Campaign Treasurer's Report – Itemized Contributions

Seq# Date Contributor Entity Occupation Cont. Type Amend Amount
1
4/4/2011
David Criswell
116 West Camelot Drive
Palatka, FL 32177
Individual
Retired
Check
$200.00
2
4/27/2011
Lisa Burnett
181 Litzell Rd.
Interlachen, FL 32148
Individual
Educator
Check
$50.00
3
6/24/2011
Julie Criswell
1420 Clayton Dr.
Deltona, FL 32725
Individual
Cash
$50.00
4
6/24/2011
Tara Shelley
1821 CR13 South
Elkton, FL 321033
Individual
Cash
$50.00
5
6/25/2011
Steven Shelley
86318 Sand Hickory Trail
Yulee, FL 32097
Individual
Cash
$50.00
6
6/27/2011
Jill Adams
204 Woodburn Club Ln.
Spartanburg, SC 29302
Individual
Cash
$50.00
7
6/27/2011
Brock Adams
204 Woodburn Club Ln.
Spartanburg, SC 29302
Individual
Cash
$50.00
8
6/28/2011
Richard Rich
1507 Fowler Street
Interlachen, FL 32148
Individual
Retired
Check
$250.00
9
6/28/2011
Mary Rich
1507 Fowler Street
Interlachen, FL 32148
Individual
Retired
Check
$250.00
10
6/28/2011
Iris Mathe
1061 SR 20
Interlachen, FL 32148
Individual
Retired
Check
$100.00
11
6/28/2011
Wayne Fryers, Inc.
Hwy. 26
Melrose, FL 32166
Business
Restaurant
Check
$250.00
12
6/30/2011
Terri Martin
151 Indian Lakes Forest Rd.
Florahome, FL 32140
Individual
Cash
$50.00
13
6/30/2011
Kevin Missamore
151 Indian Lakes Forest Rd.
Florahome, FL 32140
Individual
Cash
$50.00
14
6/29/2011
Lynn Delaporte
1821 CR 13 South
Elkton, FL 32033
Individual
Cash
$50.00
15
6/29/2011
Michael Pegg
105 White Dr.
Crescent City, FL 32112
Individual
Retired
Check
$100.00
16
6/29/2011
Rosine Dolinski
119 Magnolia Dr.
East Palatka, FL 32131
Individual
Retired
Check
$100.00
17
6/30/2011
Frank Bush
1604 South Palm Ave.
Palatka, FL 32177
Individual
InsuranceAgent
Check
$400.00
Total Contributions
$2,100.00

Campaign Treasurer's Report – In-Kind Contributions

Seq# Date Contributor Entity Occupation In-Kind Description Amend Amount
1
4/3/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Petition copies
$7.80
2
4/25/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Petitions
$10.20
3
4/29/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Petitions
$8.00
4
5/12/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Petitions
$9.00
5
5/27/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Petitions
$3.90
6
5/27/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Petitions
$0.60
7
6/21/2011
Phyllis Criswell
PO Box 1573
Palatka, FL 32178
Individual
Interlachen - 4th of July Booth
$20.00
Total In-Kind Contributions
$59.50

Campaign Treasurer's Report – Itemized Expenditures

Seq# Date Vendor Purpose Exp. Type Amend Amount
1
4/12/2011
PBS Ad Specialties, Inc.
PO Box 700
Interlachen, FL 32148
Promotional
Item
Monetary
$209.72
2
4/13/2011
Prosperity Bank
100 Southpark Blvd. Ste. 104
St. Augustine, FL 32086
Campaign Checks
Monetary
$22.00
3
6/20/2011
Dave 's Tops and Trim Inc.
615 N. Palm Avenue
Palatka, FL 32177
Promotional
item
Monetary
$123.05
4
4/15/2011
Supervisor of Elections
2509 Crill Avenue, Ste 900
Palatka, FL 32177
Petitions
Monetary
$12.50
5
5/17/2011
Supervisor of Elections
2509 Crill Avenue, Ste 900
Palatka, FL 32177
Petitions
Monetary
$3.60
6
5/23/2011
Lighthouse Screen Printing
2163 HWY 17 South,
Crescent City, FL 32112
Promotional
items
Monetary
$458.75
7
6/29/2011
Lighthouse Screen Printing
2163 HWY 17 South
Crescent City, FL 32112
Promotional items
Monetary
$281.00
Total Expenditures
$1,110.62

Campaign Treasurer's Report – Fund Transfers

Seq# Date Institution Transfer Type Nature of Account Amend Amount

Campaign Treasurer's Report – Distributions

Seq# Date Vendor Purpose Expenditure Related Exp. Amend Amount