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M12 - Report 01-10-23
CAM] PAIJGN TREASURER'S REPORT SUMMARY tel/ (1) bI©0, 7RO L„ * /74r oFFNICEIVIENLY Name (2) y27A/& . z •' VS- JAN 102023 Address (number and street) .2q0y'jvJTd/I �/ chl FL 3,3y,3_6- CITY OF BOYNTON CH CITY CLERK'S OFFICE City, State, Zip Code [' Check here if address has changed (3) ID Number: (4) Check appropriate box(es): si Candidate Office Sought: COM/YaSSIOA/0? P.rs '2 T 2 ❑ 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 /2 / O / /2422 To / 31 /2622 Report Type: p7/2 ❑ Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ �. QC) Expenditures $ i �J6 Loans $ , • Transfers to Office Account $ Total Monetary $ , , 50,e) QZ% Total Monetary $ , /2 • Dd In-Kind $ , • (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1 . Z2CL $ , 3.32. (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 ' is true, correct, and complete: (Type name) a),i .i (Type name) 1e9,0327-eltd14.Aiehg. ❑ Individual(only for IE :1 Treasurer ■ Deputy Treasurer TaCandidate 0 Chairpe •on(only for PC and PTY) or electioneering comm.) X 4)' ?'‘114°'3‘44 X %).02eel-44/1<7/.. Signature r Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS • CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name /dOeV0 ) L /9/4/ (2) I.D. Number (3) Cover Period /2 / O/ /2.42 z through / ._>1 /-•'Ll ? (4) Page / of (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 a , zg/zz -4-41;4"Ae"' // —1/00 �'. �. �/1 �lZ� o0 Sz�"G cau Q - 560r° IOW I2 33YD/ � / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name eq, ,Q024.) 4 , A Y (2) I.D. Number (3)Cover Period 12 / O/ / ?D22through 1Z /3/ 12022. (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 /z/o//22 P// /✓�' r /? 0.- WiciA/ 117-77 �i�4 >V/V,/51 ? / / / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES