Q3 - 2009
(1) F ~~YN et..
Name
(2) '~01 " I E. '.l.-o fr /Ie.
Address (number and street)
J5o'IN72;vJ PxlA Fi-
City/State, Zip Code
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
{!.. -;J Eft f\.1 t?J rtf'7i 576
OFFICE USE ONLY
>
'3 37:3 <::
o
1.0
g
"-i
-
N
D CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
~ Candidate (office sought):
D Political Committee
D Committee of Continuous Existence
D Party Executive Committee
D Electioneering Communication
(3) ID Number:
:Jf v>.
'" t""Jo
~f
MA~
D CH CK IF PC HAS DISBANDED
D CHECK IF CCE HAS DISBANDED
D CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From L I L ?tx;1 To ~ I ~ I 'Jt:x;1 Report Type tp~T6eL;1
~Original D Amendment D Special Election Report D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 0
Loans $ 0
Total Monetary $ 0
In-Kind $ 0
(7) EXPENDITURES THIS REPORT
Monetary
Expenditures
$
o
Transfers to Office
Account $
Total
Monetary
o
$
o
(8)
other Distributions
$
o
(9)
TOTAL Monetary Contrib~ons T07e
$ <g<;v,
(10)
TOTAL Monetary Expenditures To Date
$ 7Y2 I' .c:,.~ ~
(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 complete. correct, and complete.
(Type name)
Dlndividual (only for ~Treasurer D Deputy Treasurer
electioneer" 9 commun.) F
(Type name)
~ Candidate
D Chairperson (only for PC, PlY &
electioneering commun. rganization)
x
x
OS-DE 12 (Rev. 08/04)
CAMPAIGN TR ASURER'S REPORT -IT~MIZED EXPENDITURES
(1) Name 6,\ c... . / C (2) I.D. Number
(3) Cover Period 1 / l~throughL~~'1 (4) Page I of /
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
(9) (10)
(11)
Purpose
(add office sought If
contribution to a
candidate)
Expend iture
Type Amendment
Amount
,/
I
/
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Fto/J1#L f(- J C,A 1\/ 131tP7/ <7 e- (2) I,D. Number
(3) Cover Period through 0 I (4) Page f of I
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Cit , State, Zi Code T e Occu ation T e Descri tion Amendment Amou nt
OS-DE 13 (Rev, 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES