Jones- Treasurer Report- M5- 6-12-17CAMPAIGN TREASURER'S REPORT SUMMARY
Reeeiyed
(1) Casey P. Jones OFFICE USE ONLY
Name
JUN 1 2 2017
(2) 35811th Street
Address (number and street)
Atlantic Beach, Florida 32225 Oreae of Chy C k
City, State, Zip Cade
❑ Check here U address has changed (3) ID Number.
(4) Check appropriate box(es):
21 candidate Office sought: Atlantic Beach Seat 1 Mayor
❑ Political Committee (PC)
❑ Electioneering Canmunications Org. (ECO) ❑ Check hen N PC or ECO has disbanded
❑ Parry Executive Committee (PTY) ❑ check hen it PTY has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check hen if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 05 /01 /2017 To 05 /31 /2017 Report Type: M5
Z Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(T) Expenditures This Report
Monetary
Cash & Checks $ , 125 , 00
Expenditures $ 123 .18
Loans $
Transfers to
Office Account $
Total Monetary $
Total Monetary $
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 125 00
$ 123 18
(11) Certification
It is a that degree misdemeanor for any parson to talsUy a public record (as. 839.13, F.S.)
1 certify that I have examined this report and it is true, correct, and complete:
(Type „a111B) Deborah A. Eisert (Typem.)Casey P. Jones
❑ InOh Wl (only for IE B Treaelrer ❑ Depth Trmeurer B cantliRer ❑ ahairyenon (.1yrun M ant PTY)
or ele/Ictioomeft...)
XA� /Z2YV /2 �/,C �c .O OA X
Signature Signature
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Casey P. ]ones
(1) Name
0501 201] as
(3) Cover Period / Dlrough _
(2) I.D. Number
31201] 1
/ I _ (4) Page of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State Zip Code
(e)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
IMund
Dewrpton
(11)
A^,axe,wrc
(12)
Amount
(6)
Sequence
Number
5 23 2017
Casey P. donee
358 11th Street
Atlantic Beach, Florida
32233
S
7iti Fraud
cae
25.00
MS -1
5 24 201
Casey e. done.
358 lith street
Atlantic Beach, Florida
32233
s
iti Fraud
cae
100.00
M5-2
DS -0E 13 (Rev. 11113) SEP REVERSE FOR 111STRUCTIONS AND CODE VALUES