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<br /> PC 9 <br /> Report of Expenditures Made by an Agent 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 20_ [gJ General 2004 D Other _ <br />Report: D I st Pre-election D 2nd Pre-election D Post-election [gJ 2005 September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br />Complete the information in this box for each payment made to an agent and then provide the detail of expenditures made by the <br />agent in the spaces below: <br />The following expenditures were made by FUNK/LEVIS (name of agent). The payments to the agent are listed on: <br />Form (circle one) Page # Line # Check # Amount <br />PC 2, PC 3 or PC 6 1 1 1138 825.00 <br />PC 2, PC 3 or PC 6 - - - - <br />PC 2, PC 3 or PC 6 - - - - <br />PC 5 (of prior report) - - - - <br /> Payee's Name Purpose Amount of <br />Line # Date (as it appears on invoice, receipt or check) (see purpose codes Expenditure <br /> on back of form) <br />1. 12/7/04 Eugene Weekly N $ 825.00 <br />2. $ <br />3. $ <br />4. $ <br />5. $ <br />6. $ <br />7. $ <br />8. $ <br />9. $ <br />10. I $ <br /> I <br /> See <br />Instructions Page Total of Agent Expenditures: $ 825.00 <br />on Back and <br />in Campaign Complete this box only for last page of the detail of expenditures made by this agent. <br />Finance <br />Manual Total Amount of Agent Expenditures: $ 825.00 <br /> Unexpended Balance (if any): $ - <br /> PC9 I (report this amount as an account receivable on form PC 5) <br /> I <br />