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PC 4[3 <br /> Other Disbursements <br /> <br />Candidate or Political Committee Name: Committee iD Number: <br /> <br />Election: ~,_~rtmary 20 C ~ [] General 20__ [] Other <br />Report ~ 1st Pre-election [] 2nd Pre-election [] Post-elect~on [] 30 September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Other Disbarsemeat Transaction Type Codes <br /> <br /> EL Exempt Loan Paymem <br /> <br /> NP Nonpamsan Activin' <br /> <br /> OM Miscellaneous ~rovide a description) <br /> <br /> RT Remm or Re.nd of Contributions <br /> <br /> Payee's Name Other Disbursement <br /> Other Disbursement <br />bne # Date Check # (required for codes EL, OM and RT; Transaction Type Amount <br /> optional for code NP) Code <br /> <br /> 1. $ <br /> <br /> 2 $ <br /> <br /> 3 $ <br /> <br /> 4, $ <br /> <br /> 5 $ <br /> <br /> 6, <br /> <br /> 7. $ <br /> <br /> 8. $ <br /> <br /> 9. $ <br /> <br /> 10 $ <br /> <br /> See Page Totals (Add all amounts for the Other Accounting Period Totals (Complete only for last page and <br /> Instructions Disbursement Transaction Type Codes transfer these amounts to the Summary Statement, PC 1. <br /> on Back and specified ) <br /> in Campaign <br /> Finance Codes NP, OM, RT $ Codes NP, OM, RT $ <br /> Manual Enter on Summary Statement, Column A, Ltne 17 <br /> Code EL $ Code EL $ <br /> Enter on Summary Statement. Colunm A, Line 18 <br /> PC 4B <br /> <br /> <br />