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PC 3A <br /> Personal Expenditures for Reimbursement .er ~2~03 <br /> <br />Candidate or Political Comrmttee Name: Cornrmttee ID Number: <br />Write-In Jim Torrey None Page 1 of 1 <br /> <br />Election: [] Primary 20__ [] General 2004 [] Other __ <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-elecnon [] 20__ September Supplemental <br />PURPOSE CODES (see back of form for instructions and code definitions) <br />A Agent O Other Adver~smg (yard signs, buttons, etc.) <br />B Broadcast Advertising (Radio, TV) P Postage <br />C Cash Contributions S Surveys and Polls <br />F Fundralsing Event Expenses T Travel Expenses (describe if over $50) <br />G General Operational Expenses (describe if over $50) U Utilities <br />I Interest Payment W Wages, Salaries, Benefits <br />L Literature, Brochures, Printing Y Petinon Circulators <br />M Management Services Z Preparation and Production of Advertising <br />N Newspaper and Other Periodical Advertising <br /> <br /> Amount of <br /> Line # Date Payee's Name Purpose Expenditure <br /> <br /> 1. 08-10-04 Lane Events Center 0 - Fair booth $ 690.00 <br /> <br /> 2. 08-18-04 American Flyer Advertising N $ 8,953.00 <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 Total Accounting Period Total (Complete only for last page and <br /> Instmcnons transfer t!'ns amount to the Summary Statement, PC 1.) <br /> on Back and Personal Expenditures $ 9,643.00 <br /> in Campaign Personal Expenditures $ 9,643.00 <br /> Finance Enter on Sunmmry Statement, Line 31 <br /> Manual <br /> <br /> PC 3A <br /> <br /> <br />