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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 />Vote Yes For External Police Review Page 1 of 1 <br />Election: o Primary 20 [g] General 2005 o Other <br />Report: o 1 st Pre-election o 2nd Pre-election [g] Post-election 020 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 /> 1. 10/25/05 122 Eugene Weekly N CA $ 556.00 D <br /> G <br /> 2. 10/25/05 123 Jan Wostmann Voter CA $ 90.44 D <br /> Database <br /> 3. 1 0/27/05 124 Staples G CA $ 13.38 D <br /> 4. 10/31/05 125 Register Guard N CA $ 306.30 D <br /> 5. 10/31/05 Pacific Continental Bank G CA $ 6.25 D <br /> 6. 11/1/05 126 Eugene Weekly N CA $ 218.00 D <br /> 7. 11/2/05 127 Register Guard N CA $ 980.16 D <br /> 8. 11/4/05 128 Register Guard N CA $ 332.93 D <br /> 9. $ D <br /> 10. $ 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 1.) <br /> on Back and Cash (CA) $ 2,503.46 Cash (CA) $ 2,503.46 <br /> in Campaign <br /> Finance Enter on Summary Statement, Column A, Line 6 <br /> Manual Loan Payment (LP) $ Loan Payment (LP) $ <br /> Enter on Summary Statement, Column A, Line 7 <br /> PC 3 <br />