Laserfiche WebLink
Summary Statement of Contributions and Expenditures <br />Please type or print legibly in black iak. Page 1 of 2 <br />C.an~didate or Political Co~ce Name (~ ~11 <br /> <br />Mail,s Ad~css * it Appe. oR Statement o~rgani~tion (s~cct, route or box~, c~mtc~ip code): <br /> <br /> ~l~hpne Numb~ (~y): <br /> <br />Co~ee ID Numbs: Co~i~ee ~c, Mcasu~ N~b~ ~ O~ce: <br /> <br /> mendmem ~ 1st Pre-elccti~ ~d Pre-election ~ Post~lection ~ 20 S~ Su~lemmml <br /> A-TOTAL8 FOR THIS ~UMU~ T~ALS <br /> ACCO~ING Pg~OD ~OR THIS ELR~ION <br /> <br /> 1. C~h Con~butio~ <br /> <br /> (A~ounfi~ Ped~ Total ~m ~ 2) + ~ + <br /> 3. Total Cash Con~buO~ <br /> <br /> 4. <br /> (Accenting P~ Tptal ~om ~ 2) + ~ + <br /> <br /> EXPENDITURES <br /> Cash <br /> <br /> 7. Loan Paym~ts ~on-Excmpt~ - <br /> {Ac~ountmg ~sri~ To~l from PC 3) + ~ +_ <br /> 8. Total C~h Expeditors = <br /> <br /> (Accounting P~ T~al bom PC 2) + ~ + <br /> 10. TOT~ <br /> <br /> CASH BA~N~E <br /> <br /> 14. Lo~ns Receiv~ (Ex.pt) <br /> (Account,s Ped~ Tot~ flora ~ 4A) ~ <br /> 15. CONT~B~ION g~TOTAL <br /> <br /> (,,..,o,_ RECEIVED <br /> 18. Loan Pa~ts (Exempt) <br /> (Accountmg P~i~ To~I from ~ 4B) + ~ MAY* 0 6 2004 <br /> 19. EXPENDI~SUBTOT~ ' CITY RECORDER <br /> (Im~s 16 + 17 + 18) . <br /> <br /> <br />