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<br />PC6 <br />Rev. 11199 Accounts Payable <br />Please type or print legibly in black ink. <br />Candidate or Political Committee Name: Committee ID Number: Page 1 of 1 <br />Amazon Creek Political Action Committee <br />Election: o Primary 2000 o General 20_ ~ Other _ <br />Report: o 1st Pre-election o 2nd Pre-election o Post -election o September Supplemental <br />PURPOSE CODES (see back for instructions and code definitions) <br /> A Agent N Newspaper and Other Periodical Advertising <br /> B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) <br /> C Cash Contributions P Postage <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 W Wages, Salaries, Benefits <br /> L Literature, Brochures, Printing Z Preparation and Production of Advertising <br /> M Management Services <br />Note: Accounts Payable must include all amounts not paid by the end of the accountin~ period. See back of form for instructions. <br />Une Date Payee's Name Purpose Amount of <br /># Account Payable <br />1. 12/30/2005 Mercy Corp. Contribution $ 198. 19 <br />2. $ <br />3. $ <br />4. $ <br />5. $ <br />6. $ <br />7. $ <br />8. $ <br />9. $ <br />10. $ <br /> Page Total (Add all accounts payable on this Accounting Period Total (Complete only for last page and <br /> See form. ) transfer these amounts to the Summary Statement, PC 1.) <br />Instructions Accounts Payable $ 198.19 Accounts Payable $198.19 <br />on Back and Enter on Summary Statement, Colunm A, Line 40 <br />in Campaign <br />Rin~n...p <br />