Kelly- Treasurer Report- P2- 7-14-17CAMPAIGN TREASURER'S REPORT SUMMARY
(1) C^fa' OCQ. \4N OF ONLY
Name 11 3NA11
Q W
(2) `� -W JUL 14 2017
tuber �dp�str/eI_et)
i11�. I l�33 Office of City Clerk
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate
V (I�(h��la�l
Sou):
andidate Once Sought: -m•�
ndidate
❑ Political Committee (PC)
❑ Electioneering Communications Ong. (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)
II __0 (5) Report Identifiers
(
Cover Period: From / �'l / I-) To 7 / t-7 Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
u�vl
Cash & Checks $ ,r71 C0 .
Monetary
Expenditures $
Loans $ /- r J
Transfers to
Office Account
Total Monetary$ off. u'c
Total Monetary $ , r -)l- .
In -Kind $
(8) Other Distributions /
(9) TOTAL Monetary Cont.lln,/I^^= r^ n
(1 g) TOTAL Monetary Expenditures To Date
$ '_3 ..34ti . 1-01-0ated
$
(11) Certification
It Is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined thisand it is true, correct, and complete:
sr?prrepo1rtt
I
Maa�k &,,act VI
(Type name) �q (Type name)
j
❑ Individual (only for IE' Treasurer ❑DeputyTreasurer Candidate ElChalipeisan (only for PC and PTY)
or electioneering comm.)
X
Signature Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
(1) Name CQY�dCt& NlT'•ajt URER'SREPORT-ITEMIZED)EXPENDITURES
/� 1<.R.1 ^7 —7 2 I.D. Number
(3) Cover Period 6 /-N / 17 through ! / / / 1% (4) Page I of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8
City, State, Zip Code
(S)
Purpose
(add office sought If
contribution to a
candidate)
(g)
Expenditure
Type
(10)
Amendment
It 1)
Amount
(6)
Sequence
Number
�
U
n Y�e[c� p-3�
�m p
can
O1
5
jots A+W)n ae�d
9WCan
/333
DS -0E 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name 06n\kQ 4N (2) I.D. Number
(3) Cover Period 0 / j)(4 / through / / rj (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
(3)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
(12)
Amount
(3)
Sequence
Number
b , a�,17
a�o
w4re k�
1^
ChQ,
ow
OI
2(Q
�N n
a�.
D543E 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES