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<br /> PC 3 <br /> Cash Expenditures and Loan Payments Rev. 12/03 <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 1 of 1 <br />Election: D Primary 2004 [gJ General 2004 D Other _ <br />Report: D I st Pre-election D 2nd Pre-election [gJ Post-election [gJ 2005 September Supplemental <br />PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES <br />A Agent 0 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 <br />F Fundraising Event Expenses S Surveys and Polls <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 /> Payee's Name and Payee's Committee 10#, Exp. Amount of ~ <br />Line # Date Check # if applicable Purpose Type Expenditure Paid <br /> (as it appears on invoice, receipt or check) to AlP <br /> 12/30/ 1138 Funk/Levis A (see PC 9) CA $ 825.00 D <br /> 1. 2004 <br /> 2. 8/26/2005 1139 ACDDesign.com 0 CA $ 200.00 D <br /> 3. CA $ D <br /> 4. CA $ D <br /> 5. CA $ D <br /> 6. CA $ D <br /> 7. CA $ D <br /> 8. CA $ D <br /> 9. CA $ D <br /> 10. CA $ D <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 amounts to the Summary Statement, PC I.) <br /> on Back and Cash (CA) $ 1.025.00 Cash (CA) $ 1,025.00 <br /> in Campaign <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 Summary Statement, Column A, Line 7 <br /> PC 3 I <br />