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PAYMENTS MADE BY AN AGENT OR INDEPENDENT CONTRACTOR <br />ON BEHALF OF A CANDIDATE OR OFFICEHOLDER STATEMENT COVERS <br />FORM 490 FROM J THROUGH <br />(Amoun. May Be Rounded To Whole Dollars) / I, I ~/~ <br />NAME OF ~NDIDATE OR OFFICEHOLDER AND CONTROLLED COMMI~EE: t.D, NUMBER <br /> <br />NAME OF AGENT OR INDEPENDENT CONT~R: <br /> <br /> CODES FOR CLASSIFYING EXPENDITURES <br /> If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back of this <br /> schedule for detaited explanations of each category. <br /> ~L'- LITERATURE 'S'- SURVEYS, SIGNATURE GATHERING, <br /> "B'- BROADCAST ADVERTISING DOOR-TO-DOOR SOLICITATIONS <br /> "N'- NEWSPAPER AND PERIODICAL "F'- FUNDRAISING EVENTS <br /> ADVERTISING ~T'- TRAVEL, ACCOMMODATIONS AND MEALS <br /> "O'- OUTSIDE ADVERTISING <br /> NAME AND ADDRESS OF PAYEE OR CREDITOR <br /> (IF COMMIKI'EE, IN ADDITION TO COMMITTEE'S NAME ANO ADDRESS, ENTER <br /> i o NUMBER OR, IF NO 1.1'1. NUMliER HAS BEEN ASSIGNE D, ENTER THE AM 0 U U T <br /> TREASURER'$ NAME ANOAOORESS) CODE OR DESCRIPTION OF PAYMENT PAID <br /> TOTAL* $ ~ <br /> <br /> eDo not trensfer to any other schedule or to the Summery Page. This total may not equal the amount paid to the agent or <br /> independent contractor as reported on Schedule E by the candidate. <br /> <br /> <br />