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FLORIDA DEPARTMENT OF STATE _ DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY Tee OFFICE USE ONLY Name . 2) _eop Sprvsdale Qe JAN 30 2009 aera (number and street) A i hk 30136 co City, State, Zip Code CD cHEcK IF ADDRESS HAS CHANGED (3) ID Number: Check appropriate box(es): ‘andidate (office sought): _C missine— C1 Political Committee (CO CHEcK IF PC HAS DISBANDED CCommittee of Continuous Existence Ci cHeck IF CCE HAS DISBANDED CO Party Executive Committee J Electioneering Communication CO CHECK IF No OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 1 2l 1 2009 To_y 123 2004 ReportType EI (WGriginal Clamendment — C] Special Election Report _L] Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks Expenditures § Sha, #7 Loans Transfers to Office Account Total Monetary Total Monetary In-Kind (8) Other Distributions $ (8) TOTAL Monetary Contributions To Date (10) | TOTAL Monetary Expenditures To Date $ 1000 s 462.47 (11) CERTIFICATION Itis a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) \ certify that | have examined this report and itis true, | | certify that | have examined this report and itis true, correct, and complete. correct, and com (chairperson ony xe Prv8 Tinney conan crate) ‘siGnature DS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER’S REPORT ~ ITEMIZED CONTRIBUTIONS (1) Name Kon 22. Carney (2) LD. Number (3)Gover Period / 1 2/1 OF trough J 1 23/1 OF (4) Page / of / (5) a) (8) (9) (10) (ity (12) Dete FullName ©) (Last, Sut, First, Mdae) Sequence Street Address & Contibutor | Contrbution | Incind Number Giy, State Zip Code_| Type | Occupation | Type | Deserption | Aneninen | amount 4 Kind I. Carne pert $0 04 Sprivadale Lr ie Yew ¥) 00 Flagle> tBeeck— Lote /, a Ph. 32136 yo (ee oo ros an) aaa rae DS-DE 13 (Rev. 08/03) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES: Cc (1) Name _ Ap CAMPAIGN TREASURER’S REPORT — ITEMIZED EXPENDITURES Ya) (2)1.D. Number, (3) Cover Period _O/ 2/1 09 through _/ /Q3 107 (4)Page_ 7 of (6) a (8) (8) (10) a) Date Full Name "urpé Sequence (e*epect address | “contrbuton a | Expendtre ‘Number City, State, Zip Code candidate) Type |Amendment| Amount Mj09\ Cx kr Beack| LLbiG a t Le a) Mou! Yxp.rb 6H wag Hagle LS 2a bredk. fech™ LLM OF, Cosa SH. = | moe pal Gl | Hayle Back Farm iy bq| Crty ip Heglee Bred)

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