E2
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS 0
CAMPAIGN TREASURER'S REPORT SUMMARY ""'I
(1) 05~ \.Iti ~ t:Ag~f1.-r: OFFICE USE ONLY ci> ~~
~me ~~
(2) 7C{~ Afpr;~kt #"t:y /7,. ~ fhd
Address (number and street) , ":I ~~
e{fs~f:.~iP ~~cl" n J?Y"? ., ~ ~~
o CHECK IF ADDRESS HAS CHANGED (3) 10 Number: $'0- 63.516~ E
(4) Check appropriate box(es): .I ~ // I. /) /
D'>tandidate (office sought): /f/( Ii( V tJ /( tp,(J r" r-. il If ~ " PV?
d 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 0 CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From L / lz- / 10 To 2 / 1 / 10 Report Type ? L-
Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7)
EXPENDITURES THIS REPORT
Monetary
Expenditures
$
.
;J9C,00
Transfers to Office
Account $
Total
Monetary $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ <j 3 ~~ 00
(10) TOTAL Monetary Expenditures To Date
$ 76/, tJo-
(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. /J J
(Type name) vi (Type name) Of( /if ~ I/p/r~.
Dlndividual (only for D Deputy Treasurer Candidate D Chair on (only for PC. PTY &
electioneering co n.) electio e' 9 commun.
/L
OS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ']0,5 hua
~~.
(2) 1.0. Number ~O,... () 5 5 ~ G g-
Z- / Cf / 10 (4) Page (Of I
(3) Cover Period
I / Z t- / 10 through
(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 Tvpe Occupation Tvpe Description Amendment Amount
J,l1 I/f) !1-",,"/4 6," t1 ( (:> * p..k,
1/ J I II,! I(/f( tJltlA. ~ f "6'1>1'1 (lIle ~ 0 ...-
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OS-DE 13 (Rev. 08'03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
~} AIVIPAiGN.JReAS,YRER'S REPORT - ITEMIZED EXPENDITURES
(1) Name _ ~~lt" ~p(~~' (2)I.D.Number y()- tJ~S1~C~
(3) Cover Period LI '221 / c) through LI t.-I / /D (4) Page I of /
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
~ 1.)/ /6 Iy~~r :JI7C. f.,r ~/fl"l ~,
/!o 6rv"IJ"~ sf. trI ~,,~ 1/ I tUon d13,0('
I (111'#1 I ~(", ~h ,1 ?I./II fl" ftlbef
.f'fn/UI.J.
~ / '1/I~ 0c/8.-y enlfr ($1'6 Ir/{. f'L {.-4 r
5;D~ 51/V ()111 5 f. C1,d r" t WO/\' ~,60
c1',~,J.- C C. f "
Z, tJAnlfff, 1) 5 ) ~~2- t611hlJuh;\o\-S
6.3~ r-
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OS-DE 14 (Rev. 08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES