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Norfus - Q2 Amendment 1 YD /V AmendmenT QL FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY u5 Name (2) d (0 I AI. f6r / III Dr' V ~ Address (pumber and street) .. 136 'in 1-(1) 8~C'lc A FI.3 3 $I? S- CiM State, Zip Code o CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): ji3"tandidate (office sought): C-I 'J- (OM"" I ~ S IOM.- llisl r t C "- o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication (1) OFFICE USE ONLY (3) 10 Number: CJ -------~------- r..-';..... 2 o CHECK IF NO OTHER ELECTIONEERING COMMUNICA TION REPORTS WILL BE FILED Cover Period: (5) REPORT 'DENTrFIERS From 11 L 1 0 To L 1 3111 CL:2 Report Type qJ:2 Amendment 0 Special Election Report 0 Independent Expendrture Report o Original (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 50 cr-O Monetary 70 ~ Cash & Checks $ Expenditures $ Loans $ Transfers to Office 00 Account $ Total Monetary $ 50- Yt:?4J Total Monetary $ 70 a-n In-Kind $ (9) TOTAL Monetary Contributions To Date $ J SO ~ (8) Other Distributions $ (10) TOTAL Monetary Expenditures To Date $ I 00 0-0 (11) CERTIFICATION n is a firs' degree misdemeanor for any person 10 falsify a pUbtic record (ss. 839.13, F.S.) I certify that I have examined this report and rt is true. i certify Ihat I have examined this report and it is true, correct. and complete. correct, and complete. . {l (Type name) It cla;r [) Jl) 0' l' ~ (Type nameJj/! C.{ G;-. 1) J\) 0 tto ~ o IndMdual (,,"y f" ....g Tfea""e, 0 Deputy T rea'u'e, 0 Candldale 0 Chal""'rnon (,nly fun'c. PTY & x~2e@. "<'- X ..al,.,..ri"" oommuo. "''''''''''0' Signature - Signature OS-DE 12 (Rev. 08/04) G.' '")~-. (1) Name Kr'>/;;--O. N~ rK.J CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (2) J.D. Number (5) (7) (8) (9) (10) (11 ) Z~12) Date Full Name (6) (last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind C Number City, State, Zip Code Tvee Occueation Tvee Description Amendment . Amount !;j cI d'rOr (VIr({; s L . .. ~ ~ ~,-,i 4?; , " 1 1 _) 0 (!'-O 2cP I /I/,{6.1 h-PNG-{ ~ Arq I~ st- Cas t, I &'1 prlvJt I!ch ~L 1 1 1 1 1 1 1 1 1 1 1 1 / / (3) Cover Period L I ~ I 07 through ~ I 3A. I .s:22 (4) Page ~ . ok.. ~.:-- r ..-,- OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f CAM?AIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name _I l TSsr- f)" ;Y (3 ,p u-.S (2) 1.0. Number (3) Cover Period -!t.-,L,L through ~I .30 12 (4) Page ,I of / (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought jf Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number 5/ /1"7 ellr GR. &'rrdC/1 J.S c ~ !-vi """< .-/; n J f1nf\ 50 (J'(J I )'C/'ll c- r- C'.j)rrJ. '1:._)-- fZ.o(~ IV) /::<::. Irc~ 11/4;"'1- ~ 5 <f5<S- r 512/7 ~+clte l-e 5 C (\1;1/ e S Men. JLo c.-u C (, tw/- ....cp'f.. .eq/-IZO ). ~~~;'.J;~~A ~)~3g- 1 / / / (~ -- c - / / ( !, . / / / I / / I OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES