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PL 4A. <br /> Other Receipts <br /> <br />Candidate or Political Committee Name: Commtttee ID Number: <br />Kitty Pierey for Mayor n/a Page 1 of 1 <br /> <br />Election: [] Primary 20__ [~ General 200_~4 [] Other __ <br />Report: [~ 1st Pre-election [] 2nd Pre-election [] Post-election ~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Other Receipt Transaction Type Codes <br /> <br /> EL Exempt Loan Proceeds <br /> <br /> FM ltems Sold at Fair Market Value <br /> <br /> IN Interest/investment Income <br /> <br /> OM Miscellaneous(provide adescription) <br /> <br /> RF Refunds, Rebates and Returns <br /> <br /> Dote Name Other Recetpt <br />Ltne# Recewed (required for codes EL, OM and RF, Transaction Type Other Receipt Amount <br /> optional for codes FM and IN) Code <br /> <br /> I 9~3~04 Qwest RF $ 289.77 <br /> <br /> $ <br /> <br /> 3 $ <br /> <br /> 4 $ <br /> <br /> 5 $ <br /> <br /> 6 $ <br /> <br /> $ <br /> <br /> 8 $ <br /> <br /> 9 $ <br /> <br /> 10 $ <br /> <br /> See Page Totals (Add all Other Receipt Transaction Accounting PerKed Totals (Complete only fbr last page and <br /> Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC 1. ) <br /> on Back and <br /> in Campaign Codes FM, IN, OM, P,F $ 289 77 Codes FM, IN, OM, RF $ _289 77 <br /> <br /> F lriarlce Enter on Summao Statement, Colunm A. Line 13 <br /> <br /> Manual Code EL $ Code EL $ ~ <br /> Enter on Smnmary Statement. Column A, L~ne 14 <br /> <br /> PC 4A <br /> <br /> <br />