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Supplement to Second Pre-Election - Expenditures .e~. 12,o3 <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br /> ..g~,o"lr' tv~-'~e~ tpo~ ~lT~ ~ot~C~c. ~) Page J of/ <br /> <br />Election: [] Primary 20 O~ [] General 20 [] Other <br />Report: [] 1st Suppl. to the 2nd Pre-election [] 2nd Suppl. to the 2nd Pre-election <br /> <br />PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES <br />A Agent O Other Advertising (yard signs, buttons, etc.) CA Cash <br />B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment <br />C Cash Contributions R Reimbursement for Personal Expenditures AP Account Payable <br />F Fundraising Event Expenses S Surveys and Polls PE Personal Expenditures <br />G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) <br />I Interest Payment U Utilities <br />L Literature, Brochures, Printing W Wages, Salaries, Benefits <br />M Management Services Y Petition Circulators <br />N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising <br /> <br /> Payee's Name Exp. Amount of <br /> Line # Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure <br /> <br /> 4. $ <br /> <br /> 5. $ <br /> <br /> 6. $ <br /> <br /> 7. $ <br /> <br /> o. $ <br /> <br /> 9. $ <br /> <br /> 10. $ <br /> <br /> Instructions I, .~ co'ff' t~¢i.$~ v , (name o r <br /> on Back and treasurer) hereby certify that the above statement is true and correct. <br /> in Campaign <br /> Finance MAY 1 0 2004 <br /> Manual <br /> CITY RECORDER <br /> PC 813 Signature of candidate or treasurer Date signed <br /> <br /> <br />