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PC <br /> Persona Expenditures for Reimbursement <br /> <br />Candidate or Polincal Committee Name: Commtttee ID Number: <br /> ~ *, ~' , .... ," Page I of <br /> <br />Elecnon: ~ Prima~ 20 C~'i ~ General 20 ~ Other <br />Report: ~ 1st Pre-elecnon ~ 2nd Pre-election ~ Post-election ~ 20, , September Supplemental <br /> <br />PURPOSE CODES (see back of form for instructions and code definitions) <br />A Agent O Other Advemstng {`yard signs, hurons, etc.) <br />B Broadcast Adve~ismg {.Radio, TV) P Postage <br />C Cash Contributions S Surveys and Polls <br />F Fundraismg Event Expenses T Travel Expenses (describe if over $50) <br />G General Operational Expenses (describe if over $50) U Utihties <br />[ Interest Payment W Wages~ Salahes. Benefits <br />L Ltteramre, Brochures, Pnnt~ng Y Petition Circulators <br />M Management So.ices Z Preparatmn and Production of Adve~ising <br />N Newspaper and Other Periodical Adve~is~ng <br /> <br /> Amount of <br />Line # Date Payee's Name Purpose Expenditure <br /> <br /> 1. $ <br /> <br /> $ <br /> <br /> 3 $ <br /> <br /> 4. $ <br /> <br /> 5. $ <br /> <br /> 6. $ <br /> <br /> $ <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 ~ {~ ~ transfer this amount to the SunTnmary Statement. PC 1.) <br /> on Back and Personal Expenditures $ <br /> in Campaign Personal Expenditures $ <br /> Finance Enter on Summary Statement, Line 31 <br /> Manual <br /> <br /> PC 3A <br /> <br /> <br />