Joel - Termination Report CAMPAIGN TREASURER'S REPORT SUMMARY
(1) d/zL y j�'�z OFROWrgQ9-Y
Name OFFICE OF THE CITY CLERK
(2) 2( Op 1�L L) 0
Address number and street) LIAR 2 8 2022
�1 ��N r l//� .��- 33/ d o
City, State, Zip Code
❑ Check here if address has changed (3) C DF A ENT �Q A
(4) Check appropriate box(es): ' ,
®'Candidate Office Sought: K/5�01 _z5�
❑ 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 3 / o g l 2 Z To 2 Report Type: r '\
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ �O� on Expenditures $
Loans $ Transfers to
�. Office Account $ ,
Total Monetary $ '?yD• ,,-v
Total Monetary $
In-Kind $ >
(8) Other Distributions
(9) TOTAL Monetary Co ributions To Date (10) TOTAL Monetary EWnditures To Date
$ $
(11) Certification
It is 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, correct, and complete:
(Type name) /L�- (Type ame)
❑ Individual(only for IE reasurer ❑Deputy Treasurer 12rcandidate ❑Chairperson(only for PC and PTY)
or election:::;:*
1
X X �J
Signature Signature
IDS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
RECEIVED
(1) Name (2) MMEW THE CITY CLERK
(3) Cover Period Lthrough O3 / 2�/ Z Z (4) Pac, R
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix, First, Middle) CITY Q AVE TU RA
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
i ODCIO
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RD
�AMPAI� TREASURER'S REPORT- ITEMIZED EXPWSMCITYCLERK
(1) Name ILt-Y D L--
(3) Cover Period 03 through 0 3 / /2-2- (4) Page of A
(5) (7) (8) (9) (10) L (11)
Date Full Name Purpose AVE TURA
(6) (Last, Suffix, First, Middle) (add office sought if ('�ATV
Street Address& contribution to a n it(�
Sequence Type
Number City,State,Zip Code candidate) Amendment Amount
S17.17
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3
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES