TR
...
(1 )
(~i' /t-fy V
Name 0' / I J ~
(2) &SlfO <.J ,W J /'1 Y'l s-r
Add~S (number .n?Jstreol't)
{:)C'ff\l7tf\j f.:1-90-C If J H, 3 gyOtC
City, State, Zip Code '
o CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
~andidate (office sought):
o Political Committee
o Committee of Continuous Existence
o Party Executive Committee
o Electioneering Communication
FLORIDA DEPARTMENT OF STATE OIVl
(3) 10 Number:
(rJfJYlrz- C,ry ~f &)1vmy Bb-eCIf
o CHECK IF PC HAS DISBANDED
o CHECK IF CCE HAS DISBANDED
o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
Cover Period:
~iginal
(5) REPORT IDENTIFIERS
From.B / S / ~ To ~ /2-/ (t) Report Type T ~
o Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary rxtts-,f)'
Cash & Checks $ ~ Expenditures $
Loans $ ~ Transfers to Office O.
Account $
Total Monetary $ ..e- Total ~S-7 r-,:;z h
Monetary $
In-Kind $ .i:;)-
(8)
Other Distributions
$ -A--
(9) TOTAL Monetary Contributions To Date
$ J. (4, l(Jo I ro
I
(10) TOTAL Monetary Expenditures To Date
$ :; c; , l(/O, n
I
(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) A O'U"A. (Type name)
o Individual (only for ~didate
electioneeri .)
x
x
Signature
OS-DE 12 (Rev. 08/04)
Signature
(1) Name ~ CAMPAIG~REA~RERJS ~EPORT - ITEMIZED EXPENDITURES
ol'Y &1:::> y ~/LR-IY (2) I.D. Number
(3) Cover Period LI S- 11E- through ~~..1.L (4) Page I of 2/
(5) (1) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) . (add office sought If Expenditure
Street Address & contribution to a
Sequence City, State, Zip Code candidate) Type Amendment Amount
Number
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DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
IFAMPAIGNA~EASJJRER'S R..EPORT - ITEMIZED EXPENDITURES
(1) Name p:,lJY..fttD /.5:!ty w..C/lltf!cl (2) I.D. Number
(3)CoverPeriod~1 ~ l~through~DJ1J- (4) Page r of V
(7)
Fun Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9) (10) (11)
Purpose
(add office sought If
contribution to a Expenditure
candidate) Type Amendment Amount
(6)
Date
(6)
Sequence
Number
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9
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frl tJN
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fYbN(
fJ1i1Y (
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-
-
1~11
~
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SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES