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Cash Expenditures and Loan Payments <br /> <br />Candidate or Polittcal Committee Name: Committee 1D Number: <br />It's Only Fair Page 1 of 1 <br /> <br /> Election: [~] Primary 20 [~ General 2004 [~ Other <br /> Report' [~ 1 st Pre-election ~] 2nd Pro-election [~ Post-election [] September Supplemental <br /> <br /> PLTRPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES <br /> A Agent N Newspaper and Other Periodical Advertising CA Cash <br /> B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) LP Loan Payment <br /> C Cash Contnbntions P Postage <br /> F Fundralsing Event Expenses R Reimbursement <br /> G General Operational Expenses (describe S Surveys and Polls <br /> if over $50 T Travel Expenses (describe ff over $50) <br /> I Interest Payment U Utilities <br /> L Literature, Brochures, Printing W Wages, Salaries, Benefits <br /> M Management Services Z Preparation and ProducIaon of Advertising <br /> <br /> Payee's Name and Payee's Committee ID~, Exp. Amount of [] <br /> Line # Date Check~ ff applicable Purpose Type Expenditure <br /> Pd to <br /> (as it appears on invoice, receipt or check) A/P <br /> <br /> Key Bank G (Bank fees) <br /> a. 11/2/2004 Cash CA $ 70,12 <br /> <br /> C&E Systems, LLC M <br /> 2. 11/2/2004 1004 CA $ 700.00 <br /> <br /> 3. $ <br /> <br /> 4 $ [] <br /> <br /> 5 $ [] <br /> <br /> 6. $ [] <br /> <br /> 7. $ D <br /> <br /> 8. $ I-! <br /> <br /> 9. $ I"1 <br /> <br /> ao $ [] <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 mounts to the Summary Statement, PC 1.) <br /> on Back and <br /> in Campaign Cash (CA) $ 770.12 Cash (CA) $ 770.12 <br /> Finance sm~ on s~m~ smom~, column & L~e 6 <br /> Manual Loan Payment (LP) $ .00 Loan Payment $ .00 <br /> Enter on Summary Staten~nt. Colunm A, Lines 7 <br /> PC3 <br /> <br /> <br />