Laserfiche WebLink
Other Disbursements PC <br />Can&date or Political Comm,ttee Name Committee ID Number <br />It's Only Fair Page ! of <br /> <br /> E10ct~on [] Primary 20 [] General 2004 [] Other <br /> Report [] 1st Pre-elect, on [] 2nd Pre-elect,on [] Post-elect, on [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Other Disbursement Transaction Type Codes <br /> <br /> EL Exempt Loan Payments <br /> <br /> NP Nonparbsan Act;v~ty <br /> <br /> OM Miscellaneous (provide a descnpbon) <br /> <br /> RT Return or Refund of Contributions <br /> <br /> Name Other Disbursement <br />Line # Date Check # (requtred for codes EL, OM and RT' Transaction Type Other Disbursement <br /> optional for code NP) Code Amount <br /> <br /> I 11/2/2004 1005 Qwest RT $ 34,904 13 <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 amom~ts for the Other Accounting Period Totals (Complete only for last page and <br /> Instructions D~sbursement Transact;on Type Codes transfer these amotmts to the Summary Statement, PC 1 ) <br /> on Back and specified ) <br /> in Campaign Codes NP, OM, RT $ 34,904.13 Codes NP, OM, RT $ 34.904A3 <br /> Finance Enter on Summmy Statement, Colunm A, Line 17 <br /> <br /> Manual 0o <br /> Code EL $ 0o Code EL $ <br /> PC 4B Enter on Summary Statement, Column & Line 18 <br /> <br /> <br />