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Pete Valdez - 1985/09/18 - 1985/10/19 I TOTAL PAGES: I CAMPAIGN STATEMENT (Government Code Sections 84200-84217) Form 490 1985 For use by candidates/officeholders and their contrr)lIed committees, (Type or Print in Ink) ~:? tLc_- thrOUghMl$~9f?5 I CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT NPe+~JbE!cle'Ot, ~______ ~~S'SGA50o~~fh/~SC1 15~ .~ 1)'0 01.NESS ADDRESS, NO. ANO STREET C"'Y G:; ( "HONe: t'fUM:a~A Wt--Cl3JJ "MoNe!; NUMOIER II CONTROLLED COMMITTEES" INCLUDED IN THIS CONSOLIDATED REPORT ZO~~:7l&~_~Lk(t hie- v(j7d~kJLJ::1:hJ~~! I gl(J6'~MB;R wr:O:73"2'" "JT~__~b~I_--'-qs=-( .oc;;;v 'rYi~z~ ~DY;;;(/RE O-r-- / e~ , -p;R-:R;'ENT'A RESS OF TRE;:;:'~NO' AND STREn ------;-;-;-:; STATe _0, 6 ,-2(~ ~Ctf- AD'C)RES'SOFCOMMlTT~---;o:-;:;,-;'S7;'~~----;:;~~.-'----' :./,. COOl!!; jYY:~2 } 1.,,' coae Ane::.A. COOK "HONe: NUMeeR NAME OF TREASURER: PEHMANE:NT ADDREss OF Tf-1EASUHEH: NO. Ar.a ':oTflLeT --~._-----_.__....__._.__._----_.._---_._---------_._-----------.--------. '-.: I (Y <':11" r..OOE: P,",ONI[ NVMB&R Attach addirional int'ormation on iJppropn'arely labeled conu'nuatioll';/7ce[s. III CANDIDATE/OFFICEHOLDEI1 ONLY: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH ARE COf\JTROLLED BY YOU OR ARE PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES ON BEHALF OF YOUR CANDIDACY. ,--_. I T r---- I COMMtriTE i'JAr-.1E AND 1,0, NUMfJER COMMITTE!:: ADDF1ESS I I i + I TREASURER I Controlled Committee? I YES I NO 1- i I I At(<1Ch ;Jdditional inlorrnanon on approf-)(f.}(cIV !aIJf;:>/t!O' cOrJttnu.1f1on Snf!f"!;5. . fA conrrolled COtT1n}/'tWe /'s one which is contro/led directlv or indirect/v hV J candidate or which acts ioinrly wirh a candidare or cQr1tfolled cornm;ttee in connection with rtJe rnaklng of exoendirures. A candid3re conrrols a comrnirtee if the candidare, rhe candidate's aqf!nt or any other con1mirree he or she concrols, has significant influence on the acrions or deciSIons 01 [he corn/nitrp!?.} VERIFICATION I declare under penalty of perjulY that t( ~~e IJest of my k'lOw!"'lqe thiS sta'ernent and Its I have usee ;111 reas?n- Ie Ilgence In the r 1r ,,,ration, /)~ / EXf'cuted on It?.. f at -.f..!:4 v. _________ bY_~1 (0'" Ie vtND ':>T.....r \SIGMA.rUffE 0' TqE"S Executed on at by _ _________ _____ ____ IO.....TEJ- --~-------~--TClTV;~'ST "r __~~_u_~ - T'>l<...N.....rUftE o~ TRf!:.....SU"I!R(S/ ) I declare under penalty of oerJury that to the oest of my knowieoqe thiS statement an Its sc edules are true, correct and complete and the tleasurer(s) of tr;1ls COT1n~ltt e(s) has used all rCdsonable dillo"nce In t:w oreparat:r)n 0 this s ~. a's sc~s. Executed onLO~Z~~lt _G.l!J!.:II""._c;..I1~_T________ __ by--_.r---__.m_________ _ _____,__'_ ~i ~v .....Nl,) '~rAT!'! ~I(;.~!ATUH;! 01'" CA lOA l!: ':::.,. O'''''CI!:~OL.Ol(HI For Informatldh r9(JUI(f~ to bi! oro'Vldoo to ~'(JV p~HS.'1:!ant to the Inform<Jtlon Practices Act of 1977, see "InformatIon, anuaJ on Campaign Disclosure Pro"isions of t!'l@ Pl!lllH'cal 'I'l",iI'~~\'<\ ,^I;:\\"I?;"H X. and complete and that 1_ I V. f..\l..L'~vl-'\. I Vi'" 'JI VVI'll I .'.L..oIU i ,,,,,,,,'''OJ ."H__ _I~. -...-. . -. .-- 'CANDIDATES, OFFICEHOLDERS AND MEASURES (Allocate expenditures from Schedules E & F made to or on behalf of another candidate, officeholder or measure. Amounts may be rounded off to whole dollars.) NAME OF CANDIDATE OR OFFICEHOLDER AND OFFICE OR MEASURE AND BALLOT NUMBER OR LETTER Cunet / Attach additional information on appropriatelv labeled continuation sheets. >1< Check box jf "independent expenditure." (See Instructions below.) INSTRUCTIONS FOR PREPARING COVER PAGE CONSOLIDATED CAMPAIGN STATEMENT FORM 490 PERIOD COVERED BY STATEMENT: The periOd covered begins the day after the closing date of the last campaign statement filed. If no previous statement has been filed, the period begins on January 1 of the current calendar year. The period ends on the closing date for the current statement. The closing date is specified in the "l nformation Manual on Campaign Disclosure." DATE OF ELECTION: If this statement is filed in connection with an election held on a date other than June 4, or November 5, 1985, enter the date of the election. PART I: Provide the candidate's or officeholder's full name, residential address, business address and telephone numbers, and the office sought or held. PART II: Identify the controlled committees included in the consolidated report and the treasurers of the committees. Use the same information that appears on the committees' Statements of Organization filed with the Secretary of State. Do not use abbreviations. A permanent business or residential address must be provided for the treasurers. The identification numbers must be included. (If not yet received from the Secretary of State's office, that fact must be noted.) PART Ill: The candidate or office holder must list all additional committees not included in this consolidated report which are controlled by the candidate or officeholder or are primarily formed to receive contributions or make expen- ditures on the candidate's behalf and whether or not they are controlled committees. VERI FICATION: The statement must be signed by each committee treasurer included in the consolidated report and by the candidate or officeholder who controls the committee. The treasurer and candidate or officeholder must review the information contained in the statement before signing the verification. ALl.OCATION OF CONTRIBUTIONS I-\ND EXPENDITURES MADE TO OR ON BEHALF OF OTHER CANDIDATES, OFFICEHOLDERS AND MEASURES: List all contributions (including loans) and independent expenditures itemized on Schedules E and F to support or oppose officeholders, candidates, and ballot measures (other than those controlling this committee or for which this committee is primarily formed). Also list in-kind contributions and independent expenditures which involve goods or services provided to or on behalf of a candidate or committee when a payment is not made (e.g" employee services, in-house printing, etc,), A description of the goods or services must also be provided. Indicate the date of the expenditure; if the expenditure is an independent expenditure (an expenditure not made at the behest of the candidate or committee on whose behalf it is made) check the box to so indicate: the office sought or held (or the measure's number or letter and the jurisdiction); the amount of the expenditure; and the cumulative amount to date. The "Cumulative to Date" column should include the total of expenditures for or against each candidate or measure since January 1 of the current calendar year, (See "Information Manual on Campaign Disclosure" for discussion and examples of "cumulation,") ...; CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE FORM 420, 430 OR 490 (Amounts May Be Rounded To Whole Dollars) $.,/);; # (SriOULO ItQUAL. I..INIE to COl.UMNS A + .) $ /?/5, Jtf ~ $ 1~15~ l.INES 1 + . (SHOULD EQUAl,. 1..INC '. COLUMNS /IIi, + .) :;, If this is the first report filed for the calendar year, Column A should be blank except for unpaid loans, bills and pledges. STATEMENT OF CHANGES IN FINANCIAL CONDITION 10. Cash on hand at the beginning of this period. (Line 14 of previous statement) . $ ~ )-1:2- 3/~7-, (J 0 r .~ I ~ /5. :1:1 2395,./t ~ C!-~m~ COLUMN A Cumulative total from * previous period ~TRIBUTIONS RECEIVED $ ~3, ~V ~. $~~ ,'-/~ o~ ~. $ :2r~)' tf~ 1. Monetary contributions 2. Loans . . . . . . . . . . . . . . . . , . . . . . 3. Subtotal. . . . . . . . . . . . . , . . . . . . 4. Non-monetary contributions. . . . . . . 5, Pledges . . . . . . . . . . . . . . . . . . . . . 6. TOTAL CONTRIBUTIONS. . . . . . . . l..INES 3 + .l + 5 ?ENDITURES MADE ,~ 7. Payments. . . . . . . . . . . . . . . . . . . . $ 8. Accrued expenses (unpaid bills) . . . . . ~ ~ 9. TOTAL. EXPENDITURES. . . . . . . . $ L.INES 7 + a 11. Cash receipts this period (Line 3, Column B above) . . . . . . . . . , . . . 12. Miscellaneous adjustments to cash (Schedule G, Line 7) . . . . . . , . . ' 13. Cash payments this period (Line 7, Column B above) . . . . . . , . . . . 14. Cash on hand at closing date (lines 10+11+12-13 above) *. . . . . . . COLUMN B Total this period from attached schedules $ 39rrf?y SCHEOU#oE J SCHEDUL.E B, 1-IN~ $~~lf.l ;; / ":J.L ~-t' SCHEO:7 15. Outstanding debts (Line 2 + Line 8 of Column C above) . . . . . . . . . . . . . . COLUMN C Cumulative to date (Columns A .. Bl sLjOjO :$ -~ s.dq/()~ I '16 % 16. Ending surplus (i f line 14 is greater than line 15, subtract line 15 from Line 14). . . . . . . . . . . . s;Z s 9s~ J9} , 17. Ending deficit (if Line 15 is greater than Line 14, subtract Line 14 from Line 15) . . . . . . . . , . . . $ ,. Ending cash on hand should not be a negative amount. 18. CASH EQUIVALENTS (OTHER ASSETS HELD) (See Instructions on Reverse): $ SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse) 1/1 thru 6 /30 7/1 to date 19 CONTRIBUTIONS RECEIVED: 20,fE:XPENOITURES ,VADE: ~ \ - ::2 - 1 SCH~DUL.~ A MONETARY CONTRIBUTIONS REC . >lED FORM 420,430 OR 490 (Amounts May Be Rounded To Whole Dollars) C 1-v C"UJ1C' / I'ULL NAMll AND ADORESS 01' EMPLOVER AMOUNT DATI: CONTRIBUTOR OCCUPA TION (u' ..t.,,....K..P...OV.D. .HYIER C:UMuLA"'V. RCC'O It,. CO..MITT....A5.l9-...,.... 1.0. HUM.." 0" NAMa 0'" BUSINess) RECeiveD ,.".....u..... .. NA.... ANO "OD...S5) 1"0 OAT. ~~t ..pro YI"\ ---- JBif ;(3~ -l fj~2. r(-i - J5~ 50' i,;- !j;.r 0/1 ffO-cfoI) OO~O :250 ~ iv;f J1JrP 35ft; rfY lr!JrP Ort: 7)y JiJed-J sf /' '-d'" 1Z31iJ: ~h J1 13 ~ \eZ 1/. 25~ ) D1-i her! (:ref71 P 51- q ~ J,fr! ,?(j#i- 503 ~ P;"'tlCl?f)G. ,- If more space is needed, check box at left SUBTOTAL o3~ and attach additional Schedules A. SUMMARY 1. AMOUNT RECEIVED - CONTRIBUTIONS OF $100 OR MORE (Include all Schedule A subtotals). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . $ 2. AMOUNT RECEIVED - CONTRIBUTIONS OF LESS THAN $100 (Not itemized) . . . . . . . . . . . . . . 3. TOTAL MONETARY CONTRIBUTIONS THIS PERIOD (Line 1 + Line 2) Enter here and on Line 1 Column B of Summary Page. . . . . . . . . . . . . . . . . . . . . . -3- SCHEDULE A MONETARY CONTRIBUTIONS RECEIVED (CONTINUATION SHEET) FORM 420,430 OR 490 (Amounts May Be Rounded To Whole Dollars) DATE REC'D FULL NAME AND ADDRESS OF CONTRIBUTOR (I.. C:O;;:~T:::~:~5~..::~N;~:~ ':>>Q:::5~TR opt OCCUPATION l4 (/;-( hs(.( rel/lC-e c:Gk- J n,1t.-n /3u hi Ovr/f'1er . e da. UfU/L!e rr( ~d rho J; Vern Ow J{. e,y- G 1//,;+ rti-C for ./= J'lJ i /,/ e-e r C) '1-0 ~; more space is needed, check box at left L.:::J ~~d attach additional Schedules A. ( I'" S.l......M,.LOVED, .NTe" NAMa 0'" aUSIN...) AMOUNT ".c.lvca CUMU\.ATIV& TO QATa ~ver I wi !3r, ferf';Je$ tf!> ~ J5~ r ,2g.ft oj-? .-. i ~/. rprJ'}1eV.r 1-11S'U/'tl.H'C~ /", ~~ I'J L)<? :~ GirC1j.{! I -q) / 7 ~ r ;//fN C!r7&kr j}(}~ l-tt%:: rf'/? 7S-# /()~ 173-$ j 0 Oit. '?73-tf; / 60 ~ Jr;i3 $I;: --v:~ ~/ J rr' (J J31;$ 6o~ 133~ /30e SUBTOTAL ~ U' ;jc-h>{as / j11e)q CU-/I M f fa L(JUJ1-r 'j I fh~? .:~r- l w.. S' tv V f!anne;.. f 'hl1 {;'V( / ErtJjI heerJ/ ' .JU r- l.I e SCHEDULE A MONETARY CONTRIBUTIONS RECEIVED (CONTINUATION SHEET) FORM 420,430 OR 490 (Amounts May Be Rounded To Whole Dollars) DATe: REC'C (I" CON,.tlTT..~.N".lJIt I.g. HUM... O. TJt"Aa ...... NAMa AHO AOD"..a) OCCUPATION ~~--c ~/!t elf- r50LD tua tIa c, r5~ ch!~':hS ..e~.fe I( . f'~ 0 9~tJz..-o IJ1 ((5 . /JC.;K C? Gif. Ires- crr-?S. ~ 2- , ~!I J2/ {] fl,f YQ( 10 ,.. rTl A"more space is nlteded. check box at left L0' and attachadditional8chedults A. " ~\,trtc('1 EMPLOyltA (." I.,"~".M"''''OY.D. .NT." NAM. or .UStN.'.) ~ver r/ &ne,r- ~hll~r IYV'.5'5. ~m /3f' CIS ~,&-Iru.(.+ I {J;" C'. SUBTOTAL I.D. NUMBSA (0 ~O.MITT".I 0/0 00 . AMOUNT ".catv.. CUMU'-ATIV& TO 0"'''. 6(J-Fr IliJ!;; Go'$ J5~ /"fl~. ~ ~.~xv /3 /3 Xl {O'~ )313~ 00~ '43~ kJ~; J(;tl7; (t7CJ ~ 1%3ff; 1a0' /bIJ~ /6J? 1t 5()~ ~fg~ g31.a ~ lit ID(6' SCHEDULE A MONETARY CONTRIBUTIONS RECEIVED (CONTINUATION SHEET) FORM 420,430 OR 490 (Amounts May Be Rounded To Whole Dollars) EMPL.OVER DATE "EC'O OCCU..ATION (I" .....,....M~'-OV.O. tiN.... NAMC Qf" .UlIIH..,t ".cS:"'ca C"""".TIV. yo 0..9. fi~ ()eun er" jfO:iiS<:' fi'~nlfk, s{)~ /~ ~ lftP; I It ~ J.of6f: '1f~ J), I ~'J%1; If ! n~-( p ~2~ I D If more space is needed, check bOle at left and attach additional Schedules A. SUBTOTAL SCHEDULE A MONETARY CONTRIBUTIONS RECEIVED (CONTINUATION SHEET) FORM 420, 430 OR 490 NJ't"C O~ CAN IDATE. OR C~'1ITTf....Clv......b ~ YJ1t M .: .e.- Jr.o c. /ee' J fele '" CATC ACC'O FU...... HAMI: AND "OORCSS 01" CONTRIBUTOR Ct.. C.;:':Z:~.":~I:..~N:~:'~.~o:::.~f. ." OCC:U""TION UY~I't,e,r d fIl,+' O\.C- fa ( 1fuc-k Leqs/'n j Dre vei.<-)t!-ey ^.Q~r~1 CfJff If more sJ}llce ii "aded, check bOle at left and attach additlon.l Si:hedulos A. ;;~" ~"-'-~';';;''''''''''l' ':,<" -" ld .~. (,,, '.L,......"\..VlIUI. aN.." HAM. Q~ .U.IH..S' ...ca"'.D fl V Pier :z;;r G f1$ ~ ?-1 IP~r oaf? lf~y 3/ty;J; PJ~ ;).2.11~ J3jt-J'/;; Jtt~~ 3~)I:!;; d2 13~~ A/ h~f(n~~a"irllCf/, 0()~ 641nevwl I ( 7fro. v( ,5 f]e ('('r Lea9;nu ~ I / "''-( SUBTOTAL locr~JtI3$ /3~ 37/J~ f()-;;j, It/1f; ~ flit; -~ x , ; ':"'-'~':""',",-,-~"" ,~' .....' . . f fI {b SCHEDULE A MONETARY CONTRIBUTIONS RECEIVED (CONTINUATION SHEET) FORM 420, 430 OR 490 DATI: ..&C.C h.. CO..M....,...~.HT... I.g. HUM.at" ." TRc..eu"." . ~.M. AN. ADO".'.) OCeU,.ATION (,,,, .&""......I.OV.O. ""''''BIt NAM. 0'" .US'H.'$) ".CK'II.. ~ o If more spa~ Is heeded. Check bOle at left and attach additlonai SChedule, A. SUBTOTAL .'. ,~" ;-.,-, '~.":'\~" ".:, SCHEDULE C NON-MONETARY CONTRIBUTIONS RECEIVED FORM 420, 430 OR 490 (Amounts May Be Rounded To Whole Dollars) DATE REC'D Jl~ o If more space is needed, check box at left and attach additional Schedules C. SUBTOTALS SUMMARY 1. NON-MONETARY CONTRIBUTIONS OF $100 OR MORE THIS PERIOD. . . . . . . . . . . . . . . . . . . . , $ 2. NON-MONETARY CONTRIBUTIONS UNDER $100 THIS PERIOD (Not itemized). . . . . . . . . . . . . . . . . 3. TOTAL NON-MONETARY CONTRIBUTIONS THIS PERIOD (Line 1 + 2) Enter here and on Line 4, Column B of Summary Page. . . , . , . . . . . . . . . . . . . . . . . . . . . -5- SCHEDULE E PAYMENTS AND CONTRIBUTIONS MADE FORM 420, 430 OR 490 (Amounts May Be Rounded To Whole Dollars) If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions on the back of this schedule for codes "C", ''1'' and "T".) Refer to the back of this schedule and the Information Manual on Campaign Disclosure for detailed explanations and examples of each category. SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS FUND RAISING EVENTS GENERAL OPERATIONS AND OVERHEAD TRAVEL, ACCOMMODATIONS AND MEALS PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES "C" - CONTRIBUTIONS TO OTHER CANDIDATES OR COMMITTEES "I" - INDEPENDENT EXPENDITURES "L" - LITERATURE BROADCAST ADVERTISING "N" - NEWSPAPER AND PERIODICAL ADVERTISING "0" - OUTSIDE ADVERTISING If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and provide a written description in the "Description of Payment" column. IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these payments on Line 3 of the Summary section, below. (", t ~fvJ tJ:<: ,Il' 0 ~ '13'~ / ;QcJ:JSctM~ S'-j-; , 0 C "z..o 4 ~ ~.J-e ~p Jrlfe.s II r3.J-'2. S. StX!-J, 5;t ~VlJ6.:se Cft SJf "2- f{ 0 VI'l;e S':W@:- f' f+ t se S- I ( :3 3""~ S. S,)< +l1 S+- &r1-~0se Ct+-. S4 llJ4'<.tl6 r ~eC-. ~o> ~ 2/2 ro 51 F..re-,t <:'l tr--c e f\- q6~ 2--1 lNl~d5.~-t L~V\>vCL ~"'iI\ fa Ie t e) " e Ivc/ l \r-oL C y-:\- q ~o 2- 0 r-:::Hf more space is needed, check box and ~ attach additional Schedules E. IMPORTANT: Contributions and expenditures on behalf of other candidates or committees must also be entered in the allocation section at the front of the campaign statement. SUMMARY "5" - "F" liB" "G" - "T" - "P" - NAME AND ADDRESS OF PAVEE, CREDITOR OR RECIPIENT OF CONTRIBUTION tiP' COMMITTI!:C. ~.NT1!" 1.0. NUM.." 0" HAM. AND AODRI!:SS 0'" T"CASU"C") CODE OR ~ o cO 2-- o F DESCRIPTION OF PAYMENT Ji?rt ~(} h 7r ~ YI 5/ af/;;'1 If- c~~J.;d It r-eS e e !)€1JJ}1 ftu! m~ ~Il iiJ~,S AMOUNT PAID d3". (!>Q ..:::--- ......r= 13~ I 1;&0 ~ I ~ 31 /l'f 13aI4I//1"Ce- Ct1t L"wl'''- r/ , n-c! " ~v s, ~ 1l.f' U/1'1: r iCe. Ik,mbw-;e.~ fw- t Y1C~lre.fZ.1e 011\. cr-eett. ,.') ~r- h 11- IZlG)M#k/ I~ .v'.-e <I ;;Z (')5 ~ {o-r B CiJ; <<<- If;J, I SUBTOTAL/2hz;' oJ; 1. Payments of $100 or more made this period (Include all Schedule E Subtotalsl .. . . . . .. .. . . . . .. . . .. .. ,$ 2. Payments under $100 this period (not itemizedl ' . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . .S 3. Total Accrued Expenses paid this period (Schedule F, Line 4) , . . . . . . . . . . . . . . . . . . . . . . . . , , , . . . . . . .S 4. Total Payments this period (Line 1 + 2 + 3) Enter here and on Line 7, Column B of Summary Page. . , . , . . . . .$ .., - /5;0."r I f ;;2 Y90 /~/5.dl . ,," SCHEDULE E PAYMENTS AND CONTRIBUTIONS MADE (CONTINUATION SHEET) FORM 420,430 OR 490) NAME ':, CANDIDA~I~OR COMMITT:J'; 0- t? /-n tiff / fJ 0'-'0 fb ~ lec:.', . CODES FOR CLASSI FYING EXPENDITURES If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions on the back of this schedule for codes "C", "I" and "T".) Refer to the back of Schedule E and the Information Manual on Campaign Disclosure for detailed explanations and examples of each category. "C" - CQNTRIBUTIONS TO OTHER CANDIDATES "S" SURVEYS, SIGNATURE GATHERING, OR COMMITTEES DOOR-TO-DOOR SOLiCITATIONS "I" INDEPENDENT EXPENDITURES "F" - FUNDRAISING EVENTS "L" - LITERATURE "G" - GENERAL OPERATIONS AND OVERHEAD "B" - BROADCAST ADVERTISING "T" - TRAVEL, ACCOMMODATIONS AND MEALS "N" - NEWSPAPER AND PERIODICAL ADVERTISING "P" PROFESSIONAL MANAGEMENT AND "0" - OUTSIDE ADVERTISING CONSULTING SERVICES If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and provide a written description in the "Description of Payment" column. NAME AND ADDRESS OF PAYEE, CREDITOR OR RECIPIENT OF CONTRIBUTION (IF CO......ITTEE. ~ENTER AMOUNT 1.0. NUMBER OR NAME AND AOORESS OF TReASURER) CODE OR DESCRIPTION OF PAYMENT PAID ~ "", L~IM~ ~ iUA4r ~I I ~ A-<jl: I . 5..~ ~O'l/~+c:::l -r <e-rOSc< 8fvJ Iv- vJ f1 'JJ:.:~fO J' . :5::2.. . C- I fI E\ \/J r A- ci &:{ ~ .,.. 6> ;' rh;,,~:/>? cS'o.:(:;,4 ~"f-4~ , I , I D If more space is needed, check box and SUBTOTAL attach additional Schedules E. 3f