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Disbursements <br />Amendment <br />Pg i of 1 ® Yes ❑ No <br />Use this form to report expenditures from the committee for operating expenses, contributions to candidatelpolitical <br />committees and coordinated partv expenditures <br />1. Committee Full Name and Mind if appl icable <br />2. ID Number <br />COMMITTEE TO ELEC I MISHELL WILLIAMS <br />_ <br />3. Type of Disbursement Pease use se )arate CRO-1310 Lorms for each fvp. e of Dishrtrsentent. <br />IM Operating Expenses Contributions to Candidates/Political Committees 13 Coordinated Party Expenditures <br />4. Payee Information ❑ Add ❑ Remove <br />a. Fuli Name, Mailing Address & Phone <br />include city, state & xi <br />b. Coordinated Committee Name <br />& Comments <br />UNITED STATES POSTAL SERVICE <br />4258 NC HIGHWAY 49 S <br />HARRISBURG, NC 28075 <br />c. Level Registered (Specify) <br />Federal County: <br />❑ State ❑ Municipality <br />e. U ction Sum to Date <br />S 188.00 <br />f. Accouut Code <br />g. Form of Payment <br />it. Purpose Code <br />i. bate (mmlddlyyyyy <br />j. Amouat <br />k. Required Remarks <br />MW <br />Debit Card <br />l <br />12101/2025 <br />S 188.00 <br />S <br />5. Total only this Page S 188.00 <br />6. Total of ALL CRO-1310 Pages <br />(This tine goes in line 13a ofDetaded Summary Page C'RO-1100 if0peratingExpenses) j 188 00 <br />(This tare goes in line 136 ofDelailed Summary Page CRO-1100 ifCaalrib to CandidateslPolitical Como <br />(This line goes in line He ofDelailed Swunmiy Page C RO-1100 if Coordinaled Park' Prpendilures) <br />7. Purpose Codes (List detailed expenditure code in (h.)above) <br />A* - Media B* - Printing C* - Fundraising D -To Another Candidate <br />E - Salaries F"' - Equipment G - Political Party H* - Holding Public Office Expenses <br />I - Postage 3 - Penalties IC* -Office Expenses Q* - Donation to Legal Expense Fund <br />O* Other <br />* Codes require detailed explanation in required remarks fteld(k) <br />CRO-1310 NC State Board of Elections December 2009 <br />