Laserfiche WebLink
<br /> PC4A <br /> Other Receipts Rev. 12/03 <br />Candidate or Political Committee Name: Committee ID Number: <br />Th€ Mr'/( S+t~et Bric/ae Com~;tTe.e Page ~ of ~ <br />Election: D Primary 20_ D General 20_ D Other <br />Report: D I st Pre-election D 2nd Pre-election D Post-election ~ 20 0 S'September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br />Other Receipt Transaction Type Codes <br /> EL Exempt Loan Proceeds <br /> FM Items Sold at Fair Market Value <br /> IN Interest/Investment Income <br /> OM Miscellaneous (provide a description) <br /> RF Refunds, Rebates and Returns <br /> Date Name Other Receipt <br />Line # Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount <br /> optional for codes FM and IN) Code <br />1. o Cf/30/0L{ IN $ ,22. <br />2. I o/'J. 9/0'1' TN $ ,02- <br />3. Il/a%l{ IN $ ..OJ.. <br />4. I '-/31/0L( IN $ ,02- <br />5. 0'/3'/05 IN $ .02- <br />6. 02/2 81o~ IN $ ,02. <br />7. 03/31/05 IN $ , OJ. <br />8. o "1/2 q/o~ IN $ ,02- <br />9. O~!31/0S- IN $ ..01 <br />10. orc/30/oS IN $ .01 <br /> See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and <br />Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC I.) <br />on Back and .3e <br />in Campaign Codes FM, IN, OM, RF $ Codes FM, IN, OM, RF $ <br /> Finance Enter on Summary Statement. Column A, Line 13 <br /> Manual Code EL $ -0- Code EL $ <br /> Enter on Summary Statement, Column A. Line 14 <br /> PC4A <br />