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M11 Report 12-01-22 CAMPAIGN TREASURER"S REPORT SUMMARY 1 OFFICE USE ONLY Name ( ) &d,96k e FILED A dress (number and street) DEC 2022 06"Viod ____I CITY CLERK'S OFACE City, State, Zip Code ❑ Check here if address has changed O ID Number: O Check appropriate box(es): i Candidate Office Sought: , 5 S 0 n r j 5- re/ ;r-:_._ ❑ 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) ( ) Report Identifiers Cover Period: From l l To _H 1 l Report Type: J Original ElAmendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks Expenditures $ , ° 7 Loans $ Transfers to Ice Account Total Monetary $ , Total Monetary . In-Kind $ , , (8) Other Distributions $ , Y O TOTAL Monetary Contributions To Date (1 ) TOTAL Monetary Expenditures To Date $ ) 9 $ (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 Deputy Treasurer CandidateE Chairperson(only for PC and PTY) or electioneering comm.) X /) , I ' I Signature Signature CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name - nn _ef(e (2) I.D. Number (3) Cover Period / ! through (4)( ) a of (5) (7) (8) (5) (10) (11) ��(12) Date Full Name (6) (Last,Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number Ci)+, State,Zig Code a Tulse Occupation T ',�__ __... Description Amendment Amount eJl�e 05 0.499, ^0- 16114 Q'nif 808 33 V35 cf1 _ 1781/ AIN l ®we5- Gc- _ . _ 92r1r/ c e-1, .......® ... ... y i avNc�T.4 le er Lhe 5 v 3336 111Cl1_/lg qya&,q(e dle er .1 361yh I / •- . !e'Imen I✓'%kar 65ff ere r i ld _.. _.—__... �.. ..... ....... . �_.��M�.a_m. I � � / " / 90/o90eejvlo 4. Ca 6 I DS-DE13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name (2) I.D. Number (3)Cover Period through 30 3� (4) Page 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 City 01c L3,0VOW defflk /00 &-. o AVE 0;4 1 611A, ti flee 701) as loo e-. c ,? Av ftrO- 33 V3 S' DS-DE 14(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES