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0~/12/~004 13:~0 5~1--~4-~4~ ~U~E~E CHAMBER PAGE <br /> <br /> ~c-~ <br /> Cash Expenditures and Loan Payments <br /> <br /> Candidate or Political Contrmttee Name: fl^~ Committee ID Number: <br /> <br /> Election: [] Primary 20_ [] General 20_ [] Other <br /> Report: J~ st Pre-election [] 2nd Pre-election [] Post-election [] 20 September Supplem~tal <br /> <br /> PURPOSE CODES (see back of form for Instructions and code definitions) EXPENDITURE TYPES <br /> A Agent O Other Advertising (yard signs, butmm, etc.) CA Cash <br /> B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment <br /> C Cash Contributions R Reimbursement for Personal Bxpendimr~s <br /> F Fundraising Event Expenses S Surveys and Polls <br /> G General Opa-ational Extmises (describe ifov~r $50) T Travel Expenses (describe if over $50) <br /> I Interest Payment U Utilities <br /> L Literature, Brochures, Printing W Wages, Salaries, Benefits <br /> M Management Services Y Petition Circulators <br /> bl Newspaper and Other Periodical Advettlsing Z Preparation a~d Production of AdverQsing <br /> <br /> Payee's Name and Payee's Committee ID~, Exp. Amount of [] <br /> Line # Date Check # /f applicable Purpose <br /> (as it appears on Invoice, receipt or check) Type Expenditure Paid <br /> to A/P <br /> <br /> 3. <br /> $ <br /> <br /> "1 <br /> 8, $ [--] <br /> <br /> 9, [-1 <br /> <br /> 10, $ <br /> <br /> See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and <br /> Instructions expenditure type.) / transfer these amounts to the Summary Statement, PC 1.) <br /> <br /> in Campaxgn Cash(CA) $ i~t Cash(CA) $ <br /> Finance Enter <br /> Manual Loan Payment (LP) $ Loan Payment (LP) $ <br /> En[er on Summ~r~ Stateme~t~ Cohh'0g A, Linc ? <br /> <br /> PC 3 <br /> <br /> <br />