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Aggregated Non -Media Expenditures Page of <br />Optional form used to report NC Non -Media Expenditures of $50 or less. <br />Amendment <br />p Yes ❑ No <br />1. Committee Full Name (and Fund if applicable) <br />Z. ID Number <br />3. Payee Information <br />a. Amend <br />b. Account Code <br />c. Form of Payment <br />d Purpose Code <br />e. Date {mmlddlryyy) <br />f. Amount <br />g. Required Remarks <br />❑ Add <br />❑ Remove <br />G <br />DEBIT <br />G <br />01-14-2026 <br />$ 6.78 <br />PROCESSING FEE <br />Add <br />❑ Remove <br />B <br />DEBIT <br />P <br />01-14-2026 <br />$ 140 <br />HANDOUTS <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />© Remove <br />Add <br />❑ Remove <br />Add <br />❑ Remove <br />Add <br />$ <br />© Remove <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />Q Remove <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />© Remove <br />13 Add <br />$ <br />❑ Remove <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />0 Remove <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />© Remove <br />Add <br />$ <br />l] Remove <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />❑ Remove <br />Add <br />$ <br />❑ Remove <br />4. Total only this Page <br />$146.78 <br />5. Total of ALL CRO-1315 Pages <br />$14678 <br />(This line mustbe on line 14 o ❑etailed Summer Page CRQ-1100) <br />G. Purpose Codes List detailed ex enditure code in d above <br />B* - Printing C* - Fundraising D - To Another Candidate <br />F - Salaries F* - Equipment G - Political Party H* - Holding Public Office Expenses <br />I - Postage 3 - Penalties K* - Office Expenses Q* - Donations to Legal Expense Fund <br />O* - Other <br />* Codes require detailed explanation in re aired remarks field <br />CHU-1315 KC State Board of Flections December 2009 <br />