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Beckenbach- Treasurers Report TR 9-3-15 CAMPAIGN TREASURER'S REPORT SUMMARY (1) 1;j4 ati0 110 OFKGr U ONLY elved SE Name (2) 22./6 u`�c�AW1 AO< "D'g . k1 Address (number and street SEP - 3 2015 AW i IL,& JPA 3 )--33 City, State, Zip Code Office of City Clerk ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): E'Candidate Office Sought: 4i2/ - 7 A s4 I �. j1fr10,5/C,Ie ,J6 , ❑ 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 (L, I / / /5 To 7 / / j Report Type: 'Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 . )0 Expenditures $ , , Ci0t ,oPT) Loans $ , © C)e Transfers to Office Account $ Total Monetary $ , © UU Total Monetary $ , OO . C' ( S In-Kind $ , © • (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (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: ���^ ,, ' / I (Type name)�(41Z; �. f.J 1. LAW �7 (Type name) �� . 36G.l( W e3/ _ 7 ❑Individual(only for IE l Treasurer ❑Deputy Treasurer ®Candid to ❑Chairperson(only for PC and PTY) or election ring comm.) X • lL� / X gZ/ Z-1- / Signature ignature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS ,in CAMPAIGN TR ASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name r tA ■V--- L: L. -K�l.f 5 Ac 1 (2) I.D. Number (3)Cover Period 6 / / / /r- through T / e / / 5 (4) Page 1 of / (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Co /29//5 h )A 4- `-ba t-i R 7r>6' ,1: ,/4 0 G_/44JLIA D//Lv' Vio,A D.L..S .goo / AT Ui/C,P,l q) /� 4- 3`--� Gof�N / / / / / / / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES