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Aweadmeut <br />Disbursements Pg 3 of t ® yes ❑ <br />Us e this fonn to rep ort expendmire s Froin the comsnitte a for operat= exp errs a S. contributions to c andidate p olitic al <br />conimittees and coordinated vane.- expenditures <br />1. Committee Full Name 4and. FwW if c, L <br />. � �............................� �......� � �.....� � �............................................. .......--..................................................................................................................................� <br />2. ID Itmmber <br />� � � �.................--,..........--........................ --. <br />COMMITTEE TO ELECT ROBERT KIRK <br />3. TFpr of Di b ar-semmt lPEeeae ices st3perata LRD-132 0 jtrrnts jar eprlt_l e-a�pfsbttrxextrrrtl <br />.....................................-............................................_....................-.....-...-.............--.....::.-::-.....--...... .............. --•----...----------- ......... ...--... <br />O patine ExF?naas Ccntribvtians to Candi ztespaiiticat Catrtmitt�as Cacrcinxt� ?arty EtiF=ncitvra, <br />,L Payee Information <br />❑?Add ❑ Remove <br />a. Full Marne, \:ailing Address & Phone <br />- <br />b. Coordinated Committee Name <br />•............................. <br />......_................................................. <br />d. Comments <br />..................-................-..,....--.......--.... <br />(include ritSrx state.-.--- --- ......... ... <br />. <br />STAPLES <br />c. LerelRegiatered (Sped(r) <br />1480 U5 HWY 24 N <br />111. <br />Fadeat Coz:ntV : <br />CONCORD, NC 28025 <br />e. Election Sure to Date <br />❑ state (3 '_+lrmicipI&W. <br />S 78-10 <br />f 'Account Code <br />..................................._...._............................ <br />g. Form of Ferment <br />�............m......mm. <br />h. Purpose Code <br />_._..-.......-........_... <br />i, Date (rnaa dda r}�) <br />_ ... m...._.._.. <br />j. Amount <br />- - ._.. m_»._ <br />is. Required Remarks <br />...._.--------- --------------------------------- <br />O 1 <br />Debit Card <br />O <br />01/05/2026 <br />5 78.10 <br />PRINT MEDIA <br />5 <br />Infarnatbn <br />❑ Add ❑ FAMOve <br />a. FttU Name, .%.'whnP Address & Phorte <br />- <br />b, Coordinated Committee _ame <br />»..................................... <br />d. Comments <br />(include. n!4:x.state A.-tv)................................ . <br />5ublmn] Design, LLC <br />c. LwelRegistered (SpecW) <br />3365 Keady Milt Loop <br />Kannapolis, NC 28081 <br />F e d a I f oaastg: <br />e.IIeetion Sam to Date <br />❑ stata ❑ municipalkv- <br />S 300.00 <br />f. 'Account Code <br />.1..........m...._1............. <br />g. Form of Payment <br />.....-------- _------- ---•-• - <br />b. Purpose Code <br />- - _ _ - --- <br />i. Date (maR+dkyyyy) <br />--- -- W. <br />j. °Amanat <br />_.._......- <br />h. Required Remarks <br />------ .......... .--....-......... ..... ... ............ ................... <br />01 <br />Draft <br />O <br />01/20/2026 <br />5 300.00 <br />Consultant -Media <br />5 <br />5. Total onir this face <br />5 378.10 <br />6. Total of %LL CRO-131 0 Pages <br />(1hir line goes in line 13a of Derailed Snxiniao- Prgr CRO-1100 <br />if OperQring EVenret) g 378.10 <br />(Thir Iise Baer is hair 13b of Darailyd Snu nary Pcge CRO-1100 <br />if Connib to CendidamvPoliriral Consinj <br />(Thir live goer in list He of Detailed Sunnot4riv Pege (RO-1I00 if Coardinard Pr)v Expendirnrer) <br />7. Purpose Codes (List detailed expenditure code in (h) above) <br />A* - lfedia B* -Printing <br />C* - Fundraising D - To -another Candidate <br />E - Salaries F*-Equipment <br />G- Political?wr H*-Holding Public Office Expenses <br />I - Postage J - Penalties <br />K* - Office Expenses Q* -Donation to Legal Expense Fund <br />O* Other <br />* Cedes require detailed explanation in r aired remarks field k <br />CRO-1310 :tiC-tat =Bcar� ❑_ ile ticna L'r--mb-at <br />