Laserfiche WebLink
Other Disbursements <br /> <br />Candidate or Political Committee Name Committee ID Number' <br />It's Only Fair Page 1 of <br /> <br />Election: [-] Primary 20 [~] General 2004 [-] Other <br />Report- [~ 1 st Pre-election [~] 2nd Pro-election [] Post-election [] 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 Nonpartasan Activity <br /> <br /> OM Miscellaneous (provide a description) <br /> <br /> RT Return or Refund of Contributions <br /> <br /> Name Other Disbursement <br />Ltne# Date Check # (required for codes EL, OM and RT' Transaction Type Other Dtsbursement <br /> Amount <br /> optional for code NP) Code <br /> <br /> 1. 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 amounts for the Other Accounting Period Totals (Complete only for last page and <br /> ~structions Disbursement Transaction Type Codes transfer these amounts to the Summary Statement, PC 1.) <br /> <br /> on Back and specified ) <br /> in Campaign Codes NP, OM, RT $ 34.904.13 Codes NP, OM, RT $ 34.904.13 <br /> Finance Entel oi1 Summa~ Statement, Coim~m A, Line 17 <br /> Manual Code EL $ .00 Code EL $ .00 <br /> PC 4B Enter on Sonlmary Statemexqlg Colma't A, Line 18 <br /> <br /> <br />