January 10,2006ethics.ks.gov/CFAScanned/House/2006ElecCycle/200601/H093RK_2… · Iii I''! Ii '! "...

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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) ,................................"

I

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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

I ' , , DI[z]IDID:! ,

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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

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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[(Name~fC~dida1e>Party Committeeor PoliticalCommittee)I '! '

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Date: 1/1012006 Time: 8:32:08 PM 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

I "~, I,

iAlien & Roseanne Woolf. I .

5336s. ,343rdStreetweSt,Cheney; KS :6~O25-5789

Sf7f05

I

: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!

i,

...---.---- n.._-

D fZ]0101 ' $25.00

D [{J D 01 $100.00

"

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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i(NarP~' 1([:~Mida~;Party!C<>mmitteeor Political Committee)'i ; I' 1\:1''1i '!, i i


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

of 12

Oiher


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 , ]! : .

DIIlJIDID'.

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nSa5

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AsSOC.

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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D~t~, II I;! !I! I, I

I, Ii, "" i'!John & Dana Lewisi20605W. 96th 8t

iLenexa. KS 66220

IAltria Corp SelVices

1:1/9/65:,

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1111

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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 '


CheckAppropria~eBox

Casb Cl1eek LGlIlI Other

of 12

Amount of, ' ,Cash,ICheck,

. Loim orOtbel'Receipt

$100.00

$150.00

$250.00

. $250.00

~150.00

-r '-- --- - .-..

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 of 12

SCHEDULE ACONTRIBUTIONS ANDOTHER RECEIPTS

Name and Addressof Contributor

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1hf117~OMII, II!iii i: ::,, ',' ,

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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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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ClletkAppropriate Box



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

of 12

Date Name,altd Addressflf Contributor

Occupation of'IndividualGiving More Than $150

CheckAppropriate Box

4\m~untofCa&h,! Cbeck,


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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Check Loao Otlier

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

[z]IDr-1U

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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r-ro~: Jcin~ tSkrr~ti I.:!.jt>-(!:I4-i:lO(.:! 1b: :>ecrerary or :>rare t:leCIIonsI i' i ii . ,, " 'II '

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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,(


Nam~ and Addressof Contributor


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 of 12

: 1 i

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

.8/

.10

,

/051

1

.

613,

S. D,

ugani' iWichita. KS 67209

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1

32.

8 N.Main

:! i ,I i ,qaddard. KS 6;052Iii I I I

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11.

WI:,.:r

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'. KS I

'67052I I' ." 'i ' I " ...,.' I'

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: I ' I Postmaster i

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.

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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I ! i : Iii,RichardF Kelsey,, .,' 'I '

(Nalrie bfC~idate, party Committee or Political Committee): : '! i '

Date: 1/1012006 lime: 8:32:08 PM i 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

,,"""""-U' '-" "" - .. ..u_-- ~..

!

,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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Page12of12 JIIIIIi ii,, ,": !I:

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SCHEDULEDOTHER TRANSACTIONS

---, ,.-...-..

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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" Loan from Self. , 1>" , ", ".." I r "ef1~/

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Iii i!,i Goii~.m:i,K~ f;7052 ' ii: "i':i li!l': '1 I' ,t

'I I i It"". t I. I Richard F. Kelsey

24047 W. MacArthurGoddard, KS 67652

Loan from Self

i', I',

7i21~4,I i

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I:~cr~r<i F. ~~seY1I

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,

~40<47 W

,

" . MacArthur

II ,~o<;kfard, K~ ~7052, " , '

Loan from Self

7/iTI04Richard F. Kelsey24647 W. MacArthurGoddard, KS 67052

Loan from Self

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1ill i ' ,

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

I ; .Page lL. ofl.1::::-

January 10,2006ethics.ks.gov/CFAScanned/House/2006ElecCycle/200601/H093RK_2… · Iii I''! Ii '! "...

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Transcript of January 10,2006ethics.ks.gov/CFAScanned/House/2006ElecCycle/200601/H093RK_2… · Iii I''! Ii '! "...