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PC 3 Amcndmcm <br /> Amendments-Cash Expenditures and Loan Payments <br /> <br />Candidate or Political Committee N:xne: Committee ID Nttmber <br />Andrea Ortiz for City Council N/A Page 1 of 1 <br /> <br />Election' [] Primary 20 04 [] General 20 [] Other <br />Report. [] 1 st Pre-election [] 2nd Pre-election [] Past-electron [] 20 September Supplemental <br /> <br />PURPOSE CODES (see back of form fl}r instructi~ms and code definitions) EXPENDITURE <br />A Agent O Other Advemsmg (yard signs, buttons, etc.) CA (;ash <br />B Broadcast Advertising (Radio. TV) P Postage LP Loan Payment <br />C Cash Contributions R Re/mbursement for Personal Expendkures <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 Unlmes <br />L Llterature, Brochures, Printing W Wages, Salaries, Benefits <br />M Management Sermces Y Petition Circulators <br />N Newspaper and Other Periodical Advert~slng Z Preparation and Production of Advemsmg <br /> <br /> Amending Page # Payee's Name and Payee's Commtltee tO#, Exp. Amount of [] <br /> and Dna # Check # ~f ap¢cabte Purpose <br /> Date (as ~t appears on invoice, receipt or check) Type Expenditure Paid <br /> to A/P <br /> <br /> Page--~l--- Line--6-- Serllor News N <br /> ~ New Entry 1008 <br /> [] Correcbng <br /> [] Deleting CA $ 174.00 <br /> <br /> 4/24/2004 <br /> <br /> Page____ Line .... Peace Rose Graphics L <br /> [] New Entry N/A (Bill paid directly by Deborah Noble and <br /> [] Correcting reflected as a loan) [~ <br /> F-I Oelebng CA $ 745 00 <br /> <br /> 4/22/2004 <br /> <br /> Page .... Ltne___ <br />[] New Entry <br />[] Correcting <br />[] Deleting <br /> <br /> Page ...... <br /> [] New Entry <br /> [] Correcbng <br /> [] Deleting $ E~ <br /> <br /> Page ...... Line <br />[] New Entry <br /> [] Correcting <br /> [] Deleting <br /> <br /> Instructions <br /> on Back and <br /> <br /> Finance Signat~e of candidate <br /> Manual <br /> ' C TY RECORDER <br /> PC 3 <br /> ~lell~ent Date s~gned <br /> <br /> <br />