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PC 3 <br /> Cash Expenditures and Loan Payments Rev <br /> <br />Candidate or Pohtical Committee Name: Committee ID Number: <br /> ~-~t~t~ p~t/~...~ ~_~.~ ~;t~',v.! Page / of [ <br /> <br />Election: [] Primary 20__ [] General 20~_~ [] Other__ <br />Report: [] 1st Pre-election [] 2nd Pre-election [~'Post-election [] 20__ September Supplemental <br />PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE <br />A Agent O Other Advertzsmg (yard signs, buttons, etc.) (2~ Cash <br />B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment <br />C Cash Contributmns R Reimbursement for Personal Expenditures <br />F Fundraising Event Expenses S Surveys and Polls <br />G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) <br />I Interest Payment U Utilities <br />L Literature, Brochures, Printing W Wages, Salaries, Benefits <br />M Management Servmes Y Petition Circulators <br />N Newspaper and Other Periodical Advemsmg Z Preparatton and Production of Advemsing <br /> <br /> Payee's Name and Payee's Committee II2~, [] <br />Line # Date Check # if applicable Purpose Exp. Amount of <br /> <br /> (as it appears on invoice, receipt or check) Type Expenditure Paid <br /> to AlP <br /> <br /> 2. $ I'--] <br /> <br /> 3. $ 1--'-I <br /> <br /> 4. $ [-] <br /> <br /> 5. $ ~] <br /> <br /> 6. $ I'~ <br /> <br /> 7. $ <br /> <br /> 8. $ [] <br /> <br /> 9. $ ~] <br /> <br /> 10. $ F--I <br /> CITY <br /> <br /> <br />