Kelly- Treasurer Report- P3- 7-28-17CAMPAIGN TREASURER'S REPORT SUMMARY
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(1) �..(�All(V , M- OFFIM&WQNLY
Name ��p��,�o
&t" Se�
(Z) N(4JUL 28 2011
Q0
PlkUaK resp mM 1 tr. 1�L �
City, State, Zip Code ofgne of city clerk
❑ Check here if address has changed (3) ID Number.
(4) Check appropriate box(es): \! rzimrU it S4-
Cl 1 y
CanddaOff ght: /
PoliticalCommittee (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)
�7 (5) Report Identifiers
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Cover Period: From 1 / I n To 7 / Report Type: i
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
,,..,,,,11
Cash & Checks $ 'ISO
L W
Monetary
Expenditures $ _ , 634. $S
Loans $
Transfers to �.
Account $
^i rOffice
Total Monetary
Total Monetary $
In -Kind
(8) Other Distributions
$
r�ib�utions To Date
(9) TOTAL Monetary Contributions
$ Q1
(10) TOTAL Monetary Expenditures To Date
$ U�1, as
I a 1
_ , -
(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 this 1report and it is true, correct, and Complete: _ / /� �j�
TGI nj
J'(`t,9VEl
(Type name) t (Type name)
C
❑ IMividual (only for IE ❑Treasurer r '�"'"„�Treasurer entlltlata El Chairperson Conry for PC and PTY)
Treasurer
or electioneering comm.)
X C�lxXi) X 6Xc L " ' 1
Signature Signature
DS -0E 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
�MPAIrj(2EASURER'S REPORT— ITEMIZED EXPENDITURES
(t) Name �D 11 ^-� (2) I.D. Number
(3) Cover Period �7 /—S:—/0 through ! / (4) Page _I of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(S)
Sequence
Number
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CGr,
—
(y�s
CX�1
DS -0E 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
/CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name 1�/VWVAI �. KA �`L'�j (2) I.D. Number
(3) Cover Period / / I / through / / � (4) Page --L of L
(6)
Date
(7)
Full Name
(last, Suffix, First, Middle)
Street Address&
City, State, ZipCode
(&)
Contributor
Type Oocupation
(e)
Contribution
Type
(10)
In-kind
Description
(11)
M.d.M
(12)
Amount
(6)
Sequence
Number
/ I / n
l��.
)AL ( Alk)
Z
Iv�Gwh
I0'D
ora
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS wnu CODE