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Amendment <br />Disbursements Pg ` ' of ❑ Yes 103 No 1 <br />Use this form to report expenditures from the committee for operating expenses, contributions to candidate/political <br />committees and coordinated narty exnendituret <br />Conuuittee Full Name (and F and N applicable) <br />2. ID Nwnber <br />_ <br />C�mrn► }ee -6 Qe-Cf ]?)kL4.BPjG6s 0,�Y Q CDu-�f"r <br />[3Type <br />of Disbursement LCkase use separate CRO-1310 formifor each e ❑ Disbursemerrl. <br />--- - se — -- <br />raxin F-x uses ❑ Contributions to Candidates/Political Committees Coordinated Partylixpenditures <br />4. Payee Information 0 Add 13Remove <br />a. Full Name, Mailing Address & Phone <br />(_include city, state, & zip) <br />b. Coordinated Committee Name <br />d. Comments <br />�^ <br />t0.1[�L4S {?LatltQit a�L + - Gin3 <br />3iaq t�Y1wYC1 �-c`[� {� 1 <br />P o SO,, 13157 <br />C.0,n*Vvd, n[G a902.(o <br />7,04 <br />e. Level Registered (Specify) <br />El Federal IN County: <br />❑ state ❑ Municipality: <br />e- Election Sum to hate <br />- <br />$ <br />. Account Cade <br />g. Form of Payment <br />h. Purpose Code <br />i. Date (mm/ddlyyyy) <br />aOA6 <br />J. Amount <br />$ M0.I ° <br />k. Required Remarks <br />F,; l R Fe - <br />-- <br />Che.c.�t <br />4. Payee Information Add ff Remove <br />Full Nome, &f ailing Address & Phone <br />(include city, state, & zip) p ' <br />Rm A z.a n aod11►Gt>r+ lid -- — -- <br />y13 <br />t'j C 2.$0 2 <br />��o � L�33 [ <br />b. Coordinated Committee Name <br />d. Comments <br />G Level Registered (specify) <br />Federal 13 County: <br />❑ State ❑ Municipality: <br />e. Election Sum to Date <br />$ 4(.15 <br />. Account Code <br />g. Form of Payment <br />h. Purpose Code <br />A <br />i. Date (mmlddlyyyy) <br />I aj o t 140AC <br />j. Amount <br />$ a,SP <br />L Required Remarks <br />SIT. I#Y <br />! <br />cb'w <br />4. Payee Information El Add ff Remove <br />a. Full Name, Hailing Address & Phone <br />(include city, state, & zip) <br />Arn Rao in <br />�Y ► L' DY� N C noag <br />885--%S0- 331 <br />b. Coordinated Committee Name <br />d. Comments <br />^- <br />c. Level Registered (Specify) <br />U Federal Counly: <br />❑ State ❑ Municipality: <br />e. Election Sum to Date <br />Account Code <br />g. Form of Payment <br />h. Purpose Code <br />A <br />J. Date (mmlddlyyyy) <br />j. An ama <br />k. Required Remarks <br />b� <br />»t <br />o f �,o a,s <br />s 4 3 Is <br />--. <br />5. Total only this Page <br />$ 33 <br />G. Total of ALL CRO-1310 Pages <br />(This line goes in line 13a of Detailed Summary Page CRO-11 a0 if Operating Expenses) <br />(This line goes in line 13b of Detailed Summary Page CRO-1100 if Conlrib to CandidateslPoiiticaI Comm) <br />(This line goes in line 13c o Detailed Summary Page CRO-1100 if Coordinated Party Expenditures) <br />$ <br />. Purpose Codes (List detailed expenditure code in (h.) above) <br />A* - Media S* - Printing C* - Fundraising D - To Another Candidate <br />E - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses <br />I - Postage J - Penalties K* - Office Expenses Q* - Donation to Legal Expense Fund <br />O* Other <br />* Codes rewire detailed a lanation in reauired. remarks Field W <br />U U-131U NC State Board of Elections December 2009 <br />