Kelly- DSDE 12 Treasurer Report-P6 Amendment- 11-27-17CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ohcAaa / 11
OFR§ftV&iONLY
Name
(2) 1 Li a �g dere S
NOV 2 7 2017
Address (nubar and street)
n� Via
City, State, Zip Code
Office of City Clerk
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es): (�
A
R�h GmmiSSjzo YadH
>ircandidate Office Sought: �17�� (J
6(4.1(
❑ 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)
(6) Report Identifiers
Cover Period: From J� / / n__L To
/ / 7 Report Type:
❑ Original Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks$ �
Monetary qg
Expenditures $
Loans $ t _
Transfers to
Office Account $ , � •
//��,,
Total Monetary $ > `�- V�
Total Monetary $ $ C
In -Kind $
(8) Other Distributions
$
,
(9) TOTAL Monetary Contributions To Date
�i -7
(10) TOTAL Monetary Expenditures To Date
$
$ I
(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:
(Type name)&AQ1_
(Type name)
❑ Individual (only for IE ElTreasurer Deputy Treasurer
11candidate El Chairperson (only for PC and PTY)
or electioneering comm.)
Gw6a' L�
X
X
Signature
Signature
n ,�, +Tot 1/�TIllA1C
DS -DE 12 (Rev. 11/13) JCC RCVCIIJG rvn Inv, �.-+
J
C MPA REASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name C�(�i
(3) Cover Periody / :3 / n through
(2) I.D. Number
(4) Page of 1
(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
(1 0)
Amendment
(11)
Amount
(s)
Sequence
Number
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a�
C�r�
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0111
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name GOn lel (2) I.D. Number
(3) Cover Period through / L / I% (4) Page L
of it
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zii` Code
(8)
Contributor
Type Occupation
(9)
Contribution
T e
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
l7l
001
�Ow 61 V—
.)w QUIhse6 S
C O EIt
do,
Cf 6
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES