M10 - Report 11-14-22 CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
(1) —� �� �<RM [ ( C ( C AILED
Name
(2) (f 0 6 0 AA. L)b NOV 14 2022
Address number and street)
'D.. (3-6 CITY CLERK'S OFFICE
City, State, Zip Code
Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): a Dip
®Candidate Office Sought: C C DJ��t!` l7
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
❑ Independent Expenditure(IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From /0 / / / a.a. To /D / 3) / 22- Report Type: m - I U
1511 Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ / , S— , 0 0 �-0 Expenditures $ , ,
Loans $ , , • Transfers to
Office Account $ , .
0
Total Monetary $ 7 , c. 0 • 6v
Total Monetary $ , .
In-Kind $ -
(8) Other Distributions
$ , •
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 3 Sol) . OD $ , , Z6 . 4
(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) (Type name)
❑ Individual(only for IE ❑Treasurer li Deputy Treasurer g Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
I
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name f---r-il 012g r A !�zr c , p (2) I.D. Number
(3) Cover Period /0 / 01 / 2'>-through 1 o I 3/ / 22. (4) Page / of 7
(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
)O / RI / as Rdra ,Acirm Rl E
r � eayck
baa o 'KJ
40r- C�€ ) ( C(
Do n-1 c l5ecc I') N V Cl 0
'fh / o, ie.&
i-
rL
9 //o .(ice()I eeR CN 6 2 Sc.)
3 e--¢hc (Ado r1-A
/ C./ G / -aa lS t�fHe,- 1 W(III Add %. 71/r"<el \ (/ ,r 07 5U 01
/9` I(�Y'// h<,-,7 c .3 �\ rf C
vL Ole coo r4'11 t..
J 33•/ 4-2
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1