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An�tneaR . _......... <br />Disbursements 7 p _ <br />Use this form m expenditures from the committee for ex Yea <br />TeP°Tt 1� l� expenses, contributions to candidatelpolilical <br />committees and 000rdinated party expenditures <br />Comae M Nam {modFlumili s e) <br />2. ID Numabet <br />fiNM ase searate CRO-131_0�urmrji�` <br />r�Jp61tE3. :: <br />Felt Name, Mailing Address & Phone <br />b. Ooordbafed Cotbee Name <br />d. C.o"Mumts <br />t <br />Cher, s <br />N S AI PP l e. ofc-Ko yd <br />A'n wvt'1ie, NC, A9(34 <br />704— too- ?00� <br />c. Lewd m.h) <br />ter. <br />j] saac ❑ Mt,nicrinuty: <br />e- try Sawa to Date <br />� 1 Sr►D as <br />Avroart.CO*: <br />ftffW.aE <br />t;. PU rpaer C04k:: <br />Aft(gym) <br />J. Amuant <br />k- ` <br />K <br />12, o 0a5 <br />•-pmo <br />S�fi+lrA <br />`Lrfnrriu 13 Add . <br />lM Name, Mang Addrm & Phone <br />quetude City, state. & zip) <br />h. Couth aced Cammttbm Name <br />d. Cam <br />--- <br />L0.n e�pn C-k' ne. <br />� <br />[130 P � r� CYosos � <br />Mt pje cx� 1% 4.. N C- As LI <br />CNO •- +31-36 31 <br />r CamV.- <br />p stag p bruoic►p-dity <br />e. tam sewate Daw <br />ov <br />$ 3 60 <br />Ascom t Coft <br />g. Form a[ Payeaeat <br />h- PU rpame Cade <br />L Date (-=W&y y) <br />J.Awoua <br />IL Re phw Remerft <br />C]nee. <br />07 <br />35a �° <br />h►1 w6 + c <br />n Add .. Remove <br />Fw N ,: Addr ess & Phone <br />C4, soft a zip) <br />b. Co"Awted Cowa ttot Name <br />d. Cammea$ <br />s��es <br />l+4 Soc v%oofl ko, N S356 <br />C,ondord, X C <br />rJ04 -AW -3503 <br />1 <br />LJ <br />© saft 0 mwicipaw <br />sus® to n,ft <br />$ ! I ;S <br />A ecmmt Cade . <br />&FarorafftymW <br />lt. Pwpaar Cade <br />L Date (m nlddlyyyy) <br />Amount <br />IL RegmWed Betmr rka <br />Jelf <br />R <br />! o� a.n '' <br />$ , 3 n <br />s <br />TDtat of ATT.I CRO-1310 Pis <br />Mh & time suer in rme 13a 4fDrtidWSm=a ry ftze race-1100 ifAMM*T Rtpmesl <br />OUS ft"tonbrHeinOf swww"PWCRO-1100(fCon" m Ceram) <br />Mwe zon In Mw I* qfDe&dW Cwa1161 conrdfwe d ] <br />� <br />Cedei.: (List daRMW mWoditure code in.(h.) above) <br />* - Media S* - Printing C- - Fundraising D - To Another Candidate <br />- Salaries Fie - Equipment G - Political Party H* - Heldit PWWk Office Egxw s <br />" Postage .. j - Penalties K* - OMw Expenses... Qa - Donation to Legal Ewe FWW <br />* Other <br />L KU-IJIU NC State Hoard of Elections December 2009 <br />