Q4
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) -,Josh ad '.k' OFFICE USE ONLY
Name 0 11
(2) 7'-13 l't;,alJl1 tet IXt V yr.
/
Address (number ~nd street) ?, I. 3..s
torn (-on (5(?t1ch) T/ ;:>5 1
City, State, Zip Code
D CHECK IF ADDRESS HAS CHANGED (3) 10 Number: ~ D - (j 351 c.. b ~
(4) Check appropriate box(es):
00 Candidate (office sought):
5 Political Committee
D Committee of Continuous Existence
D Party Executive Committee
D Electioneering Communication
/l!IC1.YC{ I
,
Co ~ 111-0 ,Il et"~u~
D CHECK IF PC HAS DISBANDED
D CHECK IF CCE HAS DISBANDED
Cover Period:
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
From 10 I ~ I 0 q To ~ I Sl I 0 C1 Report Type
6~
Original
o Amendment
o Independent Expenditure Report
o Special Election Report
(6) CONTRIBUTIONS THIS REPORT
(7)
EXPENDITURES THIS REPORT
~c\ 0100 Monetary 110, or)
Cash & Checks $ lo~ Expenditures $ /o'f-.
Loans $ Transfers to Office
Account $
Total Monetary $ Total
Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ 7 g 5>. 00 J o~
(10) TOTAL Monetary Expenditures To Date
$ '/(,5, 00 / o'lJ
(11 ) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 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) JI,;( I,u Yt'5 ~e (Type name) Ja.sh~tl ~ cI.5~fk .
o Individual (onl . 'bll Treasurer 0 Deputy Treasurer rtJ Candidate'/ IJ Cbaimerson (only for PC, PTY &
electloneenng n.) r ~ ~ loneeilii'g- mmun. organization)
OS-DE 12 (Rev. 08/04)
..... ~
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t3
.10
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ~o.shlA61 ~Ac;(.rk (2) 1.0. Number go - 035Q [;Gg
(3) Cover Period 10 I 0 I I 0 q through 12. I 31 I 0 '1 (4) Page I 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 City, State, Zip Code Type Occupation Type Description Amendment Amount
II ~Gj I 0 q MK hGl/1 Annt CJc1'1S
I - fr,xiv.<. e
701 7(\'1 L"nt 1 CAS Qo, 00
\ . . fl ^~l
6rN:il()C (ts j ("'bl1x
3~'K~
J J I Jf-) I Del Efh f'I)t'I n v(' I
Nlao;IVi',,) Id "I S ~Jf II-I-; {~S co,oCt
~ St.JIO 5w y k~ sl fAv
ItO\Jitjfl 3>> )l1
II I JCJ I O~ fU-.\.1.. ill (Oor..l( -
sup' {mu lel''''. 9(0((1 'j CHf
3 ;Vl r (j.'1&1 1).9 13 5 \-0; t-/ )5 o~ 00
J700 rJ( Isr HI t I Owl"{'
I5/vd. (,\1 (IS) n 3~110h
1 I
1 1
1 1
I I
1 I
OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
J. CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name OSh().r;"~ [adjtfl<. (2) I.D. Number ~O - 035 q?; ~ ~
(3) Cover Period ~~~ through ~/-.1!...J~ (4) Page ( of /
(5) (7) (8) (9) (10) (11 )
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Street Address & contribution to a Expenditure
Sequence City, State, Zip Code candidate) Type Amendment Amount
Number
I U I 16 I O~ 1/c lefy fl1l(r~f 15r'~ tnC" i1!~nrhy
) lou 5w 50 t1. ~ l- j-fr 7 Wi j (l1 01) Z 5, 6 ()
I Oil/unlet j I 1A 5;(~ol f(ts
II I 16 I (f1 Vit /Goy fl1l-c, f4 .51> Y,( ;7/1 Oil t1 v1
5 ( oa ~v.l '301'1 >f sit] w~j )1? 01/ 25.00
Z f)./ t "/'91" .f I .j A S"2&() Z Nt S
I Z 121101 I/Ic~rr t/tk'/,/~t'~ ,.71,-1' jlnJ)t1 (h i1
5(00 5w 3of1.>I.fk 7 Vv'~ b fYlv" 00~"OO
(ttl!flL/
:> Pit J, "IN { ./ / :fA 5-? to2
(t" $
I I
/ I
I I
/ /
/ /
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES