january 10,2006ethics.ks.gov/cfascanned/house/2006eleccycle/200601/h093rk_2… · iii...
TRANSCRIPT
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r-r°!'l1:Jon~ tSarren i,jH'-(~'l-I:SO{,j J0: ~ecretary OT~tate t:JeCIiOnS uate: 'IJ"lUILUUO lime: 1:S:,jL:UI:S I"'IVI I"'age 'lOT 'IL
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SAS GOVERNMENTAL ETHICS COMMISSION
RECEIPTS AND EXPENDITURES REPORTOF A CANDIDATEFOR STATE OFFICE
January 10,2006
County:Sedgwick
District: 93
B. Checkonly if appropriate: - AmendedFiling - TenninationReport
, .
C" S1lmmary(covering the period from January 1,2005 through December 31, 2005)I ,
\1 Cash on hand at beginning of period ".......
!2..iTotaLContr~b~tions and Other Receipts (Use Schedule A) ,................................"
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i3:.'cas~'a~ailablJ this peri~d (Add Lines 1 and 2) "'''''''''''''''''''''''''''''''''''''''''''''''''''''''', " I "I-, '! I
i4.lj+ofu{hp~~Wres and OtherDisbursements(UseScheduleC) ,....",I, , 'I, !
:S.ieashon hood'atdose of-period(SubtractLine4 from3) "......i I !
I 6.1In-Kind Contributions (Use Schedule B) 0
: 7.1 Other Transactions (Use Schedule D) 0'i '
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D., "I dedare that thisreport,includinganyaccompanyingschedulesand statement'),has beenexaminedbyme,and to the best of my knowledge and belief is true, correct and complete. I understand that the intentionalfa.ilureto file this document or intentionally filing a false document is a class A misdemeanor."
Si~Tre~1i l~~
268.61
8026.00
8294.61
3475.12
4819.49
GEC Fonn Rev, 2001
FrO~: J~h~,B~~~~ !~16-7,~+8~573 -fp: ?ecretary of ~tate Elections
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Date: 1/1012006 Time: 8:32:08 PM
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
ii,! ,.j'; RichardF ~ ~lseY, . I , i"" , .:(Name OfC<1pdidate,Party Committee or Political Committee), ! i'
Date Name and Addressof Contributor
Occupation of IndividualGiving More Than $150
CheckAppropriate Box
Cash C~k Loan
6/24105
Ka:nsas ContraCtors Assoc.P.O. Box 5061Topeka. KS 66605
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~ans~s jGas Sef)tice:W.O.Box2595F ' '
'Overland Pail<,\KS66225:! ',": '! ,
DI[z]IDIDStar1dUp for:Kansas'1'07N.Forestvi~wWichita, KS 67235
. The Boeing Co,P.O. Box 7730Wichita,'KS 67277-7730 DI[{]IDIDDale &Judy Lewis
8/16105. 2009 Joannii' Wichita, KS 67203 D HZ]101 D
8/16/05Joseph & Diana Helten1800 N. 327th St WestGarden Plain, KS 67050 DI[z]IDID
[ZJIDIDID
Page 2 of12
Other
Amount ofCash, Check,
Loan orOther Receipt
$100.00
$100.00
$100.00
$200.00
$50.00
$50.00
$1°9.00
DI[z]IDID
D HZ]1010
DI[z]IDID
$25.00
$40.00
. $40.00
$805.00
Page 2.01of...&-
I '::'" ,From: Jdh~'Barreti 1316-794-8573 To: Secretary of State Elections, " ," I, , ':' ,
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I Richard'F.!Kelsey
[(Name~fC~dida1e>Party Committeeor PoliticalCommittee)I '! '
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Date: 1/1012006 Time: 8:32:08 PM Page 3 of 12
. SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
ChecK.
Appropri~te Box
A~(mnt ofCash, Check,
Loan orOtber Receipt
, INa.meand Address
OfContrlbumrOccupation of IndividualGiving More Than $150
Olhe~Cash Chetk Lol1n
9fT/05
Dennis Kathryn Dull2103 W. 120thSt
Leawood. KS 66209-1111 0 HZ]1010 $20.00
Beth Bowman'621 S. Spruc;eGoddard, K$ 67026 DI[z]IDID $25.00
, $25.00
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iAlien & Roseanne Woolf. I .
5336s. ,343rdStreetweSt,Cheney; KS :6~O25-5789
Sf7f05
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:CindyKreyer ,
i2501 E. 101st Street North
lYall~y Cente~. KS 67147i .:'I.' :'!Edmond & JUdith 'Nash'I .i,2327 GreenleafiWichita,KS 67226-1502II '
!
!SBC PAC
917105 1[220 E.6th,Room500iTopeka, KS 66603!
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D fZ]0101 ' $25.00
D [{J D 01 $100.00
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D Il1 DOl': $100.00
0 [Z]D 01 $200.00
0 (ZJD 01 $25.00
[lJ IDO D I I $186.00
D[ZJDD $40.00
$746.00
I " '" ,From: John Barrett i316-794-~573 To: ~ecretary of State Elections
Date: 111012006 Time: 8:32:08 PM
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SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
CheckAppropriate BoxOccupation of Individual
Giving More Than $150 Ctled< L&anCash
I
IStephen and Dorothy Paasch'91710511701Walnut I
, 'I qoddard, KS 67052
'iKings Ale. & Drug Treatment CenterIi 110S. Main,Ste 700Wichita, KS 67202
DI[{JIDID
Page 4 of 12
Oiher
Amount ofCash, Check,
Loan or
Other Receipt
$100.00
,JohJ1& Melinda Martyn
;917/05',,
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53,
7 S. Limuel,
Ct.I Wichita,KS 67235i ,i ' ' '
DI[z]IDID!
DI[z]IDID
DI[z]IDIDICarl' & Jennifer Browni2447 N. Wheatridge
IvriChita, KS 672231,1
DI[z]IDID" '
l~curitYBenefitLife Ins. PACIqne Security Benefit Place
ITopeka, KS 66636-0001i ,I ,
Wendell Gowan& Peggy Martini12243 W. 128th Street
OVerland Park, KS 66213~2294
DI[z]IDID
DILZlIDIDI 'IHarrahs Operating Co.11923Cherry Rd,!Memphis, TN $117I , ]! : .
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6b31SW37th !
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mpPeK.
a.,1<8 66614-5115
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DI[l1IDID
$500.00
$75.00
$50.00
$50.00
$75.00
~150,OO
$25.00
$250.00
$150.00
Page 4.0 of~
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Froi: Jf: Bfrrrtt,jf16-794-8573 Tr recretary of State ElectionsI '!, ,I I : '
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Date: 111012006 Time: 8:32:08 PM
SCHEDULE ACONTRmUTIONSAND OTHERRECEWTS
i,' Rich,ard 1=.~~lsey
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(Nam~ 01 Candidate, Party Committee or Political Committee)I ! , I , , "
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I, Ii, "" i'!John & Dana Lewisi20605W. 96th 8t
iLenexa. KS 66220
IAltria Corp SelVices
1:1/9/65:,
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IAnderson Financial (Loanmax)11/9/05,
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1600 S. BroadWay! i IS311oo, KS 67402
,Farmers Alliance Ins.,1122 N. Main, Bpx 1401IMcPherson, ~S67460I ; !
[pat Hubbell Assoc. (Union.Pacific):800Jackson,Ste. 914 'iTbpeka,KS 66612-2214II ,ii I
IQHC bfKans~s i
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8B20VJardP~rkwayKansa~ City, fy1G>64114
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,Gaches, Braden, Barbee & Assoc.1825Kansas Ave.. Ste. 500iTppeka, KS 8p6,12-1202I ! i :
Is'ecurity BenefitUfe Ins. PAClOne Security Benefit PlaceITopeka, KS 66636-0001I; ," II ' ,
!Fam1ersEm~oyees & Agents18018W. 113111 TerraceOverlandPark,KS 66210-1813! ; ,
1,1/9/05
1,1)9105
11/9105
;Kansas Beverage Assoc.
i 1119105'
1
15845 SW 29th,
St.i : 'ITopeka, KS 66614! !:!!! l '
Occupation of IndividualGiving More Than $150
CheckAppropria~eBox
Casb Cl1eek LGlIlI Other
Page 5 of 12
Amount of, ' ,Cash,ICheck,
. Loim orOtbel'Receipt
$100.00
$150.00
$250.00
. $250.00
~150.00
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DI[lJIDID
DI[z]IDID
DI[z]ltJ!O
DI[{JIDID
DI[{] DID
$150.00
$150.00
D 1[lJItJl0'
DHlJlDID
DI01D1D
DI[{]IDID
$250.00
$150.00
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Frain: Jcih~ Bkrrett\316-794-8573 Tp: $ecretary of State Electionsi, ; , ' .
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: RichardEiKelsey, ' , ,
i(Nanieofardidate, party Committeeor PoliticalCommittee)
Date: 1/1012006 Time: 8:32:08 PM Page 6 of 12
SCHEDULE ACONTRIBUTIONS ANDOTHER RECEIPTS
Name and Addressof Contributor
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11/17105
Polsinelli Sh8itbn Welte Suelthau$ PC(MidWest Titl~Loans) .' I, '''" ,I', ,
~5~~'1'sas ~~nue, Suit~ 301Topel(8\ KS 166603i " ,;'" i' 'I "
~ns~'Re~urant & Hospitarity,Assoc.I i~500 N.'Rock ijd., Ste 1300Wichita,KS 67225
11/30/05
Kansas Optom~tric Assoc.'1226 SW Topeka, Blvd,Topeka. KS p6612i ' I'
Hein Law Firm (Prairie BandPottawatomie),5845 SW 29th StreetTopeka, KS 66614-2462
RJ ReynoldsP.O. Box 2955
Winston-Salem~ NC 27102I
I KansasInsuranceAgentsPAC'
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9bdGovernrne~tFundHetn~ Firrr Ii'S845SW29th Street',"', I'" i i.'
Iljopeka.,:KS 66614-2462
rl4anS~8anker$Asooc. pAcIP.O:Box44Q7 i" . .
!Topeka,KS66604-o407 .i .
i i !American Insorance Assoc.
d/13105: h~309onnec~!JtAve.,#1000..' . .1 Washington, DC 20036
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iI3lueCross Blue Shield of Kansas
12/13/05 li1133SWTopekaBh/d.. ITopeka.KS 66629-0001
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Occupation of IndividualGiving More Than $150
ClletkAppropriate Box
Amount ofCash, Check,
Loan orOther Receipt
CWI C1tcck Loan Otiler
$250.00
DI[z]IDID $100,00
DI[{JIDID $250.00
$500.00
"U [z]IDID $100.00
DUlllDID $250.00 .i
~100.00
DI[ZJIDID $100.00
DI[z]IDID $100.00
$250,00
$2,000.00
Page 6.0 of~
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FrOrl : Jdh~'Bk~~~1
3116-~9~8i573 -fa: ~~cretary of $tate Elections
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Date: 1/1012006 Time: 8:32:08 pM
SCHEDULE ACONTRIDUTIONS AND OTHER RECEIPTS
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I Rjc~rdF. J{$lsey:i !; i, I Ii i ,I '
(Name of'Cartdidate;PartyCommittee or Political Committee): ,I i'I:, : ' I i
Page 7 of 12
Date Name,altd Addressflf Contributor
Occupation of'IndividualGiving More Than $150
CheckAppropriate Box
4\m~untofCa&h,! Cbeck,
Loan orOther Receipt
Cash
.PharmaceuticaJ 'Research &
12~O/O5 I!Manufacturing of America;1875 Broadway, Ste.,1110iDenver. CO 80202 .
I Humana, i,1500W. Main St.!.. I 'I'" "l~pu~~I!~, KS; 6~2011,! 'i:! i i;I'" ' 'I'
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I<anSa~Cabl~ TV PAC12120/00
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302r II I", Wichita,KS 67201
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DI01DID
DI[z]IDID
$250.00
$100.00
DI[z]IDID $200.00
, ! IKansas I~eperident Business PAC12/
'21/0, 5 . :415S. Main. ,
, , ',W,
'h. KS l:! 202 3 19
: !.! ICIta, ...7; - 7I ! I .
I i IKansas Assoc. 6f Health Plans12/28/05 li1fD5SW 10th Sl
, iTopeka,KS 66604-1204i ! ,
IKansas Wine '& Spirits Wholesalers!PACi720Jackson,Ste. 310Topeka,KS 66603
!BNSF Railway Co.!25QO Lou Me1'lk Dr.
IFprtW~,~h,1f (6131'I" ::
~rias6harJb~rofCQmmeroe&Ind.~AG..ii.: !; I
855 ~WTopeka,KS 66612-1671I r I'.';'! : i" I,I! i i
I Koch !Ihdustri~~IIp.o. Bo~ 2256 i .iWichita, KS 57201I .
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DI[z]IDID $50.00
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DI[l]IDID $50.00
DI[{]IDID $150.00
DI[z]IDID $100.00
DI[l]IDID $200.00
Page 7.0 of..l1:::....
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i(N~~ dfitkdidate) Party Committeeor PoliticalCommittee): .;! ! i. , 1i
uare: 'If'lU/,(UUO lime: i:I:.:!,(:Ui:I~IVI ~age i:I OT'I,(
SCHEDULE ACONTRIBUTIONS AND OTHER RECEIPTS
Nam~ and Addressof Contributor
Occupation of IndividualGiving More Than $150
ChetkAppropriate Box
Amount of
Cash, Check,, Loan or
Othe~ ReceiptCASh Check :LoaD Other
DIDIDID
DIDIDID
DIDIDID
DIDIDID
DIDIDID
DIDIDID
DIDIDID
, Complete if last page of Schedule A
l1,'ota11temizedReceiptsfor Period $7.740.00ITotal UnitennzOOContributions($50 or less) $286.00
SaleofPolitiealMaterials(Unitemized) $0.00
iTotalContributionsWhen ContributorNot Known $0.00
$~,O26.00
Page ~ ofJ1:...
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, ; I I ! 'I ! , ;:From: John B~rrett 1316-794-8573 To: Secretary of State Elections
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Date: 1/10/2006 Time: 8:32:08 PM Page 9 of 12
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I ;: III j ,. .' I!,., "i Rlchal1f:F.Kelsey!' I I' I Ii1: j I ' ' ,
(lNatNiof;~idate,'Party t6mmitree or,Political Committee)i! ' ! Ii i!. II I" I ""i" i iIi I II I !'I'" 'I ;,,, i!
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. i I I, Nan.e, Address ~~d <;>CcupationDate I .' I I ' ofCOJltrihut~r'; ; List occupationfor those giving
iart in-kind more tllan $1 SO
Description ofIn-Kind
Contribution
,V1I.IIIeofhI-Kind
Contribution
SCHEDULE BIN-KIND CONTRIBUTIONS
, , " , "
'." Iii';~nd{:ontdbuti()11s:ate.expen<litures
.niadedirectl)' fol:avendor from the candidi\te"s,'personal fundsor '
expenditures made directly to ~ vendor by another entity(i.e. iudividua~corporatiQn, union, PAC)
Wt.thoutgoing.thr°t;gbthe campaign:b.a..]p~ceount
$0.00
Complete if last pllge of Schedule B
$0.00
Pagc!Lof lk:
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From: J9hiBf7i~)'316-794-8573 ~o: recretary of State Elections'I ,.
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Date: 1/1012006 Time: 8:32:08 PM
SCHEDULE C:EXPENDITURESANDOTHERDISBURSEMENTS
Richard F. Kelsey. ,
(Name of~didate,PartyCommittee orPolitica1Committee)i' , : i :
Office Supplies
Name and Address Purpose of Expenditureor Disbursement
Postage
Advertising
Advertising
!OfficeDepot
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613,
S. D,
ugani' iWichita. KS 67209
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8 N.Main
:! i ,I i ,qaddard. KS 6;052Iii I I I
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'67052I I' ." 'i ' I " ...,.' I'
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b/Jtok ,3~8f\JJMain i: I : IGoddard, KS 67052, , I : .
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Postage
Postage
Postage
Advertising
The Red Barn'24401 W. MacArthur
:~dard,KS 67052
Banquet facilities for fund raiser.
Page 10 of 12
Amount,
$250.00
$75.00
$36.89
$84.00
$96.20
$21.84
$56.00
$100.00
$400,00
$1,285.93
Page ~ of ..&
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Fr+ Jdh~Bkli-bti! !31&-79:.{::81573to: Secretary of State Sections
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(Nalrie bfC~idate, party Committee or Political Committee): : '! i '
Date: 1/1012006 lime: 8:32:08 PM i Page 11 of12
SCHEDULE CEXPENDITURES ANDOTHER DISBURSEMENTS
Date Name and Address Purpose of Expenditureor Disbursement
Amount
. , GovernmentResearchService, i,' , ,Sf?/05! ,ff.O(~,o1<29a7 :I i ::ji[,TOP6ka.KS 66$01ii" liil i : 'I' I!':, , ",' ' ' . ,I
! !' I:' i,!10talptirrundS~ut~ns:,
9/1?/05,'i
,.!~32;>p; Dougla~
! '1;'!:i ::"ricihlta,:KS67~11: ,., I
; $94.42
Services
$122.86
Printing
, " IHawver'sCapitolReport
9i14!05]1StateHouse i '., Topeka,KS 66612
Subscription
$201.72
Postage
, .Total Printing,Solutions
,11325E. DouglasiWlChita,KS 67f11
Printing$1,577.19
I
ilimeS Sentinel .
1~j28~05!
p,.o. Box 697! . 'I ; ,Goddard.KSI67052i i 'I' : : ,.' ,
Subscription
$45.00
Complete if last page of Schedule C
Page~ of lL
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,I Ii . :, ,!Total Itemized Expenditures This Period $3,475.12! . .
.Total Unitemized Expenditures of $50 or less $0.00
TOTAL EXPENDITURES & OTHER DISBURSEMENTS$3,475.12iTHIS PERIOD (to line 4 of Summary)
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cretary °t ~tate
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i(Nahtebfbtn~date, PartYCbnmritteeor PoliticalCommittee)i II! !! 'I:! ' i I
Date: 1/1012006 Time: 8:32:08 PM
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SCHEDULEDOTHER TRANSACTIONS
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Name and Address Nature of Account or LoanPayable or Lean Receivllble
"--~ "~' .
. List~aUloans owed totbe candidate or any other person
at the, end' of this reportiXigperiod untU:
. L:JoaJI~r~imbur$~, Qr , ,
, ' .2~.,th~';loanjsforgiy.eil by:thecandld~te.. .'~is.f,'all.d~p1'H:owed,by~~ecaildidate's,ca~pa:igll fO'rthis
.' .. i .' .rep~riing:J)~Qd()ranypr~Qrperi()ds~ntiLpaid.
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24047 W. MacArthurGoddard, KS 67652
Loan from Self
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Loan from Self
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iTOT AL OTHER TRANSACI'IONS (to line 7 of Summary)
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i 'Batandeat
Clolie of !>eriod
$100.00
$1,000.00
. $1,000.00
$3,200.00
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