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Disbursements Pg i A <br />Use this form to report expeoditwes from the conunittee for operating expenses, contributions to candidate/political <br />Committees and rxwwdinntrA nnrty PxneMihvwc <br />1. CommitteeFull 1= (and )� ff a - � - ble) <br />2. ID N <br />Cc^m�,4,-, 4c: E Btt-3&r�5 06114, 00(XR 1 <br />. Type of Disbursement PIeuse use se o CRO-I3I0 rms or noels e o Dis8ursemeId- <br />T_ UCeardiaated <br />. Payee Wormation <br />❑ Acid 0 Remove <br />a Full Name, Mailing Address & Phone <br />tnt�utte ' ,state, & zip) <br />b. Coordinated Committee Name <br />d. Comments <br />p' a�yx�rl�5� yC� nt� +? r <br />66' eh N.N C 1 S`�L � y <br />r. r.� R�red (sperm) <br />Federal �Caaoty <br />❑ State ❑ m-nicipality. <br />e. Election Sam to Date <br />$ ��o aCa <br />. Account Code <br />r Farm 9f Pay==* <br />h- Pnrpase Code <br />i. slate (nomlldd/yyry) <br />'. Amwmt <br />k. Required Remarks <br />07 1Af <br />$ `'� <br />Fc- i rr� Verl�rY <br />$ <br />. Payee Information <br />E3 Add Remove <br />. Fa0 Name, Mailing Address & Phale <br />WN*M& City. stood -I & zip) <br />b. Coordinated CoZmfitfee Name <br />d. Comumft <br />AfbL ]4n <br />P Q• -]Bo-,L Sty <br />i n <br />`ess - <br />c- Level RcffistCsed (Spedfy) <br />U Federal County: <br />I ® stite ® Mir <br />1, Etsum to nee <br />I <br />I S 1, 33-'�>' '15' <br />A*wV* Cade <br />g. Form of Payment <br />h, Purpose Code <br />J. Bate (mmlddiyM) <br />i• Af mown <br />IL Required RemaiU <br />t <br />C� �ioa5 <br />1j,73 <br />►LSi�Yciau�- fir <br />. Payee Information <br />r3 Add Remove <br />FuR Name, Mailing Address & Phom <br />[incladc city, state, & zip) <br />h. Coordinated Committee Plane <br />d. Conatwuls <br />y <br />Cq1JOt RC MIDI i0V)5 �.-I�C <br />�+ 1� Q • BD)L. C131 <br />b i eft 5wLe ,-P0. ' 1 C� `03$ <br />o[� 4 -3ca+ <br />— <br />a E ►,d Registered (Specify) <br />Ej Fedrral County: <br />❑ state ❑ MuniGspaiity. <br />e. Ewcom sm to Date <br />$ S �� <br />Ate+ Cade <br />g. Il' m of Psynwat <br />h. Purpose Code <br />L Date (mm/ddlyM) <br />J.Amogmt <br />it. Refired Remarks <br />+ <br />` � <br />�+'I �1 `�i��� <br />� .�•.�S tR �� <br />�l � it i�t71�s <br />. Total only this <br />Page <br />$ <br />i <br />6. Total of ALL CRO-1310 Pages <br />MIS Um goa In Use 13a ofDefizfled s mr. wy Page CRO-1100 ifopeng&V Expenses) $ <br />97ds titre gnat in fine 136 of Drmiled S—aatry Purge CRO-1100 if C"a to Ca rdiduwe oriad Coo.) � 7 <br />(ram Um in filar 13c o DadOW JWe CKO-11W 4Caw4hraW ) <br />. Purpose Codes (List detailed expenditure code in (h.) above) <br />- Media B* - Printing C* - Fundraising D - To Another Candidate <br />- Salaries F- - Equipment G - Political Party H* - Holding Public Office Expenses <br />- Postage d - Penalties K* - Office Eapeases Q* - Donation to Legal Expense Fund <br />Other <br />* Codes reguire detailed explanation in aired remarks Held k <br />L.f[V-ISItY NU State board at i:leCtipos Deeember 20M <br />