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PC 4A <br /> Other Receipts ~ev 12/03 <br /> <br />Candidate or Poht~cal Committee Name: Committee ID Number' <br /> <br />Election' [] Primary 20 [] General 20 [] Other <br />Report. [] 1 st Pre-election [] 2nd Pre-election [] Post-election ~' 20 O~/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 /> <br /> FM Items Sold at Fair Market Value <br /> <br /> IN Interest/Investment Income <br /> <br /> OM M~scellaneous (provide a description) <br /> <br /> RF Refunds, Rebates and Returns <br /> <br /> Date Name Other Recetpt <br />Ltne# Received (required for codes EL, OM and RF; Transactton Type Other Recetpt Amount <br /> opttonal for codes FM and IN) Code <br /> <br /> See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and <br /> Instructions Type Codes specffied.) transfer these amounts to the Summary Statement, PC 1.) <br /> on Back and 2.3 <br /> in Campaign Codes FM, IN, OM, RF $ · Codes FM, IN, OM, RF $ <br /> Enter on Summary Statement~ Column A, L~ne 13 <br /> Finance <br /> Manual Code EL $ "- O '" Code EL $ <br /> Enter on Summary Statement. Column A, Line 14 <br /> <br /> PC 4A <br /> <br /> <br />