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M12 Report 01-10-2020CAMPAIGN TREASURER'S REPORT SUMMARY (1) doa mew Z. OFFICE USE ONLY Name A(2) Address (number and street) - BoY,41rel+/ - - _ F �. City, State, Zip Code C ❑ Check here if address has changed (3) ID Number: _ _ =° V> (4) Check appropriate box(es): •• r dmmsss `D E siR-PCZ" .2 12�candidate Office Sought: -j ., _ _ ' ❑ 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 /4 / ©/ 1 Iq To /2 / / Report Type: 7 ,Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ D .00 Expenditures $ Loans $ - Transfers to Office Account $ , Total Monetary $ Q 00 Total Monetary $ '2110 y . 53 In -Kind $ , (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ I '100. 00 $ ,x.73 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (is. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete:UJ�i l(%oomozj Z. 11A (Type name) ljoo L l !, Tv (Type name) T ._Ozj ❑ Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ C airperson (only for PC and PTY) or electioneering comm.) Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name d `ddT RIO L+1 L • /IR _ _ (2) I.D. Number (3) Cover Period 12- / 0/ / through iZ / 3 / lY ? (4) Page — of (5) Date (7) (8) Full Name Purpose (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a City, State, Zip Code candidate) (9) Expenditure p Type (10) Amendment (11) Amount (6) Sequence Number J21,0211? -R4W ° F !� M��z� ®,$©x 98223 rvto�v `:`�Y FES' j::;og Ba -5_7d65-5/;7 /;7 00 1 Z 031 q e.r 7T o,r SdYIV7-d,'V � l Qu �A%%u"? L VA*1ai $ CA Fz 6.r i'y F.TLrW6 F' E r Cil✓ as 2 /2 03 1 CXTy aF ga!Y•dr®iV 2?2-4411 3301 OUR,�,IWM $LUb. A�/l/ �y,Via.✓�� �L 33'�� ��F C -3 DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES