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<br /> PC3 <br /> Cash Expenditures and Loan Payments Rev. 12103 <br />Candidate or Political Committee Name: Committee ill Number: <br />Elect Maurie Denner Page 1 of 1 <br />Election: ~ Primary 2004 o General 20 o Other <br />Report: o 1st Pre-election o 2nd Pre-election o Post-election [8] 2005 September Supplemental <br />PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE <br />A Agent 0 Other Advertising (yard signs, buttons, CA Cash <br />B Broadcast Advertising (Radio, TV) etc.) LP Loan Payment <br />C Cash Contributions P Postage <br />F Fundraising Event Expenses R Reimbursement for Personal Expenditures <br />G General Operational Expenses (describe if over S Surveys and Polls <br />$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 />Une Payee's Name and Payee's Committee 10#, Exp. Amount of ~ <br /> # Date Check # if applicable Purpose Type Expenditure Paid <br /> (as it appears on invoice, receipt or check) to AlP <br /> 1. 8/3/2005 Pacific Continental Bank G CA $ 32.70 0 <br /> 2. 8/3/2005 Pacific Continental Bank G CA $ 5.00 0 <br /> 3. 8/3/2005 Kidsports (donation of remaining C CA $ 178.87 0 <br /> funds) <br /> 4. $ 0 <br /> 5. $ 0 <br /> 6. $ 0 <br /> 7. $ 0 <br /> 8. $ 0 <br /> 9. $ 0 <br /> 10. $ 0 <br /> See Page Totals (Add all expenditures with the Accounting Period Totals (Complete only for last page and <br /> Instructions same expenditure type.) transfer these amounts to the Summary Statement, PC 1.) <br /> on Back and $ 216.57 Cash (CA) $ 216.57 <br /> in Campaign Cash (CA) <br /> Finance Enter on Summary Statement. Column A. Line 6 <br /> Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00 <br /> Enter on Surrunary Statement. Column A. Line 7 <br /> PC3 <br />