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M12 Report 01-09-2020CAMPAIGN TREASURER'S REPQRTSVIIIIMARYEAcy (1) kA TZ Name (2) 61 (� 1) ddress (number street) 3 City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): 'Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) r Period: From Ig / / iginal ❑ Amendment (6) Contributions This Report OFFICE USE ONLY Arl I(): 59 (3) ID Number: Z' rN 73) 1ST- ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report Identifiers To l�[_ / 3 / / /� Report Type: l rl l ❑ Special Election Report (7) Expenditures This Report Cash & Checks $ a 0 e Loans $ / O Q Q Total Monetary $/, In -Kind $ , Monetary C Expenditures $ Transfers to Office Account $ Total Monetary $ � , � � � _ 1,3 (8) Other Distributions $ (9) $TOTAL M In tContr�ons To Date (10) TOTAL7oneIt Expyn itures To Date (103�_ 3� (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, correct, and complete: (Type name) I A j (Type name) El Individual (only for IE `� T asurer ❑ Deputy Treasurer [2zGandidate ❑ Chairperson (only for PC and PTY) or electioneerin corrim.) X X Signature Signature J.xwv. I i SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name VFIY iD A T (2) I.D. Number (3) Cover Period / I / 1 ( through 1 oZ l l l f f (4) Page of J/ (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 Tyee Occupation Type Description Amendment Amount 4 )IIItf / ) YG2 (0 0/b Iffev) PuTfat)) Zm l L L`i'1C AYiw e,,�, Ft- T7fen R W,(ivc2� r l �arJ� �3u� lV �� 3i9uz— 'yLZ �� ll �116605YAMV« 3� 3 •��, ��''� k �Un/Zt�u7 0 2• �'i/� Z� �- � �� , 00 i�� Af 3C C s' / J f3eYmr 6c'0eH/� n1 7�y J 33 � l l�JVV7Ts �-auc� teas_ 0eee 'Mur $ t V z> A_l/er0 � Gt2 - ' 331�c�/ L% DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name —1) A, _l 10 k A 1 7 � (2) I.D. Number (3) Cover Period / /A through / 3/ / (4) Page ofy (5) (7) (8) (9) (10) 7_01) (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 20 / l &01 e r GoUiS 030 M61V71FE C J ��6V R� �# 2 20 6"PIJA/ ewC Hwy igUyff1w hew 61_ a.Yss- w_ DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES TMPAIGN MEASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name ! (2) I.D. Number / (3) Cover Period l �—/ / through � -3Z /�q (4) Page _ of (5) (7) (8) (9) (70) (11) Date Full Name Purpose (g) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount 3 M ,� QGYZUISc�l � L2L�ln/S � � � I T CSI a Yo s� m�1-/ ry7/ 72ple- Gtr 67X-i5170YS PL-77)-71� �rWt' � 4� 00 � 3 !X{1 � 1/ 1060776V l (3&1, rllay(r (&rvlv�,�� &7Y 6vNI?4\1 eg tirick 31�' CHI (moi C �j 8/w &(21�prlla' (V �/a.3o �K crl2c�� ION ebb RAaW/ft, 3 3Y31 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES