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PC 1 <br /> Summary Statement of Contributions and Expenditures <br /> <br />Please type or pnnt legibly ~n black mk Page 2 of 2 <br />Can&date or Pohtical Comrmtree Name Cormrmttee ID Number <br />Andrea Orbz for C~ty Councd N/A <br /> <br />[] Original [] Pr ma y 20 04 [] General [] Other <br />[] Amendment [] 1st Pre-elecnon [] 2nd Pre-elecnon [] Post-elecuon [] 20 September Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONLY <br />21 Beginning Outstanding Loans 0.00 <br /> (hne 29 of previous report) <br />22 Loans Recmved (Non-Exempt) + 0.00 <br /> (line 2) <br />23 LoansRecmved (Exempt) + 0.00 <br /> (line 14) <br />24 LOANS RECEIVED SUBTOTAL <br /> = 0.00 <br />0roes 21 4- 22 + 23) <br />25. Loan Payments (Non-Exempt) 0.00 <br />(line 7) <br />26. Loan Payments (Exempt) + 0.00 <br />(line I8) <br />27 Forgzven Loans + 0.00 <br />(Total loans forgiven during thzs accounting period) <br />28 LOAN' PAYMENT SUBTOTAL <br /> = 0.00 <br />(lines 25 + 26 +27) <br />29, TOTAL OUTSTANDING LOANS <br /> = 0.00 <br /> (hne 24 minus line 28) <br /> PERSONAL EXPENDITURE SUMMARY <br /> 30 Beginning O utstan&ng Personal Expen&tures 0,00 <br /> (line 36 of previous report) <br /> 31. Personal Expen&tures + 879.00 <br /> (Accounting Period Total from PC 3A) <br /> 32. PERSONAL EXPENDITURE SUBTOTAL <br /> = 879.00 <br /> (hnes 30 + 31) <br /> 33 Personal Expenditure Rmmbursements 0.00 <br /> (.Total expenditures on PC 3 with purpose code R) <br /> 34. Forgwen Personal Expenchtures + 0.00 <br /> (Total personal cxpen&tares tbrgtven this acctg period) <br /> 35 REIMBURSEMENT SUBTOTAL = 0.00 <br /> (lines 33 ~ 34) <br /> 36. OUTSTanDING PERSONAL EXPENDITURES <br /> = 879.00 <br /> (hne 32 minus line 35) <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37 Ending Cash Balance 2,408.26 <br /> (line 20) <br /> 38 Accounts Recmvable + 0,00 <br /> (Accounting Period Total from PC 5) <br /> 39 SUBTOTAL = 2,408.26 <br /> (lines 37 + 38) <br /> 40 Total Outstanding Loans 0.00 <br /> (hne 29) RECEi~JED <br /> 41 Outstanding Personal Expen&tures + 879.00 <br /> (line 36) <br /> 42 Accounts Payable + 0.00 l*;~;~ 7~ ~ <br /> (Accounting Period Total from PC 6) <br /> SUBTOTAL = 879.00 <br /> (hnes40 +41 +42) OlTY RECORDER <br /> 44 BALANCE~EFiCIT = 1,529.26 <br /> (line 39 minus line 43 indicate + or - balance) <br /> I, Tamara Miller (name of can&date or treasurer), hereby cert~ that the above <br /> statement and the attached suppomng reports are true and correct, <br /> S~gnature of candidate or treasurer Date s~gned <br /> <br /> <br />