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M11 Report 12-10-2019CAMPAIGN TREASURER'S REPORT SUMMARY: ('1) i`nl_gfr ct L."_3 r 'q hT OFFICE USE ONLY w — Name= r -Lr sn • ; (2) '71 AI - LJ — Address (number and street) -- -�- L_ city, State, Zip Code ❑ Check here if address has changed (3) iD Number: (4) Check appropriate box(es): _ 2115andidate Office Sought: ❑ Political Committee (€'C) ❑ 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) (6) Report Identifiers Cover Period: From 1 ! / To j 1 1 5-6 i / Report Type: )I 2a original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report `� E_Xt lfw. dry Cash & Checks s: l7 00-60 Monetary Expenditures $ Loans $ _ Transfers to Office Account $ , Total Monetary $ > Total Monetary $ In -Kind $ > (8) Other Distributions $ - (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (11) Certification It Is a first degree misdemeanor for any person to falsify a public record (ss. 839.9 3, F.S.) I certify that i have examined this report and it true, correct, and complete: jis (Type name) ��&t eG f rL f (Type name) 73 er-44 at,4, L,--) i 1, � rl L - EI Individual (only for IE © Treasurer [3 6eputy Treasurer 42'candldate 0 Chairperson (only for PC and PTY) or electioneering comm.) X� Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name 1S U& ie,t-d L r, -J i (2) I.D. Number (3) Cover Period it 1 ! / through (4) Page of f Is) (7) (a) (9) (10) Date Full Name (12) (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind 4AmendmenlAmount Number CAI State Zip Code T e Occu ation Type Desai tion i C��as e . �Y C / i 3t� LA150- .",ou - u &I. r- r LD 'T1 DS -DE 13 (Rev. 11/43) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 0 CAMPAI N TREASURER'S REPORT — ITEMIZED EXPENDITURES 6-riy (1) Name cid-- (Z) I.D. Number (3) Cover Period /1/—/ •_1 1? through /.3-04 19 (4) Page 1 — of (� (7) Date Full Nance Purpose (g) (Lasts Suffix, Fina, Middle) (add office Bought if Sequence Street Address $ contribution to a Expenditure Number CItY, State, Zip Code cmdidate) TYPO Amendment Amount f'1/:21L/( VCS-ff R!'� ► a e_r- S CA" � u����� a� P�-�-�s• �,� J fly C TJX ll C-1 C i ..o i �3 Ti Fr < DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES