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G3 Report 03-12-2020CAMPAIGN TREASURER'S REPORT SUMMARY (1) PPOU) Z - 114 y OFFICE USE ONLY Name Address (number and street) .HO I )A41✓ ell, ,rl- 3 3 -/3 � CITY 1 City, State, Zip Code ❑ Check here If address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: C�c^ iYj, j'j!�G4�/ 79.rsm. re % 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) (6) Report Identifiers Cover Period: From 03 / 0,6 / 2,9 To 03 Z® ReportType: C3 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks Loans Total Monetary In -Kind $_ _ I _-Z-L1670- CSO (7) Expenditures This Report Monetary Expenditures $ 2 $ Transfers to Office Account $ Total Monetary $ 990 _'Z (8) Other Distributions $ . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , /6 , !06 . 0 o $ S" & F 0 9 (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 h%%a��vee� examined this report and it is true, correct, and complete: (Type name) l�LJi9ox--06) Z. AW (Type name) ❑ Individual (only for i reasurer ❑ Deputy Treasurer C. ndidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) r X X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS , )0'0WRD11J L • 11114 / 2 I.D. Number (3) Cover Period 03 / 41<5' / Zo through 03 / /Z / Zz9 (4) Page / of I (8) Date (7) Full Name (Last, Suffix, First, Middle) (8) (9} (10) (11} (12) (6) Sequence Street Address & Contributor Contribution In-kind Number City. State Zip Code TYDe I OCQU ation Type Description Amendment Amount 03 1 o ? 20 5r,14R4s - 1REC1G �Wys��� 14 B �41J air Beyvrwt 94W, Fl— DS-DE 13 (Rev. 41/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name (2) I.D. Number. _ (3) Cover Period through / �2 / �� (4) Page of (5) (7) (B) (B) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number Clty, State, Zip Code candidate) Type Amendment Amount Id I An - 2 .. �hloV 0 If X11'� - � � s �3 /1 •� r Y."64 F-ew, 3415".61 X312 ?-,0 .��. ��7 �-A Vzzj god, � 1 30 -- DS -DE 14 (Rev. 11193) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES