Q3 Report
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
~(I/(Ho iJly )fk/l~O OFFICE USE ONLY
Name
<9SYC .s: (;J I / iff". sr,
~ddress (number and street)
1SPtNTm AERC>l1 fi g sf( ~,
City, State, Zip Code
D CHECK IF ADDRESS HAS CHANGED (3) ID Number:
Check appropriate box(es): 0
G!"6andidate (office sought): Ct.,.y ~1'l/SSdYf'(l., 5tJy'N1;f{ 8t1JC.>1 fJ/.fiJ'l(tr 1
D Political Committee D CHECK IF PC HAS DISBANDED
D Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED
D Party Executive Committee
D Electioneering Communication D CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From L I ~ 10.2- To L I 30 I ~ Report Type ~ 3
D Original D Amendment D Special Election Report D Independent Expenditure Report
(2)
(4)
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Lf (J(fl. Cb Monetary
Jsh & Checks $ Expenditures $ ~ 55', \jj
~
Loans $ -G-- Transfers to Office
Account $ -@--
Total Monetary $ !(()r)o. J!f'L ,/ Total
Monetary $ ;:)~, Yi
In-Kind $ (!)-
(8)
Other Distributions
$ -&-
(9) TOTAL Monetary Contributions To Date
$ trgSl;. oe ./
-
(10) TOTAL Monetary Expenditures To Date
$ :Jt:>S I l(~ ,/
-=
-,
0 c-,
-.J
0 --<
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0 ...,
....., .....
(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, I certify that I have examined this report and it is true,
correct, and comp' te. correct, and complete.
r
Signature
OS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
,/ Name f/(offnCb i2Ay lflh/,8-f'(/.)
(2) I.D. Number
(3) Cover Period --!1...- I --L- I a2- through -2- I ~ I ~ (4) Page L of V
(5)
Date
(6)
Sequence
Number
(7) (8)
Full Name
(Last, Suffix, First, Middle)
Street Address & Contributor
Cit , State Zi Code T e Occu ation
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DS-DE 13 (Rev. 08/03)
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(9)
(10)
(11)
(12)
In-kind
Oeseri tion
Amendment
Amount
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SEE REVERSE FOR INSTRUCTIONS ANO CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
,/ Name ~rtftf-j) IJv UC"llW (2) I.D. Number
(3) Cover Period II L I 02..... through --1- I & I ~ (4) Page L of 2---
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
Cit , State Zi Code
(8)
(9)
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Deseri tion Amendment Amount
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SEE REVERSE FOR INSTRUC ONS ANO CODE VALUES
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n CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name ~1V,"i) R.1J't fA..,iF1/ PNV (2) I.D. Number
(3) Cover Period ~/~ tJ7 through --i..-J~Q2- (4) Page / of
/
.
(8) (9) (10) (11)
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
fe. (ollNf't SOE'
:;J% $', MIL, 7aAIL.
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SEE REVERSE FOR INSTRUCTIONS AND COOE VALUES
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Iransport Co., Inc.
PO Box 1046 . Boynton Beach, FL 33425-1046
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u.s. POSTAL SERVICE
CERTIFICATE OF MAILING
MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAil, DOES NOT
PROVIDE FOR INSURANCE-POSTMASTER
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One piece:.Ht~nary mail addressed to: gi::R-
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PS Form 3817, January 2001
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