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<br />Sep 12 05 09:26a <br /> <br />p.2 <br /> <br />Please type or print legibly in black ink. <br />Candidate or Political Committee Name: <br />G-e.\) r~ c,. ~ {;--"'-1 {,,;- <br /> <br />o Original 'J 0 Primar~O__ <br />o Amcndment 0 1st Pre-election <br /> <br />Summary Statement of Contributions and Expenditures <br /> <br />I'l'l <br />R,'v. I ~'1I1 <br /> <br />C \ T'i' [.-D0 ~ '-IL <br /> <br />D General 20 <br />o 2nd Pre-election <br /> <br />I COlllmittee ID Nutnber: <br /> <br />Page 201'2 <br /> <br />D Other <br />o Post-election <br /> <br />"' <br /> <br />~eptclllber Supplemental <br /> <br />2 [. Beginning Outstanding Loans <br />(Total Outstanding Loans frum previolls report) <br />22. Loans Received (Non-Exempt) <br />(line 2) <br />23. Luans Received (Exempt) <br />(line 14) <br />24. LOANS RECEIVED SUBTOTAL <br />(lines 21 +- 22 + 23) <br />25. Loan Payments (Non-Exempt) <br />(line 7) <br />26. Loan Payments (Exempt) <br />(line 18) <br />27. Forgiven Loans <br />(Total loans forgiven during this acconnting period) <br />28. LOAN PA YMENT SUBTOTAL <br />(lines 25 + 26 +27) <br />29. TOTAL OUTSTANDING LOANS <br />(line 24 minus line 28) <br /> <br />LOAN SUMMARY <br /> <br />FOR OFFICE USE ONE Y <br /> <br />+ <br /> <br />+ <br /> <br />= <br /> <br />+ <br /> <br />+ <br /> <br />= <br /> <br />= <br /> <br />PERSONAL EXPENrnTURESUMMARY <br />30. Beginning Outstanding Personal Expenditures co"} {} <br />(line 36 ofpreviolls report) -(\ <I::>. l./l <br />31. Personal Expcnditures <br />(Accounting Period Tutal from PC 3A) <br />32. PERSONAL EXPENDITURE SUBTOTAL <br />(Iincs 30 +- 31) <br />:13. Personal Expenditure Reimbursements <br />(Total expcnditurcs on PC 3 with purpuse code R) <br />34. Forgiven Persunal Expenditures + <br />(Total personal expenditures forgiven this acctg. period) <br />35. REIMBURSEMENT SUBTOTAL = <br />(lines 33 + 34) J <br />36. OUTSTANDING PERSONAL EXPENDITURES = O~3 . 2..$ <br />(line 32 minlls line 35) tJ <br />FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> <br />37. Emling Cash Balance / S' I tj] 't> 7 ) <br />(line 20) <.. "" 0 , <br />38. Accounts Receivable <br />(Acconnting Period Total from PC 5) <br />39. SUBTOTAL <br />(lines 37 + 38) <br />40. Total Outstanding Loans <br />(line 29) <br />41. Outstanding Personal Expenditures <br />(line 36) <br />42. Accounts Payable <br />(Accounting Period Total from PC 6) <br />43. SUBTOTAL <br />(lines 40 + 41 + 42) <br />44. BALANCE/DEFICIT <br />(line 39 minus line 43: indicate;- or - balance) <br /> <br />I, i.<'5(~e H~~;.., <br /> <br />statement und the attached supportjn~rts are true and correct. <br /> <br />+ <br /> <br />= <br /> <br />+ <br /> <br />= <br /> <br />+ <br /> <br />f""$ .2.'8 <br /> <br />RECEIVED <br />SE? 1 2 2005 <br />CITY RECORDER <br /> <br />+ <br /> <br />= <br /> <br />= <br /> <br /><1y3d.(,~) <br /> <br />(name of candidate or treasurer), hereby certity that the above <br /> <br />(-'X 0' ~ ~Lj:..~~". <br /> <br />Sigifiltill'e of I.l\1didate or treasurer ?"" I <br /> <br />'1-12.-05 <br /> <br />,,_,_ ~: ___. _.J <br />