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Amendments-Cash Expenditures and Loan Payments <br /> <br /> Candidate or polmcal Commfttc~ Nan,: <br /> ¢~ ~ , , '~ ~ ,~,~ Commmec [D Number: <br /> <br /> Electm~' ~-Pdma~, ~0~' ~ <br /> Report: ~lst Pre-elecnon ~ 2nd Pre-electron ~ Po,t-election ~ 20~_ S~ptember Suppt~mcntaI <br /> <br /> PURPOSE CODES (see back of form for instructions and code definitions~ EXPENDITURE <br /> A Agent 0 Other Advem~,mg (ya~-d s~s. buttons, etc.) C,k Cash <br /> B Broadcast Advertising (Radio, TV~ P Postage LP Loan Pavmem <br /> C Cash Contributions R Reimbursement fbrPersonA Expenditures <br /> F Fundrmsing Event Expenses S Surveys and Polls <br /> G GeneralOpemtionalExpenses(descnbeifoverSS0} T Traxd Expenses tdescrJbc ~fover <br /> 1 Interest Paymom U Ut~lmes <br /> L Literature, Brochures, Printing W Wages, Salm~cs, Benelits <br /> M Management Services Y Petition Cn'culators <br /> N New?aper and Other PeriodicaiAdvenismg Z Preparation and Producnon oFAdxem~mg <br /> Amending Page ~ <br /> and Line ~ Payee's Name and Payee ~ Oomm/t~ee f~, , <br />-~ Exp Amount of <br /> Check ~ tf applicable Purpose Type Expend~tuze Paid <br /> Date (as ]t appears on ~nvo~ce receipt or check~ to A/P <br /> <br /> Page .... k lne__ _ <br />New Entry <br /> CorrecTing <br /> <br /> Page ___ Line <br /> <br /> [] New Entry <br /> ~ Correcting <br /> [] Deleting <br /> <br /> Page ....... bne___ , <br /> [] New Ent~ <br /> [] Correct,rg <br /> [] Deietlqg $ <br /> <br /> Page L~oe <br /> <br />BI New Entry <br />[] Correceng <br />[] Deleting <br /> <br /> Sec FOR OFFICE USE ONLY <br /> ]ItstrLlcttorts <br /> on Back and '~ ~ ' *' / <br /> <br /> Finance Signature of can&date or treasurer <br /> Manual <br /> <br /> PC3 <br /> Amendment Date s~gned <br /> <br /> <br />