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Aggregated Non -Media Expenditures rage <br />Optional form used to report NC Non -Media Expenditures of $50 or less. <br />Amendment <br />❑ Yes ❑ No <br />1. Committee Full Name (and Fund if applicable)} <br />. I -Number <br />h <br />o 6" �� H V ! Sc f <br />3. Payee Information <br />a. Amend <br />b. Aocount Code <br />e. Form of Payment <br />d. Purpose Code <br />e. hate (mmlddlyyyy) <br />f. Amount <br />g. Required Remarks <br />❑ Add <br />❑ Remove <br />$ <br />Add <br />❑ Remove <br />` <br />W �`� <br />�j �F} ,�, <br />�- <br />$ . Q©LrFee <br />jj Add <br />❑ Remove <br />V Vr" <br />©S � W <br />..oc, <br />Fe <br />Add <br />❑ Remove <br />f I <br />Add <br />❑ Remove <br />$ <br />ET Add <br />❑ Remove <br />$ <br />Add <br />❑ Remove <br />Add <br />❑ Remove <br />Add <br />❑ Remove <br />Add <br />❑ Remove <br />ti <br />Add <br />❑ Remove <br />Add <br />❑ Remove <br />Lj Add <br />❑ Remove <br />Add <br />❑ Remove <br />Add <br />❑ Remove <br />S <br />Ll Add <br />❑ Remove <br />Add <br />❑ Remove <br />5 <br />Ll Add <br />❑ Remove <br />S <br />Add <br />❑ Remove <br />$ <br />Add <br />❑ Remove <br />4. Total only this Page <br />5. Total of ALL CRO-1315 Pages <br />$ <br />(This line meest be on line Too belafled Summary Page CRO-1100J <br />. co <br />6. Pur ose Codvs List detailed ex enditure code in d above <br />R* - 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* - Donations to Legal Expense Fund <br />O* -Other <br />* Codes rc uire detailed explanation in required remarks field <br />C RU-1jis NC State Board of Elections ❑=mber 2009 <br />