You are on page 1of 2
CAMPAIGN TREASURER’S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Le i ST (2) 1.D. Number (3) Cover Period JO! 6 /(B through /O 112 /1& (4) Page | of _/ | © @ ® ® (0) (1) (12) Date Full Neme © (Last, Suffix, First, Middle) Sequence Street Address & Contributor | Contibution | In-kind Number ity, State, Zip Code _| Type | Occupation | Type | _Deseristion | amendment | _ Amount io it Dave Rice ft L 194 STiwwaree CT =: r mateo Tsbawb, FE tT [Ret | caw [00.00 | peered Pave KAVEQGER [1019 113) 133 Storecessrer Magcorstawere| JT | Rer | CHK 300,06 2 eae 1 ; ; DEBORA an O19 118 | 1860 warsow RP. maAreo rshawn,FL| | RET | CHK [00,00 3 ates 10,9 118 Troms MoRR t ee 1390 CoThek CT 100,00) lbineco Fa-avo, re |e | KET | cH 4 B44 Tin Qiertee BAS Capcdod or | > BBR 1000.00 Mikco Tanwar) 1 | Extete} Bains DS-DE 13 (Rev. 11/13) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER’S REPORT - ITEMIZED EXPENDITURES (1)Name_ GERALD SwiAcki CamPaies (2)1.D. Number (8) Cover Period /O / 6 / /S through JO 1/2 // 2 (4)Page | of __ o wo @ @ oy wy Date Full Name Purpose (Last, Sufix, First, Middle) (edd office sought it ae Strect Address & ‘contribution toa | Expenciture rena City, State, Zip Code ‘candidate) Type amendment] Amount FACE Book LOflf'8 | inex WAY aovernsma| mon) 36.63 ) |enrow fare, Cw FH4026- Pro Peiwt OF NAPLES 232) Div id BUD. £0 10/18 WALES, EL SHO FrwtinG | Mon 32.50 CoAsrAL Beez 1957 SAW Marco RD maeco TsLaun, FL Rovertisine| wow O25. CO B44 1Of VL& DE 14 (Rev. 1113) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES.