Campaign Treasurer's Report – Itemized Contributions

Seq# Date Contributor Entity Occupation Cont. Type Amend Amount
1
11/7/2009
Victor Perry
P.O. Box 28456
Jax, Fl 32226
Individual
Check
$100.00
2
12/15/2009
William Dietrich
1800 Barrs St.
Jax., Fl 32204
Individual
Check
$100.00
3
11/6/2009
White Elaine Brenda
12313 Sumter Sw. Dr. West
Jax., Fl 32218
Individual
R.N.
Loan
$400.00
4
12/11/2009
Calvin L Simon
12313 Sumter Sq. Dr. West
Jax., Fl 32218
Individual
Teacher
Check
$200.00
Total Contributions
$800.00

Campaign Treasurer's Report – In-Kind Contributions

Seq# Date Contributor Entity Occupation In-Kind Description Amend Amount
1
11/1/2009
Express Printing
Clark Rd.
Jax, Fl 32218
Business
petition forms, news letters
$25.00
Total In-Kind Contributions
$25.00

Campaign Treasurer's Report – Itemized Expenditures

Seq# Date Vendor Purpose Exp. Type Amend Amount
1
11/7/2009
Proactive Media Solution
P.O. Box 28444
Jax., Fl 32226
web site
Monetary
$400.00
2
12/11/2009
Proactive Media Solutions
P.O. Box 28444
Jax., Fl 32226
media
Monetary
$200.00
Total Expenditures
$600.00

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