Laserfiche WebLink
<br />PC 4A Other Receipts <br />please type or print legibly in black ink; list only one entry per line <br />J.. name of committee-use fullname - - - -- - ---committeelD number---- <br /> <br />__ J o.~(A.._J a~k~~__~_ C (~ ~\A.kC.l'L_ <br /> <br />. Primary 20fl~ 0 General 20__ ~&her: --------------- <br /> <br />rev 1/06 <br /> <br /> <br />o 1 st pre-election <br /> <br /> <br />o Report of Initial Assets <br /> <br />Exempt Loan Proceeds <br />Items Sold at Fair Market Value <br />Interest/Investment Income <br />Miscellaneous provide a description <br />Refunds and Rebates <br /> <br />. <br /> <br />c" 'i Co 0" <br /> <br />u · <br />f1 \('0",- S <br />I ~ So Fro.-l (,~ 814 <br />~W)-e. "" A. , 0 a. <i 1-- 'f 0 3 <br /> <br />~ ~. ()O I . <br />~ #I^-~ b t1f. rfA~ <br />Kt <br /> <br />i$ (2.00 <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />. <br /> <br /> $ <br /> 1$ <br /> I <br />I 1$ <br />I I <br />, <br /> <br />. <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />. <br /> <br />R4cEIVED <br />.J! I^~ 1 . <br />. :J iDD6 <br />CITy R <br />o <br /> <br />add all Other Receipt Transaction Type Codes specified <br />codes FM, IN, o~---nu----COde EL --- - <br /> <br />$~__ l;2. ,QD $ <br />~ <br />PC4A <br /> <br /> <br />complete only for last page and transfer these amounts to the Summary Statement, PC 1 <br />- - ___u ___ <br />codes FM, IN~-(5M, RF- -- --- code EL <br /> <br />$--~~~__uJ2._.()~ $ _ ~_ _____ _ <br /> <br />enter on PC 1, Column A, Line 13 enter on PC 1, Column A, Line 14 <br /> <br />see instructions on back and in Campaign Finance Manual <br />