FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY Z OFFICE USE ONLY Bo bat 28 [zed pZ2F) sy 27009 jdress (number and street) 4 Le GAZE City, State, Zip Code (1 CHECK IF ADDRESS HAS CHANGED (3) 1D Number: Check appropriate box(es): JX Candidate (office sought): Sa spe CU Political Committee (CO CHECK IF PC HAS DISBANDED (1 Committee of Continuous Existence Co CHECK IF CCE HAS DISBANDED Ci Party Executive Committee (1 Electioneering Communication (Ci CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 172! og T_p123 1OG Report Type F-L (original [Amendment — [] Special Election Report Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash&Checkss $8 92. 2D Expenditures $ 5/2, 47 Loans $ (1200-20 Transfers to Office Account Total Monetary $ 4360.00 Total Monetary In-Kind $ = (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ _L£320.20 $_ S572. £7 (11) CERTIFICATION Its a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) | certify that I have examined this report and it is true, | | certify that | have examined this report and itis true, correct, and complete. correct, and complete. type name) Lf fee 2 | open) Lice yy. Sten Llinaivaual ony er BXlTreasurer Gen aie TTecnamperson tow tc PTY b econeering commun Tectoncering commun, organization) X A429. babe X Lh Py foakn Signature Signature DS-DE 12 (Rev. 08/04)CAMPAIGN TREASURER'’S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Mhz Dn. PBxto (2) LD. Number wt (3)Cover Period ( / 72 1 OF _ through (ABI (4) Page (of _/ 6) 7 @ 9) (10) ay (12) Date Full Nome © (Last, Sut, First, Midle) ‘Sequence ‘Street Address & Contributor Contribution In-kind ‘Number City, State, Zip Code _| Type | Occupation | Type | _Deserigtion | Anentrent | _ Amount Gh m: Zak} L112 106 gu amst | C| At | Aeon 4eca a Plenca 1 ere i Ahi. Bah) Loeteo| pttigetei | soc w. jet |E | ar | ree 2 Walon Benet, 32136 11.2209 best |Z |\E4 \Cooe S400 ta 4 Regie ave] 3 Bk 36 Cc Lit pop [Mend Meee? E\|LZ+ | eae 0,00 hee Le ewe 4 132/36 7 q DS-DE 13 (Rev. 08/03) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES:IPAIGN TREASURER’S REPORT — ITEMIZED EXPENDITURES (name _(PLeee on ero @)LD. Number AE © (8)Cover Period 4) 72-/ JF through_/ 1 ZZ) 2 (4) Pa of, © a ®@ oe (10) ay Date Full Name Purpose a (Last, Suffix, First, Middle) (add office sought it ‘sequence Street Address & ‘contribution toa | Expenditure Number City, State, Zip Code candidate) Type — amendment] Amount & z Liz, Vf? 4) Bg ‘ar? Mer 94, 26 LZ Laner eros pe Naga aaa lala DF CAPES agian hisect, Ut (D2 DS-DE 14 a Sa SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES