Laserfiche WebLink
PC 4A <br /> Other Receipts :,o3 <br /> <br />Candidate or Polmcal Committee Name' Conmmtee ID Number: <br /> <br />Elect~on: [] Primary 20 .) .a. E~ General 20 [] Other <br />Report: ~st Pre-elect~on [] 2nd Pre-elecnon [] Post-election [] 20~ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Other Receipt Transaction Type Codes <br /> <br /> EL Exempt Loan Proceeds <br /> FM Items Sold at Fair Market Value <br /> [N Interest/Investment Income <br /> OM Miscellaneous (provide a description) <br /> Pd~ Refunds, Rebates and Returns <br /> <br /> Date Name Other Receipt <br />Line # Received (requlred for codes EL, OM and RF; Transaction Type Other Receipt Amount <br /> optional for codes FM and IN) Code <br /> <br /> $ <br /> <br /> 2. $ <br /> <br /> 3. $ <br /> <br /> 4 $ <br /> <br /> 5. $ <br /> <br /> $ <br /> <br /> 7. $ <br /> <br /> 8 $ <br /> <br /> 9 $ <br /> <br /> 10. $ <br /> <br /> See Page Totals (Add all Othm Recmpt Transaction Accounting Period Totals (Complete only for last page and <br /> Instructions Type Codes specified.) transfer these amounts to the Sununary Statement. PC 1.) <br /> on Back and ~- <br /> in Campaign Codes FM, IN, OM, RF ~ ¢ Codes FM, IN, OM, RF $ <br /> Finance Enter on Summm~y Statement, Cotunm A, L m~ 13 <br /> <br /> Manual Code EL $ Code EL $ <br /> Enter on Summary Statement, Column A, Line N <br /> <br /> PC 4A <br /> <br /> <br />