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FLORIDA DEPARTMENT OF STATE DIVISION OF CAMPAIGN TREASURER'S REPORTS
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O CHECK IF ADDRESS HAS CHANGED (3) ID Number: --------( 4) Check appropriate box(es}: 0 \ v _ I _ t 1)_ 1 b "d ( f
!Kl Candidate (office sought): -ia:t:D=-~=-'-(_,_f--1,,;;aW=....,,ste'-'-"'--'~-'-t',_,_,S ... t~r ...... 1eIJ'"'-'. e=rl~t'-'-JrrJ_,_ ....... L..._. ....... u.,__ ...... ~"""'<..L(l(...i.;... ....... ,. _
D Political Committee O CHECK IF PC HAS DISBANDED I
D Committee of Continuous Existence O CHECK IF CCE HAS DISBANDED
O Party Executive Committee
O Electioneering Communication O CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From O<f I _Q.J__ I __LI_ To 0(() I 30 I jJ_ Report Type {y;)., riJ Original O Amendment O Special Election Report O Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ J_'i IS-: oo Loans $
Total Monetary $ u
In-Kind $ {031. I 3
(9) TOTAL Monetary Contributions To Date
$ 3't -+-"~..._bc.&.4-'., 3 ___ _
(7) EXPENDITURES THIS REPORT
Monetary Expenditures $
Transfers to Office Account $
To ta I Monetary $
---------
(8) Other Distributions $ ________ _
(10) TOTAL Monetary Expenditures To Date
$ 71t,R7 (11) CERTIFICATION
It is a first d ree misdemeanor for any person to fats · a public record (ss. 839.13, F.S.
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and compl te. correct, and complete.
(Type name) be.rt-D Chairperson (only for PC, PTY &
x ,. ,r-;,f, electioneering commun. organization)
x.~~ ~ Signature
DS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name f;obert- A, /(:e.ntrt:n (2) 1.0. Number ____ _
(3} Cover Period ()<./ I 0( I , , through nl1 I 30 I f f {4) Page I of (5) (7) I (8) (9) (10) (11) (12)
Date ·- Full Name I (6) (Last, Suffix, First, Middle)
Sequence Street Address & I Contributor Contribution ln~kind
Number Citv Sta:e, Zle Code I Tvoe Occuoation Tvoe Descrlctlon Amendment Amount
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~ 'i 701 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name fl,brA A lv_d-e~a (2) I.D. Number ___ _
(3) Cover Period Olf I 0/ I l f through Dh I 30 I II (4) Page J of
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Date Full Name I
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Cilv. State Zlo Code Tvoe Occuoatlon Tvoe Descrtotion Amendmenl Amount
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DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASU!iER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name (2) 1.0. Number ___ _
(3) Cover Period O tf I O I I I 1 through D &, I 30 I ti {4} Page -~ of i/ (5) (7) (8) (9) (10) (11) (12)
Date Full Name (6) (Last, Suffix, First, Middle)
Sequence · Street Address & Contributor Contribution In-kind Number Citv State Zlo Code Type Occupation Tvce Descrlction Amendment Amount
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name (2) 1.0. Number ------
{3) Cover Period t:) I D I I through 0 I d I Jl (4) Page of (5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, Firs~ Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv. State ZIP Code Type Occupation Type Description Amendment Amount
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DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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!¥f>~GN)"RE~lJRl-R'S REPORT - ITEMIZED EXPENDITURES (1) Name ~ct tt f=:=f. cttf.ef1 (2) I.D. Number _____ _
(3) Cover Period _Qj_,12.l_!_jl__ through j}_Jg_j 30 1_/_f _ (4) Page [ of f
(6) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought If Expenditure Street Address & contribution to a Sequence
City, State, Zip Code candidate) Type Amendment Amount Number
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DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES