M1 - Report 02-10-23CAMPAIGN TREASURER'S REPORT SUMMARY
(1) a S 1 �9 17-1 / cc /C) FY—W
Name
_
(2) 1-/ D (v f i oLl j 4 q FEB 10 2023
Address (number and street)
h l CITY CLERK'S OFFICE
v - - oy) �a -33-V3(,-
City, tate, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought:
❑ 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 6 l G / l a a 3 To 6 / / _? j / aG a3 Report Type:
V Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
& Checks $ U
Expenditures (v7 �Cash
3
Loans $ , , 0
Transfers to
Office Account $ ,
Total Monetary $ a G y00
Total Monetary $ , �% (,-3
In -Kind $ d
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ n0
$ 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) C "TP rh l c c (Type name) I Cef \
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer [ Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
'
Oa"�',e
X giii:r X M
Signature Signature
DS -DE 12 (Rev. 11113) SEE KEVEKSE i;0K ir4* i KUG 1 ium
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name G/Y) al / C -C' /G (2) I.D. Number
(3) Cover Period / //_/s204;jrough I /3/ oZk� (4) Page of
(5)
M
(8)
(9)
(10)
(� 1
Date
Full Name
(Last, Suffix, First, Middle)
Purpose
(add office sought if
Expenditure
(s)
Sequence
Number
Street Address S
City, State, 23p Code
contribution to a
candidate)
TYPe
Amendment
Amount
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DS -0E 14 (Rev. IIM3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - namm commwms
(1) Name As p phl CC/ o (2) LD. NuMber
(3) Cover Period 0/ / G l / Z �3 through " / / $ / / -:) Crfa (4) Pape of I
(5)
(7)
(8)
(9)
(10)
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(12)
Date
Full Name
a -as< Sufk First, Middle) .
(S)
Sequence
Street Address &
Contributor
Contribution
In-kind
Number
City, State Zip Code
Type I 00cupabm
Type
DeSCdption
arra
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DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCnONS AND CODE VALUES 4y°%
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