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PC ~ Cash Expenditures and Loan Payments Candidate or Poht~cal Committee Name: Committee ID Number: Kitty Piercy for Mayor n/a Page _6 of_6 Election: [] Primary 2004 [] General 20__ E~ Other ~ Report' El 1st Pre-election [] 2nd Pre-election E~ Post-election E~ 20__ September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent O Other Advertising (yard signs, buttons, etc.) CA Cash B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement fbr Personal Expenditures F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) l Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Y Petition Circulators N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising Payee's Name and Payee's Committee ID#, Exp Amount of Dne # Date Check # if appltcable Purpose Type Expendtture Pa~d (as it appears on invoice, receipt or check) to A/P I 5/26/04 EFT Umpqua Bank G (checks) CA $ 27 88 [~ 2 6/1/04 EFT Cardinal Employment Services W CA $ 2,046 00 E~ 3 6/1/04 1116 CB Simons U CA $ 104 22 E~ 4 6/1/04 1117 Clancey Pnnting Company L, G (office supplies) CA $ 370 00 [~ 5 616104 EFT Cardinal Employment Sermces W CA $ 2,046 00 E~ 6 6/7/04 1121 Becky R~ley L CA $ 125 11 E~ 7 6/1/04 1118 Pnde Printing L CA $ 3,564 00 [~ G (bank CA $ 82.50 [~ 8 5117/04 EFT Polibcs Online charge) 9 CA $ E~ 10 CA $ ~ See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) transfer these amounts to the Summary Stateroom, PC 13 on Back and in Campaign Cash (CA) $ 8,365.71 Cash (CA) $ 37,824 91 Finance Manual Loan Payment (LP) $ -. Loan Payment (LP) $ £mer tm Stemna~5 Statement Corm-m; A. [ me 7 PC 3