Professional Documents
Culture Documents
Note : Debts previous reported that remain unpaid must be included on Check this box if
amending form
this Schedule, as well as any new obligations incurred in this period.
BALANCE OWED
DATE INCURRED NAME AND ADDRESS TO PERSON TO DESCRIPTION OF GOODS OR AT CLOSE OF
(MM/DD/YR) WHOM DEBT OR OBLICATION IS OWED SERVICES PROVIDED OR PURCHASED REPORTING
PERIOD'
11 .04.05 Execl Aviation Airfare - in-state (candidate & staff) - $2,000 .00
3700 Convenience Blvd . announce candidacy for governor (estimate)
Anken , IA 50021
11 .15.05 Iowa Events Center Reception - rental, food & beverage $127 .57
730 Third Street
Des Moines, IA 50309
Page ) of q
(for Schedule D)
SCHEDULE
COMMITTEE NAME (Must be same as on Statement of Organization) D Incurred
Chet Culver Committee (Rev. 08198) Indebtedness
Note : Debts previous reported that remain unpaid must be included on Check this box if
this Schedule, as well as any new obligations incurred in this period . amending form
DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD An 'incurred debt" is a debt for goods or
services ordered or received, but not paid for
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) by the end of the reporting period, regardless
of whether an invoice has been received .
BALANCE OWED
DATE INCURRED NAME AND ADDRESS TO PERSON TO DESCRIPTION OF GOODS OR AT CLOSE OF
(MWDDIYR) WHOM DEBT OR OBLIGATION IS OWED SERVICES PROVIDED OR PURCHASED REPORTING
PERIOD'
12.01 .05 Carissa Swanstrom $33.90 - Postage; $27.00 - Office Supplies $60.90
650 -16th Street #209
Des Moines, IA 50314
Page A of q
(for Schedule D)
SCHEDULE
COMMITTEE NAME (Must be same as on Statement of Organization)
D Incurred
Chet Culver Committee (Rev. 08198) Indebtedness
Note: Debts previous reported that remain unpaid must be included on Check this box if
this Schedule, as well as any new obligations incurred in this period . amending form
DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD An "incurred debt" is a debt for goods or
services ordered or received, but not paid for
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F)
by the end of the reporting period, regardless
of whether an invoice has been received .
BALANCE OWED
DATE INCURRED NAME AND ADDRESS TO PERSON TO DESCRIPTION OF GOODS OR AT CLOSE OF
(MM/DD/YR) WHOM DEBT OR OBLIGATION IS OWED SERVICES PROVIDED OR PURCHASED REPORTING
PERIOD'
SUB-TOTAL
Page of -A-
(for Schedule D)
SCHEDULE
COMMITTEE NAME (Must be same as on Statement of Organization)
Incurred
Chet Culver Committee (Rev. 08198) Indebtedness
Note: Debts previous reported that remain unpaid must be included on Check this box if
this Schedule, as well as any new obligations incurred in this period. amending form
DEBTS/OBLIGATIONS REMAINING THIS REPORTING PERIOD An "incurred debt" is a debt for goods or
services ordered or received, but not paid for
(DO NOT INCLUDE LOANS - SHOW LOANS ON SCHEDULE F) by the end of the reporting period, regardless
of whether an invoice has been received .
BALANCE OWED
DATE INCURRED NAME AND ADDRESS TO PERSON TO DESCRIPTION OF GOODS OR AT CLOSE OF
(MM/DD/YR) WHOM DEBT OR OBLICATION IS OWED SERVICES PROVIDED OR PURCHASED REPORTING
PERIOD*
12 .05 Chet Culver $308 .72 - Travel - mileage (908 mi @ $428 .72
1217 -16"' Street 34c/mi) - in-state ; $120 - home office
West Des Moines, IA 50265 hone Jul - Dec $20/mo
TOTAL DEBTS OWED BY COMMITTEE AT THE END OF THIS REPORTING PERIOD $I (-1,Hy961
Page - q - of q
(for Schedule D)