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~--------- ~-~ -- - -- - --~ MAY-25-06 THU 01:58 PM KEARNYCO FAX NO. 16203557382 -,"_.-~.__._-- p, 01 ~'E~S:'f";' KANSAS GOVERNMENTAL ETHICS COMM~'SS.I(9.Ni"c-, ~ ,,' ~,-'" 'i""f!!"" RECEIPTSANDEXPENDITURESREPORT :C"'~ ~~: L'Jt.~~ OF A CANDIDATE FOR STATE OFFICE3;)v5;;1i,:S'-",: :::",ss8:):n;;-::~b" 109 VEST 9Trl.STR2ET -,-,--'/' '0,' '-A:> -:::~"" January 10,2006 '~~::"' , ',.-.""'.""'~ t:~- '-- FILE WITH SECRETARYOF STATEANDCANDIDATE'SCOUNTYELECTIONOFFICER SEEREVERSES"fDEFORINSTRUCTIONS .."""~~, -, n- A. NameofCandidate:--£~M-Y..- 1/ 11'-Y ,1,7"1."'-t!: T'£.. I) 11'7 {)..:, v / Addrcf>s: -..,..:41LJ..-C2-1!..4---t2. J / I ~7 (/ /; () . City."dZip cOde~~_64!£:Z;jyb-.1 <' .~~ . ',~ J =- ;-- Office ~O\!ght:~i.~.lJ1JJ."f.Jf&f/J !:~~~{;:I\lLJt TJ..-Il6- County: 16-12 f/.i District: L2-2-- H. Check olalyif app['opriat~: 1/ AmendedFiling ~. Tcrmination Report ..---.....-- C. Summary(~overiDgthe 11eriodfrom January 1,2005 through December 31,2005) L Cash (mhand at beginning of period "","'m...,"'"'''' ,' ,...,' "'..... 2. Total Contributic,ns and Other Rec~ipts (Use Schedule A) ........................................ 3. Cal;h!lvai1ablc tItisperiod(AddLitlCS1and2) , ",., , ,....... '1. Tow,1Expcndihm:;santiOthcrDisburscrn~nts(UseScheduleC) ..'"'''''''''''''''''''''''''' ~. Ca~hon hand at close orperiod (SubtractLine4 from 3) , ,'........ 'I6L ) ' 92- 6. In-KindContrihutioo.s (UseSchedulcB) ~ I .~~ 7. Othcr Trall"actioD~ (Use Schedule D) '.., , (Jafj/2 --,....- -- Ld91J~~' ~Ift;; ~ J1 ?JzJ1 '- g[H't-1 /-..f:!"," '.7 ~- : D. "} declare that this 1'\:=pnrl., including any accompanying schedules and sUi.iements,has beeu exatnined by me and to thl.)best of my knowledge ;:mdbelicf is true, correct and complete. I understand that the intentional H~ilul'eto me this dOCtlmC=111 or inlLmtionally'filing a false document is a class A misdemeanor." ~ ? ~ /~ ./3 , ./tA }11&.(7 Sign ture ofTr surer ~IL:,~g /j r -/),6 D.1tt; -,.-. (I '/ -'---"-' '--"~~-- GEC F'orm Rev, lOOl

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  • ~---------

    ~-~ -- - -- - --~

    MAY-25-06 THU 01:58 PM KEARNYCO FAX NO. 16203557382

    -,"_.-~.__._--

    p, 01

    ~'E~S:'f";'KANSAS GOVERNMENTAL ETHICS COMM~'SS.I(9.Ni"c-,~

    ,,' ~,-'" 'i""f!!""

    RECEIPTSANDEXPENDITURESREPORT :C"'~ ~~: L'Jt.~~OF A CANDIDATE FOR STATE OFFICE3;)v5;;1i,:S'-",: :::",ss8:):n;;-::~b"

    109 VEST 9Trl.STR2ET-,-,--'/' '0,' '-A:> -:::~""

    January 10,2006 '~~::"' , ',.-.""'.""'~ t:~- '--

    FILE WITHSECRETARYOF STATEANDCANDIDATE'SCOUNTYELECTIONOFFICERSEEREVERSES"fDEFORINSTRUCTIONS

    .."""~~, -, n-

    A. NameofCandidate:--£~M-Y..-1/ 11'-Y,1,7"1."'-t!:T'£..I) 11'7 {)..:, v /Addrcf>s:-..,..:41LJ..-C2-1!..4---t2.

    J / I ~7 (/ /; () .City."dZipcOde~~_64!£:Z;jyb-.1

  • /) IJ () ~-' ~J-J'-'~ ~7;:'~(f-!1-;fY lr It )I Z~.k:;l7- /rj.1eif!/6.1 {/t..J

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  • MAY-25-06 THU 01:58 PM KEARNYCO FAX NO. 16203557382 p, 03

    . I)-f)Jj~IlltftlE/1 f(uJi;);P I f)

  • MAY-25-06 THU01:58 PM KEARNYCO FAX NO, 16203557382p, 04

    SCHEDULE B

    J J. IN-KINDCONTRIBUTIONS.~ £}ilti-mtlZ~EIr -. -

    (NiUTH.Jof Candidate, Party Committee or Political Committee)

    ~-~.

    '~_M__"'~""~

    J

    --~' --..-NmnL-,Ac.itlreu and Occupa1.i()n '

    1)at\~ of Contrihutor- '

    list oCI.'QpatiQn fot' tfu~c gi\'ingail in-kind kI1(,.-ethan $ LSO

    ~~S@~~~~'. ...3.,. ,",0', ,. '.ffl", ,. ~~

    :~ililJd O/ll.) 0 ~"-I l '-: -/II V f. ~r /tJLJ.. ;.DvIlJL..1(:z:7!,;r/{JliP FiL1\) I) It. jJ()LX' 'T3I:~tllt-[.,

    "!rl).1/)f.LJ~; Iti '

    })~~ription ofIn-Kind

    ContributiliD

    Value ofIn-Kind

    Contribution

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    JJ ~/1\~~_.

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    C"mplde ir lalit page of Schedulc B-'----

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    To1aJ I(tJmiz~ (oVt;r $50) In-Kind Coot.ribu1i()n~'-'~-""-

  • MAY-25-06 THU01:59 PM KEARNYCO FAX NO. 16203557382P. 05

    scm~DULE C

    ,,) EXP.ENDITURESANDOTHERDISBURSEMENTS

    . 6~L)jtLli!J,a.l/~ 7L(Name of Candid31c,Party Commiltt:eor Political Committee)

    Purpose of EXlumditurcor Disbursement

    Amount

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