M8 Report Amendment 10-09-2019CAMPAIGN TREASURER'S REP09T1q11UAneQ* 6FEACH
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Name , /7
(2) �!V/ zt)
Address (number and street)
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
�andidate Office Sought: L11.-�G��i U.W ri� L–� 7-2—
El
2—
❑ 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 / / To 6� / / /� Report Type:
❑ Original XAmendment ❑ Special Election Report f
(6) Contributions This Report
Cash & Checks $ , ,Li
Loans $
Total Monetary $
In -Kind $
, z6 . !�0
(9) TOTAL Monetary Contributions To Date
$ 161. .
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $ ,
Total Monetary $
(8) Other Distributions
$ , ,
(10) TOTAL Monetary Expenditures To Date
$ , 0 . e
(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) 00'PR0,43 '�P // f,"-?
(Type name) AJooPA�,y1%
❑ Individual (only for IE Treasurer ❑ Deputy Treasurerandidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.) /19c l
X o X �' 2ez w, t eo /e
Signature Signature
o5 -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ��{����� L 1114Y (2) I.D. Number
(3) Cover Period Og / 6)/ / through / 2 / /� (4) Page of
(5)
Date
(7) (8) (9) (10)
Full Name
(Last, Suffix, First, Middle)
Street Address & Contributor Contribution In-kind
City, State, Zip Code Type Occupation Type Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
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/
2-
33— 3
Zzi
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DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES