Kelly- DSDE 12 Treasurer Report- P-TR- 11-27-17 vCAMPAIGN TREASURER'S REPORT SUMMARY
OFFIF USE ONLY
Name II ��,, �ll
` L'� q g6a 5+
(2) -1
Address (n ber d street) -
aw'MC
1�`�fC;y'1
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): n' & 1 L �u�
G-Ak 14+661k, h COM
Candidate Office Sought: Of M15S
Political Committee (PC)
❑ Electioneering Communications Org. (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)
(5) Report Identifiers
Cover Period: From / / To � / ;Q / J�7 Report Type: �'_T g
Original F1 Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $
Monetary
Expenditures $ , � S .
Loans $
Transfers to
Office Account $
Total Monetary $
Total Monetary $ , , .
In-Kind $
_ -
(8) Other Distributions
$
(9) TOTAL Monetary Contributions ToDate
(10) TOTAL Monetary Expenditures To Date
ii
(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 report and it is true, correct, and complete: )
D'
Ulf L.
c.9, L1`� (Type name) v
(Type name) n
[:1 Individual (only for IE ❑ Treasurer Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X L V X
Signature Signature
DS -DE 12 (Rev. 11113) SEE REvtrcx rum uvo i RUC i,v,.0
MPAIG TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name O(A� K I'1
(3) Cover Period_/ / through
(2) I.D. Number
(4) Page I of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(s)
Sequence
Number
j i_, Q
( (ung& 1Gc� h�`'
Ul� l�A ins
Ca U -h
ols
®0 I
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES