FLORIDA DEPARTMENT OF STATE _ DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY JAN 90 2009 ‘Address (number and street) ¥ any e Beach , FL 3213 wale ~ City, State, Zip Code (CHECK IF ADDRESS HAS CHANGED: 3) 2 /a (4) Check appropriate box(es): [Candidate (office sought: _Mauoc - City of FI 2a ler Beach C Political Committee CO Check iF Pc HAs DISBANDED C1 Committee of Continuous Existence Ci cHeck iF CCE HAS DISBANDED LD Party Executive Committee 1 Electioneering Communication (CO CHECK IF No OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From Ol / IAs OG To Of 1 23! C1 ReportType OZ [Woriginal (Amendment —_ [1] Special Election Report C Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) _ EXPENDITURES THIS REPORT Monetary Cashachecss $ 375,00 Expenditures §$ (935. (elo Loans $_Bo00,00 Transfers to Office N. !) A Account $ Total Monetary = $ Total Monetary $ 635. bb (8) Other Distributions $_ In-Kind (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ . (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 complete. mE ge J NeJamMe DS-DE 12 (Rev. 08/04)CAMPAIGN TREASURER’S REPORT — ITEMIZED CONTRIBUTIONS (1) Name J NE JAME (2) LD. Number Ya (3)Cover Period ol _/ 1A (0% through | 123 1/09 (4) Page | of _{ © a ® @ 19) 2) Date Full Name © (Last, Sufix, First, Mite) Sequence Street Address & Contributor | Contribution | in-kind Number City, State, Zip Code_| Type | Occupation | Type | Description | Amenament | Amount ChritmeS.Nedanle | Bosivess 11th 108) ee Consrnaroe |-L | OM Loa __ |# 200.00 mehiece a § a || Batee oan a sziau Coce HeLa, Lt B09 el or m 7 bog 32 Wellesley un. [LE Constant] CHE —_— — 7 00 a [Palm Coast, FL 3216 L314 eee er Boel Mone |e Jone lou | — | — bao 213 Le tT, 0g [LIONS, Scott RN. 4, 403 N. Cteansrore| I | polo | age, — | — |¥s50,00 uf Bud repair Hage Beadn, FL 34130 1117 1 A] Faanan , Tand, Retired a (072 Seen Rnvers | I CAS —— | — |*6, 00 Farms Rd. 5 Crystal Rreers FL (iy ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUESc CAMPAIGN TREASURERS REPORT - ITEMIZED EXPENDITURES j\/ y A (1) Name. Ame (2) LD. Number. (3) Cover Period_0/ //2_/ OF through_O/ / 23 1 OF (Page of__| © a @ @ (oy ty Date Full Name Purpose @ (Last, Suffix, First, Middle) (add office soughtit | an ‘Sequence Street Address & contribution toa | Expenditure secuenc City, State, Zip Code candidate) Type lamendment| Amount Supervisor of Elections | yong ol Ad le) or Coot Nome mon | — | 85,00 { oD a East Coast Was re aan 1 L141, ialists } a 134 Allon Ave fr etree |mon | — | #21.00 2 Flagler Beach , Sr FL 321ab Box 345 Ei te Coast mace CCim botsement ol /4/A Ee Le ae carn N 129 felon al uth =r 3 Cine Boat FL 32136 sea ‘shove Blod. Feder Beh Gl.00 OVA East Coast mares C owen 124 Avalon Aue. office ope moN | __ é 4 Flagler Beach FL 3213 | pala a7 vnited States Post office [1 A6/04| 5. Bcd Stoeet Pants ‘stom mon 4 5, | Peavewach, FL 3213 | fae kikeato City of Hagler Beach tandidate L L201 PU 966, second Street | assessmort | moni | __ | 473,21 (| Prager Beoch, FL 32136 Fee City oP Flag/ ler Beach Ardeche: | /20/04 eed sheet | Cann eras ilmg | mon | — #43024 7 | etqler Beh, FL32136| “Eee DS-DE 14 (Rev. 08/03) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES