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PC 1 <br /> Summary Statement of Contributions and Expenditures Re,, 12/03 <br /> Please ty. pe or print legibly in black mk Page 1 of 2 <br /> Candidate or Pohtlcal Commlttee Name (use full n;g) ~ <br /> Malhng Address as it Appears on Statement of Organization (street, route or box number, mty, state, zip code)' <br /> Treasurer's Name..~_~~ ~0{g~r- I Telephone Number (day): <br /> Committee ID Number: I Cornrmttee Type, Measure Number or Office: <br /> I <br /> .~ Original [] Primary 20__ [] General 20p~[ [] Other__ <br /> [] Amendment [] I st Pre-election [] 2nd Pre-electron [] Post-election [] 20__ September Supplemental <br /> A-TOTALS FOR THIS B-CUMULATIVE TOTALS <br /> ACCOUNTING PERIOD FOR THIS ELECTION <br /> CONTRIBUTIONS <br />I. Cash Contributions <br /> (Accounting Period Total from PC 2) <br />2. Loans Received (Non-Exempt) <br /> (Accounting Period Total from PC 23 + + <br />3 Total Cash Contnbuhons <br /> (hnes l+ 2) = <br />4. In-Kind <br /> (Accounting Period Total from PC 2) + <br />5 TOTAL CONTRIBUTIONS <br /> (hnes 3 + 4) = <br /> EXPENDITURES <br />6 Cash Expenditures <br /> (Accounnng Period Total from PC 3) / -"-' ff <br />7. Loan Payments (Non-Exempt) + <br /> (Accounnng Period Total from PC 3 <br />8 Total Cash Expenditures = O O <br /> (hnes 6 + 7) = <br /> <br />9. In-K~nd <br /> (Accounnng Period Total from PC 2) + <br />10 TOTAL EXPENDITURES O O CO <br /> (hnesS+9) = / -"-'- = / -- <br /> CASH BALANCE <br />11, Begmmng Cash Balance <br />(hne 20 ofprevtous report) ~'1 7 ~t) ~ ~ FOR OFFICE USE ONLY <br />12. Total Contributions <br />(line 5) + <br />13. Other Receipts <br />(Accounting Period Total from PC 4A) + <br />14 Loans Received (Exempt) <br /> (Accounting Period Total from PC 4A) + <br />15 CONTRIBUTION SUBTOTAL <br /> (hnesll+12+13+14) = ZT~O RECEIVED <br />16 Total Expen&tures O O <br />(hne lO) / --- NOV 3 0 20134 <br />17 Other Disbursements + <br />(Accounting Period Total from PC 4B) <br />18. Loan Payments (Exempt) CiTY RECORDER <br />(Accounting Period Total from PC 4B) + <br />19 EXPENDITURE SUBTOTAL <br />(hncs 16 + 17+ 18) = / '~' <br /> <br /> <br />