Schedule H4 for Report FEC-888767

SCHEDULE H4

DISBURSEMENT FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY

FILING FEC-888767

Committee: MISSOURI REPUBLICAN STATE COMMITTEE-FEDERAL

Payee: J. Matthew Wills

310 Royallsprings Parkway
O Fallon, MO 63368

Purpose of Disbursement: Travel
Date of Event = 08/01/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        212.46
Federal share      =         31.87
Non-Federal share  =        180.59
Event Year-To-Date =     137303.33

Payee: Mason Enterprises

21 N Meramec Ave.
Clayton, MO 63105

Purpose of Disbursement: Compliance
Date of Event = 08/01/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       2500.00
Federal share      =        375.00
Non-Federal share  =       2125.00
Event Year-To-Date =     133590.87

Payee: Mason Enterprises

21 N Meramec Ave.
Clayton, MO 63105

Purpose of Disbursement: Rent
Date of Event = 08/01/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        500.00
Federal share      =         75.00
Non-Federal share  =        425.00
Event Year-To-Date =     134090.87

Payee: Mason Enterprises

21 N Meramec Ave.
Clayton, MO 63105

Purpose of Disbursement: Travel
Date of Event = 08/01/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        500.00
Federal share      =         75.00
Non-Federal share  =        425.00
Event Year-To-Date =     134590.87

Payee: Mason Enterprises

21 N Meramec Ave.
Clayton, MO 63105

Purpose of Disbursement: Accounting Services
Date of Event = 08/01/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        500.00
Federal share      =         75.00
Non-Federal share  =        425.00
Event Year-To-Date =     135090.87

Payee: KJ Chen and Company

2208 MO Blvd.
Jefferson City, MO 65109

Purpose of Disbursement: Rent
Date of Event = 08/01/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       2000.00
Federal share      =        300.00
Non-Federal share  =       1700.00
Event Year-To-Date =     137090.87

Payee: Allied Waste Services

PO Box 9001099
Louisville, KY 40290

Purpose of Disbursement: Trash Services
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         54.59
Federal share      =          8.19
Non-Federal share  =         46.40
Event Year-To-Date =     138070.97

Payee: AmerenUE

P.O. Box 66892
Saint Louis, MO 63166

Purpose of Disbursement: Utilities
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        329.35
Federal share      =         49.40
Non-Federal share  =        279.95
Event Year-To-Date =     137632.68

Payee: Engraphix

132 Hanley Industrial Ct
Saint Louis, MO 631441506

Purpose of Disbursement: Engraving
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        271.06
Federal share      =         40.66
Non-Federal share  =        230.40
Event Year-To-Date =     137903.74

Payee: Husch Blackwell Sanders LLP

Monroe House
235 E. High St., Ste. 300
Jefferson City, MO 65101

Purpose of Disbursement: Legal Fees
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         16.00
Federal share      =          2.40
Non-Federal share  =         13.60
Event Year-To-Date =     138016.38

Payee: Jefferson City Utilities

PO Box 1278
Jefferson City, MO 65102

Purpose of Disbursement: Sewer
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         13.26
Federal share      =          1.99
Non-Federal share  =         11.27
Event Year-To-Date =     138657.14

Payee: Jeremy Cady

PO Box 1634
Jefferson City, MO 651021634

Purpose of Disbursement: Travel
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        572.91
Federal share      =         85.94
Non-Federal share  =        486.97
Event Year-To-Date =     138643.88

Payee: Sprint

Po Box 219114
Kansas City, MO 64121

Purpose of Disbursement: Telephone Service
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         40.52
Federal share      =          6.08
Non-Federal share  =         34.44
Event Year-To-Date =     138000.38

Payee: United Parcel Service

P.O. Box 505820
Las Vegas, NV 88905

Purpose of Disbursement: Shipping Charges
Date of Event = 08/07/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         56.12
Federal share      =          8.42
Non-Federal share  =         47.70
Event Year-To-Date =     137959.86

Payee: Automatic Data Processing

12200 Weber Hill Rd
Sappington, MO 63127

Purpose of Disbursement: Payroll Service
Date of Event = 08/09/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         66.25
Federal share      =          9.94
Non-Federal share  =         56.31
Event Year-To-Date =     138723.39

Payee: J. Matthew Wills

310 Royallsprings Parkway
O Fallon, MO 63368

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1937.23
Federal share      =        290.58
Non-Federal share  =       1646.65
Event Year-To-Date =     155654.95

Payee: Mitch Hallbrook

712 Finch Ct.
Chesterfield, MO 63017

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1078.12
Federal share      =        161.72
Non-Federal share  =        916.40
Event Year-To-Date =     152609.36

Payee: Steven Michael

1539 Appleway Court
Ellisville, MO 63021

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1891.62
Federal share      =        283.74
Non-Federal share  =       1607.88
Event Year-To-Date =     151531.24

Payee: Alyssa Bruemmer

200 Tomahawk Rd.
Jefferson Cty, MO 651014461

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1181.07
Federal share      =        177.16
Non-Federal share  =       1003.91
Event Year-To-Date =     148042.70

Payee: Jeremy Cady

PO Box 1634
Jefferson City, MO 651021634

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1596.92
Federal share      =        239.54
Non-Federal share  =       1357.38
Event Year-To-Date =     149639.62

Payee: Shane Schoeller

503 Chandler Dr
Willard, MO 657818190

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       2918.67
Federal share      =        437.80
Non-Federal share  =       2480.87
Event Year-To-Date =     146861.63

Payee: Molly White

810 Wildwood Dr., Apt. 100
Jefferson City, MO 65109

Purpose of Disbursement: Payroll
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1108.36
Federal share      =        166.25
Non-Federal share  =        942.11
Event Year-To-Date =     153717.72

Payee: United States Treasury

Unknown
Austin, TX 78730

Purpose of Disbursement: Payroll Tax
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       4590.57
Federal share      =        688.59
Non-Federal share  =       3901.98
Event Year-To-Date =     143942.96

Payee: Missouri Department Of Revenue

P.O. Box 999
Jefferson City, MO 65108

Purpose of Disbursement: Payroll Taxes
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        629.00
Federal share      =         94.35
Non-Federal share  =        534.65
Event Year-To-Date =     139352.39

Payee: Automatic Data Processing

12200 Weber Hill Rd
Sappington, MO 63127

Purpose of Disbursement: Payroll Service
Date of Event = 08/23/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =         66.25
Federal share      =          9.94
Non-Federal share  =         56.31
Event Year-To-Date =     157471.20

Payee: J. Matthew Wills

310 Royallsprings Parkway
O Fallon, MO 63368

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1937.24
Federal share      =        290.59
Non-Federal share  =       1646.65
Event Year-To-Date =     174340.17

Payee: Mitch Hallbrook

712 Finch Ct.
Chesterfield, MO 63017

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1078.13
Federal share      =        161.72
Non-Federal share  =        916.41
Event Year-To-Date =     171294.58

Payee: Steven Michael

1539 Appleway Court
Ellisville, MO 63021

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1891.61
Federal share      =        283.74
Non-Federal share  =       1607.87
Event Year-To-Date =     170216.45

Payee: Alyssa Bruemmer

200 Tomahawk Rd.
Jefferson Cty, MO 651014461

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1136.27
Federal share      =        170.44
Non-Federal share  =        965.83
Event Year-To-Date =     166727.90

Payee: Jeremy Cady

PO Box 1634
Jefferson City, MO 651021634

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1596.94
Federal share      =        239.54
Non-Federal share  =       1357.40
Event Year-To-Date =     168324.84

Payee: Shane Schoeller

503 Chandler Dr
Willard, MO 657818190

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       2918.67
Federal share      =        437.80
Non-Federal share  =       2480.87
Event Year-To-Date =     165591.63

Payee: Molly White

810 Wildwood Dr., Apt. 100
Jefferson City, MO 65109

Purpose of Disbursement: Payroll
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1108.35
Federal share      =        166.25
Non-Federal share  =        942.10
Event Year-To-Date =     172402.93

Payee: United States Treasury

Unknown
Austin, TX 78730

Purpose of Disbursement: Payroll Tax
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       4575.76
Federal share      =        686.36
Non-Federal share  =       3889.40
Event Year-To-Date =     162672.96

Payee: Missouri Department Of Revenue

P.O. Box 999
Jefferson City, MO 65108

Purpose of Disbursement: Payroll Taxes
Date of Event = 08/31/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =        626.00
Federal share      =         93.90
Non-Federal share  =        532.10
Event Year-To-Date =     158097.20

Payee: Exemplar, LLC

815 S. Park Drive
Raymore, MO 64083

Purpose of Disbursement: Grassroots Consulting
Date of Event = 08/15/2013

Allocated Activity or Event:

Activity is Administrative - Only

Activity is Generic Voter Drive - Only

Activity is Direct Fundraising

Activity is Exempt Activity

Activity is Direct Candidate Support

Activity is Public Communications Referring Only to Party {Made by PAC}


Amount Disbursed   =       1750.00
Federal share      =        262.50
Non-Federal share  =       1487.50
Event Year-To-Date =     157404.95

Total Disbursements This Period = 43249.30

Generated Fri Apr 19 10:40:33 2024

SCHEDULE H4

DISBURSEMENT FOR ALLOCATEDFEDERAL/NONFEDERAL ACTIVITY

FILING FEC-888767

Committee: MISSOURI REPUBLICAN STATE COMMITTEE-FEDERAL

Payee: J. Matthew Wills

Allocated Activity or Event:

Amount Disbursed = 212.46 Federal share = 31.87 Non-Federal share = 180.59 Event Year-To-Date = 137303.33

Payee: Mason Enterprises

Allocated Activity or Event:

Amount Disbursed = 2500.00 Federal share = 375.00 Non-Federal share = 2125.00 Event Year-To-Date = 133590.87

Payee: Mason Enterprises

Allocated Activity or Event:

Amount Disbursed = 500.00 Federal share = 75.00 Non-Federal share = 425.00 Event Year-To-Date = 134090.87

Payee: Mason Enterprises

Allocated Activity or Event:

Amount Disbursed = 500.00 Federal share = 75.00 Non-Federal share = 425.00 Event Year-To-Date = 134590.87

Payee: Mason Enterprises

Allocated Activity or Event:

Amount Disbursed = 500.00 Federal share = 75.00 Non-Federal share = 425.00 Event Year-To-Date = 135090.87

Payee: KJ Chen and Company

Allocated Activity or Event:

Amount Disbursed = 2000.00 Federal share = 300.00 Non-Federal share = 1700.00 Event Year-To-Date = 137090.87

Payee: Allied Waste Services

Allocated Activity or Event:

Amount Disbursed = 54.59 Federal share = 8.19 Non-Federal share = 46.40 Event Year-To-Date = 138070.97

Payee: AmerenUE

Allocated Activity or Event:

Amount Disbursed = 329.35 Federal share = 49.40 Non-Federal share = 279.95 Event Year-To-Date = 137632.68

Payee: Engraphix

Allocated Activity or Event:

Amount Disbursed = 271.06 Federal share = 40.66 Non-Federal share = 230.40 Event Year-To-Date = 137903.74

Payee: Husch Blackwell Sanders LLP

Allocated Activity or Event:

Amount Disbursed = 16.00 Federal share = 2.40 Non-Federal share = 13.60 Event Year-To-Date = 138016.38

Payee: Jefferson City Utilities

Allocated Activity or Event:

Amount Disbursed = 13.26 Federal share = 1.99 Non-Federal share = 11.27 Event Year-To-Date = 138657.14

Payee: Jeremy Cady

Allocated Activity or Event:

Amount Disbursed = 572.91 Federal share = 85.94 Non-Federal share = 486.97 Event Year-To-Date = 138643.88

Payee: Sprint

Allocated Activity or Event:

Amount Disbursed = 40.52 Federal share = 6.08 Non-Federal share = 34.44 Event Year-To-Date = 138000.38

Payee: United Parcel Service

Allocated Activity or Event:

Amount Disbursed = 56.12 Federal share = 8.42 Non-Federal share = 47.70 Event Year-To-Date = 137959.86

Payee: Automatic Data Processing

Allocated Activity or Event:

Amount Disbursed = 66.25 Federal share = 9.94 Non-Federal share = 56.31 Event Year-To-Date = 138723.39

Payee: J. Matthew Wills

Allocated Activity or Event:

Amount Disbursed = 1937.23 Federal share = 290.58 Non-Federal share = 1646.65 Event Year-To-Date = 155654.95

Payee: Mitch Hallbrook

Allocated Activity or Event:

Amount Disbursed = 1078.12 Federal share = 161.72 Non-Federal share = 916.40 Event Year-To-Date = 152609.36

Payee: Steven Michael

Allocated Activity or Event:

Amount Disbursed = 1891.62 Federal share = 283.74 Non-Federal share = 1607.88 Event Year-To-Date = 151531.24

Payee: Alyssa Bruemmer

Allocated Activity or Event:

Amount Disbursed = 1181.07 Federal share = 177.16 Non-Federal share = 1003.91 Event Year-To-Date = 148042.70

Payee: Jeremy Cady

Allocated Activity or Event:

Amount Disbursed = 1596.92 Federal share = 239.54 Non-Federal share = 1357.38 Event Year-To-Date = 149639.62

Payee: Shane Schoeller

Allocated Activity or Event:

Amount Disbursed = 2918.67 Federal share = 437.80 Non-Federal share = 2480.87 Event Year-To-Date = 146861.63

Payee: Molly White

Allocated Activity or Event:

Amount Disbursed = 1108.36 Federal share = 166.25 Non-Federal share = 942.11 Event Year-To-Date = 153717.72

Payee: United States Treasury

Allocated Activity or Event:

Amount Disbursed = 4590.57 Federal share = 688.59 Non-Federal share = 3901.98 Event Year-To-Date = 143942.96

Payee: Missouri Department Of Revenue

Allocated Activity or Event:

Amount Disbursed = 629.00 Federal share = 94.35 Non-Federal share = 534.65 Event Year-To-Date = 139352.39

Payee: Automatic Data Processing

Allocated Activity or Event:

Amount Disbursed = 66.25 Federal share = 9.94 Non-Federal share = 56.31 Event Year-To-Date = 157471.20

Payee: J. Matthew Wills

DISBURSEMENT FOR ALLOCATED
FEDERAL/NONFEDERAL ACTIVITY