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FLORIDA DEPARTMENT OF STATE DIVISION OR~~calg'NTON BEACH '-'
CAMPAIGN TREASURER'S REPORT SUMMMtVRK'S OFFICE; ~~
(1) .]05't.wt /u~dfc' WI:J9N y~ ....'(: 2i
Name ,
743 MMafee B1' p/,o ~
Address (number and street) :JC
{3v:j11 k;n f3dt F1 '53, '35
City, State, Zip Code
D CHECK IF ADDRESS HAS CHANGED
(3)
10 Number:
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ICD
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;1"0-635." C y :x:
(2)
(4)
Check appropriate box(es): J j
~Candidate (office sought): /Vt c.ytJ/;
D Political Committee
D Committee of Continuous Existence
D Party Executive Committee
D Electioneering Communication
pOY/1fo~ ;7~4d1
D CHECK IF PC HAS DISBANDED
D CHECK IF CCE HAS DISBANDED
Original
D CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL. BE fiLED
(5) REPORT IDENTIFIERS
From 2 / ~ / ~ To L / 70 / ~ Report Type 112
D Amendment D Special Election Report D Independent Expenditure Report
Cover Period:
(6) CONTRIBUTIONS THIS REPORT
(7)
EXPENDITURES THIS REPORT
Cash & Checks
$
Monetary
Expenditures
$
7<1 --
Loans
$
Transfers to Office
Accou nt $
Total
Monetary
$
Total Monetary
$
In-Kind
$
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ '6')5
(10)
TOTAL Monetary Expenditures T7e
$ g'35
(,
(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) Jidlo Yt:sk. (Tpename) Jo~hVtt; fvJs....H-r
D Individual (only for Treasurer D Deputy Treasurer Candidate D Chairperson (only for PC, PTY &
;(';~::t ~ X "";o~""g~m"".o",,";_")
Si9~ / Sig
OS-DE 12 (Rev. 08/04)
~ CAMP,AIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name jo~h~ I0df~1k ' (2)I.D.Number ~O.- 6 3<;,t~({;<;;-
(3) Cover Period L~ /0 through L 76 I to (4) Page ! of /
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
~/?o/ /0 4u-1t:t( 11 fif" d (I' ()'5-5
[ rOO a 1'1 - po OK [JI < 7lf--
Ot'~ .AI!t:?111~~/ tA 50]<' b
I /
/ /
/ /
/ /
I /
/ /
/ /
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES