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PC 9 <br /> Report of Expenditures Made by an Agent Re, 1203 <br /> <br />Candidate or Political Committee Name: Committee tD Nttmber: <br />Nancy Nathanson for Mayor Pane 1 of 1 <br /> <br />Election: [5~ Primary 2004 [] General 20__ [] Other__ <br />Report: [] let Pre-election [] 2nd Pre-election [] Post-election [] 200_!4 September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Complete hhe inibrmation in this box fbr each payment made to an agent and then provide the detail of expenditures made b> the <br />agent in the spaces below: <br /> <br />The following expenditures were made by PETER BARTEL Iname of agent). The payments to the agent are listed on: <br /> <br />Form (circLe one/ Page ~ Line # Check # Amount <br /> <br />PC 2, PC 3 or PC 6 I $ 1064 53.00 <br />PC 2, PC 3 or PC 6 <br />PC 2, PC 3 or PC {5 <br />PC 5 tofprior report) I <br /> <br /> Payee's Name Purpose <br />Dne # Date (as ~t appears on ¢nvo~ce, receipt or check) (see purpose codes Amount of <br /> on back of form) Expenditure <br /> <br /> 1. 4/9/04 Earthhnk U $ 21.95 <br /> <br /> 2 5/9/04 EartNink U $ 21.95 <br /> <br /> 3 6/t 3/04 InstaPrmt L $ 9 10 <br /> <br /> 4 $ <br /> <br /> 5 $ <br /> <br /> 6. $ <br /> <br /> 7 $ <br /> <br /> 8 $ <br /> <br /> 9, $ <br /> <br /> $ <br /> <br /> See <br /> instructions Page ~otal of Agent Expenditures: $ 53 00 <br /> on Back and <br /> in Campaign Complete this box only l'br last page of the derail of expenditures made by this agent. Finance <br /> Manual Total Amount of Agent Expenditures: $ 53 00 <br /> <br /> Unexpended Balance (if any}: $ __ <br /> PC 9 <br /> /report this amount as an account receivable on ~brm PC 5) <br /> <br /> <br />