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<br />PC 3 Amendment Ca Expenditures and Loan Pay
<br />please type or print legibly in black ink; list only one entry per line
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<br />1nts
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<br />rev 1/06
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<br />,J.. na-meof committee 'use full narriii.-----.-------.---------------------committee 10 numb-e-,.--------.-------.-------.-------- ____.u_
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<br />.~a~<t_JQ. c.. ~';.~~._ CJ...")..~'_Ao(l~.I'L_._...~_______.._: pag~==-of.-::=
<br />. Primary 20_f2b_ 0 General 20_ 0 other:
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<br />~ 1st pre-election
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<br />o 2nd pre-election
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<br />o Post-election
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<br />o Report of Initial Assets
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<br />Purpo~e~o~e~ _.,}'Y".~, 2,':'~<. . ,( "y", .!iL ~.. .. _~ .. _ "-=-'
<br />A Agent 0 Other Advertising (yard signs, buttons, etc.)
<br />B Broadcast Advertising (Radio, TV) P Postage
<br />C Cash Contributions R Reimbursement for Personal Expenditures
<br />F Fundraising Event Expenses S Surveys and Polls
<br />G General Operational Expenses T Travel Expenses
<br />I Interest Payment U Utilities
<br />L Literature, Brochures, Printing W Wages, Salaries, Benefits
<br />M Management Services V Petition Circulators
<br />N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
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<br />ame~,din~.~,~, ~ ',), nam~~,an~ ad<<!r!slof p'aye4!~1t Jl~~<~ ',t~ purpose 1 expo i
<br />page# "en"Jin~#;" "'11 " ' ,:.; c!!mmltt,e ID# ii.applicable'~. ;" t' t typa .
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<br />date 'If,,,:" i'r '''''t: J ,,;?f ,;j\ f?i;' i'~~ ,,,W;,, '~;;~ (; "it 1;". ,,~f"~
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<br />o 20_Sept. Suppl.
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<br />,~~penditure Types
<br />CA Cash
<br />LP Loan Payment
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<br />amount of
<br />expenditure
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<br />fl' peid J
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<br />*address includes city, or county if no city, and state
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<br />for office use ~E'CIlVED
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<br />~.ign~tur!, J~
<br />..... r Il A{\ A-. __.. _.______._____._.__________ __
<br />Sign~~;a;dfdate or treasurer
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<br />--__'i~_2_l~9 ~ ______.__________________
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<br />date signed
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<br />APR 2 7 2006
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<br />PC 3 Amendment
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<br />CIN RlECORDER
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<br />see instructions on back and in Campaign Finance Manual
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