
Office Account $
Total Monetary $ , • G G
Total Monetary $ , 07) 4,0
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , I , 760 . . OS-
(11)
5(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:
(Type name) •Dagm/ Im�L (Typ name) r ig'4" fe/Me//
❑ Individual(only for IE L'1 Treasureruty TreasurerCandidate Chairperson(only for PC and PTY)
or electioneering comm.)
X 1,./j- x
Signature Signature
CAMPAN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name Vai9/9, re/7e// (2) I.D. Numbe1(3) Cover Period 0 / / 073 through 03/ / (4) Page
of /
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First, Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
0l Copses D25 J., ices
/ /
/ /
/ /
/ /
/ /
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES