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PC 3A <br /> Personal Expenditures for Reimbursement <br /> <br />Candidate or Political Committee Name Comn~attee ID Number <br />Andrea Ortiz for City Council N/A Page _....,~__ of. _ ! .... <br /> <br />Election' [] Primary 20 04 [] General 20 [] Other <br />Report [] 1 st Pre-electron [] 2nd Pre-election [] Post-electron [] 20__ September Supplemental <br /> <br />PURPOSE CODES (see back of form ~br instructions and code definitions) <br />A Agent O Other Advertmmg (yard signs, bLWrons, crc ) <br />B Broadcast Advemsmg (Radio, TV) P Postage <br />C Cash Contributions S Surveys and Polls <br />F Ftmdrmsmg Event Expenses T Travel Expenses (describe if over $50) <br />G General Operational Expenses {describe if over $50) U Utdltxes <br />I Interest Payment W Wages, Salaries, Benefits <br />L Lltmature, Brochures, Printing Y Petition Circulators <br />M Management Services Z Preparatmn and Productmn of Advemsmg <br />N Newspaper and Other Penochcal Advertising <br /> <br /> Amount of <br /> bne # Date Payee's Name Purpose Expenditure <br /> <br /> 3/19/2004 United States Postal Service P <br /> 1 $ 37.00 <br /> <br /> 3/19/2004 United States Postal Service P <br /> 2 $ 111,00 <br /> <br /> 3/23/2004 Oregon T's O <br /> 3 $ 600 00 <br /> <br /> 3/29/2004 Off~ceMax L <br /> 4 $ 35.00 <br /> <br /> 3/30/2004 Square Deal Lumber & Hardware O <br /> 5. $ 96,00 <br /> <br /> 6 $ <br /> <br /> 7 $ <br /> <br /> 8 <br /> <br /> 9 $ <br /> <br /> 10. $ <br /> <br /> See Page Total Accounting Period Total (Complete only for last page and <br /> Instructions 879.00 transfer this amount to the Sunmxary Statement. PC 1 ) <br /> on Back and Personal Expenditures $ <br /> in Campaign Personal Expenditures $ 879.00 <br /> Enter on Summary StatemenL Line 31 <br /> Fmance <br /> Manual <br /> <br /> PC 3A <br /> <br /> <br />