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PC 3 <br /> Cash Expenditures and Loan Payments :,03 <br /> <br />Candidate or Pohtical Committee Name: Committee ID Number: <br />Andrea Ortiz for City Council N/A Page 2 of 2 <br /> <br />Election' [] Primary 20 04 [] General 20~ [] Other <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-elect/on [] 20 September Supplememal <br /> <br />PURPOSE CODES (see back of fl~rm for instructions and code definitions) EXPENDITURE TYPES <br />A Agent O Ottier Advertising (yard signs, buttons, etc.) CA Cash <br />B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment <br />C Cash Contributions R Reimbursement for Personal Expenditures <br />F Fundraislng Event Expenses S Surveys and Polls <br />G General Operatio~M Expenses (describe if over $50) T Travel Expenses (describe if over $50) <br />I interest Payment U Utihties <br />L Literature, Brochures, Printing W Wages, Salaries, Benefits <br />M Management Services Y Petition Circulators <br />N Newspaper and Other Periodical Advertising Z Preparation mid Production of Advertising <br /> <br /> Payee's Name and Payee's Committee ID#, Exp. Amount of [] <br /> IJne# Date Check # if applicable Purpose Type Expenditure Paid <br /> (as it appears on invoice, recdpt or check) to AlP <br /> <br /> 4~29/2004 1012 Peace Rose Graphics L <br /> 1. CA $ 448.00 E~ <br /> <br /> 5/1/2004 t013 Brooke Robertshaw L <br /> 2. (Expense reimbursement for hr. expenses) CA $ 68 83 ~ <br /> 511/2004 1014 M~chael Carrigan P <br /> 3. (Expense reimbursement for postage) CA $ 50,60 E~ <br /> <br /> 5/112004 1015 Pat Hadley L <br /> CA $ 47.91 ~ <br /> 4. (Expense reimbursement for lit, expenses) <br /> <br /> 5. $ <br /> <br /> 9 <br /> <br /> 10. $ <br /> <br /> See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and <br /> Instructions expenditure type ) transfer these amounts to the Summary Statement, PC 1 <br /> on Back and <br /> m Campaign Cash (CA) $ 615.34 Cash (CA) $ 5,387.98 <br /> Finance Ente~ on Sm~mr2 Statement, Colm~m A, Lm~ 6 <br /> Manual Loan Payment/.LP) $ 0.00 Loan Payment (LP) $ 0.00 <br /> Enter on Stanmary Statement, Colurrm A L~ne 7 <br /> <br /> PC 3 <br /> <br /> <br />