You are on page 1of 10

Date

R 'v
Date
Determined
15 APR 2009
00)-..... ,
, .\ "/
-c / r -. 1, \ ./"
CLAIM'-FOR ELECTION FUNDING
Electoral Act 1992
Must be lodged with the Commission by no later than 10 August 2009,
by post to GPO Box 1393 Brisbane 4001.
NOTE: This fonn must be for the total amount to be claimed
DETAILS OF PERSON MAKING CLAIM

Address for return of vouchers and cheque:
Business hours contacts: Phone.3...k'!.:Qf"'tt Fax ...................
DETAILS OF PARTY/CANDIDATE ON WHOSE BEHALF CLAIM IS MADE
DETAILS OF CLAIM
Amount of election funding claimed: $ .......

Number of vouchers provided .. ........... ..... numbered ........ to...............


SIGNATURE OF PERSON MAKING CLAIM (Must be registered agent in the case of a
claim on behalf of a P1
cal

..............................................
QFD082009
QUEENSlAND
I
TAX INVOICE
0052
Moped City Pty Ltd
103 Femy Ave
ABN 60 083 :lS3 007
Surfers Paradise 4217 Old
Ph/Fax: 5592 5878
Hire Agreement
Hotel: ........................................................ Room No: ................................. .
RIDER'S NOTE: Any damage to scooter or sny 3rd party proparty Is the sale responsibility of the Hlr.r. The Scooter Is un-Insured except tor
3rd Psrty Personal Llabllhy (compulsory). Any and an nn.. Incurred are the sale responsibility of the hirer.
HIRER 2
Name ..............................................................................................................
Address /2. ... Address: ...............................................................................................
.....
Q. 4207. /1<=-J
Slale: .... .................................P/C ........................Country.............................. Slale ................................. ....PiC ........................Country: ...........................
Licence No ..... Exp ...... ?:C!(J ...... . licence No: ....... .. .................................Exp: ..................................
/7/0;-6 . Og>'1/)/V'
O.O.B................................................ Rego No............................................................ O.O.B...... ........................Rego No: .........................................................
Change of Rego No: .........................................................Time: ................................. Change of Rego No: ........................................................Time: ...................
Time In: ............................................... j'u.,.............................................................. . Time In: .................................................'Oale: ....................................................
Signature: ...............:L*t!'f='...:"' ... ,,::=::;;;:?'""'.... j' ............................. ..
Signature: ..................................................................................................................
Mobile: .. .. """...... , ...::c......l .. ... :: ... ''''... ......'"""'=....f ................. ..........
Name ........... .. .............................................................. ..
10 lhe lenns & condilions sel oul below and on reve"" side.
Address: ............. .. ............ .-".. ........i.'';'''''.. ""u"."................................................................................................................... 1
Sial.: ................................... ..PIC.. .. ..............Country: .....:.,........../,... .. Sial.: ................................ ..... P/C .................Country: ...........
Licence No: .. ........ ............................... ....Exp: .. licence No: .. ....Exp: .......................................... .
O.O.B.......... . .. .................Rego No: ......... o.o.B.. .. ...........Rego 1'10: .......................................................... I
Chang. of Rego No: ............ .. ......................Time: .................... Change of Rego No: ... .. ................................T1me: ..
TIme In', .................................................Date: ............. " .. ,,, ..........,........ Time In: ............. .... ......... .............Oale: ..................
Signature: . Signature: ....................................
Mobile: ....................... Mobile: .................................. ................................................................ I
I agree 10 the lenns &conditions sel oul below and on reve",. side. I agree to Ihe lanns &conditions sel oul b.,ow and on re..... side.
I agree 10 rent the vehicle shown herein and have inspec\ed Ihe vehiCle and noted that the vehicle is free from damage. I am the holder of a ament and valid car licence andlor motorcycle licence
suited 10 the vehide hired. I certify that the above information is true and and that I am authorised to make this application for credit. In accordance with !he Privacy Ad. (1988) I authorise any
person or company 10 give infonnation as may be required in response 10 credillnquiries. I heve read and undenltand the GENERAL TERMS AND CONDITIONS OF HIRE (attached) of Moped City
Ply Ltd which fonn part of, and are intended to be read in conjunction with this Scooter Hire Agreement and agree to be bound by these conditions- by my Signature above.
CHARGES
Dale Out:/??...t?...-1..c?...7................
Cash Deposita $
Credit Card Deposits $ ... " ................ "".."
Date In: ...!..Z...(2,.j..r?,?........... Authorisation No:
Hire Amount Cash $ .. "."........"".. "".. ..
Time Out: .....""""";::.,.I?a..""."..,,
Hire Amount ClCard $ ........ " ................ ".
Other Chsrges
GST10%
Time In: .. " ........... ..,:......... $ ..""""....""... ,, .. ,, ..
$ .. " .... """....".",,... /
Locks Supplied ....... " ...... ""........."".,,""
TOTAL CHARGES

RIDER'S NOTE: In groupo of 2 or more, depoel," are combined .. 1 .Inglo depoe", refundable only when all _Ie,.. are returned and no damage 18 apparent
- -- _..
t0l1 f64.-rJc(l-(
(1.. /J'1;VNA- W<J ;5'e:. -(etC

w , .J DP1120r0 '-f 'Z-D '1
Of -3 g l') S<k-'f
I Hrll[;;f)
.
-(HE fLi?,?:::,

,
wn/fov'{
10 v
call our friendly team
({) 1300 301 321
TAX INVOICE #16897
ABN 18613723136
Reference: 20685
Invoice Date: 6/03/2009
Due Date: 6/03/2009
GEOFF FLANNERY
12 ANNA LOUISE TERRACE
WINDAROO QLD 4207
ALL PRICES INCLUDE GST 0
co
::2'
'"
""
DL FLYERS - 10000 - SINGLE SIDED - FULL COLOUR - 150GSM GLOS 369.00 en'
M
'"
x
ARTWORK AND PRE-PRESS 44.00
o
'"
o
0
CUSTOMER PICKUP FROM STORE 0.00
~
PRIORITY PICK UP 3PM 33.00
Q.
o
'"
V">
""
CI
V">
M
o
""
00
'"
'"
'"
o
J! "
"
E
Total Including GST $446.00
.,;
o
EFT Details
u
"E
The Commonwealth Bank
Please pay on invoice as no statement is issued u
'"
BSB - 064193 Acc # -1007 6441 en
en
@J
.2
.S
-"
~
~ ' 1 ~ < : = print with the big/birds
Invoice Date: 6/03/2009
Due Date: 6/03/2009
GEOFF FLANNERY
12 ANNA LOUISE TERRACE
WINDAROO OLD 4207
call our friendly team
({) 1300 301 321
TAX INVOICE #16898
ABN 18613723136
Reference: 20688
o
'"
en
..
c:J
=
I
ALL PRICES INCLUDE GST 0
co
""
::;: '"
DL FLYERS - 10000 - SINGLE SIDED - FULL COLOUR - 130GSM GLOS 369.00
",'
N
.-<
ARTWORK AND PRE-PRESS 33.00
o
x
'"
o
"
CUSTOMER PICKUP FROM STORE WEDENSDAY - 11TH MARCH 0.00
~
c.
m
o
en
..
c:J
en
.-<
o
..
en
00
N
m
r
.;
o
Total Including GST $402.00
EFT Details
The Commonwealth Bank
Please pay on Invoice as no statement is issued
BSB - 064193 Ace # - 1007 6441


TAX INVOICE Bill enquiries 132200
Telstra Corporation limited
Issued 08 Mar 09
ABN 33 051 775 556
Bilting period to 04 Mar09
Your account number 2000065850024
Your biU number 0110955071
. Your Bill
MR G P FLANNERY
12 ANNA LOUISE TCE
WINDAROO QLD 4207
Your Account Summary
Visit telstra.com/myaccount to view your bilL details
Amount on your Last bill $221.77
Amount you paid (a, at 2' Feb 09) $221.77cr
., Your New Charges
$240
S200
$160
S120
'80
Total due
...
GST included in New charges $20.7)
'0
Jan Feb Mar
2009 2009 2009
Paying Your Bill
T.Istra EClSyPay
Automatic - The amount of your bill is deducted from
your cheque or savings occount or credit cord on the
due date.
Fixed Payments - Make payments before your bill is
due. Automotically poy a fixed amount on 0
fortnightLy or monthLy basis.
By Phone/Internet - Lets you poy your bill when you
choose from your cheque or sovings account.
To register or pay coil 1300369666 orvisit
telstra.cam/paymyblll
A payment procening fee applies, reflecting bank fees charged
ro Telstra for card payments. This is currently for Visa,
Mastercard and American Express and 1.68111) for Diners,
plus applicable GST. Exemptions ma!j appl!j.
I: I,.----------., BPAY - Make this payment via internet or phone
I!.I Biller Code: 23796 banking from your cheque or savings account.
PAY Ret. 2000 06585 0024 BPAY View Receive, view and pay this bill using
internet bonking. Registration No: 2000065850024
POSTblllpay - Pay in person at any Post Office by cash, cheque or
from your cheque or sovings account.
Post - Post this payment slip with your cheque made payable to
Telstra, in the re-usobLe envelope provided to GPO Box 9901,
Melbourne VIC 3001.
Telstra Shop
Pay in person by cash, cheque orcredit cord." Present this payment
slip at any Telstra Shop .
Credit Card by Phone/Internet CaU 1300 J69 666 or visit
telstra.com/paymyblll
New Charges Breakdown COlltUlued
Your account number
Issued
2000 06585 0024
08 Mar09
. '6'.
MolJIte 0438131618
Tel&a Mobile Member Plan.$1O
05 Feb to 04 Mar Price 5
MEMBERS10.00-05 Marta 04 Apr $10.000
Mobile Originated SMS $0.250
Notional Direct Dialled CaLis $14.973
Extras
CaUs Forwarded to MessageBank $O.OOQ
Mabile MessageBank
,
$0.300
.- .... - - - - ~ - - .. -.
Total 525.52]
Price includes any eligible mobile Bonus Option you have chosen.
,'i
Telephone- 07 3804 0544
HomeLlne Plus
05 Feb to 04 Mar Price $
Homeline- Plus - 05 Mar to 04 Apr
Calls to 13 Numbers
Calls to Non-Telstra Mobiles
Cotls to Telstra Mobiles
locol Calls
5TD Calls
Extras
Recurring Charges - 05 Mar to 04 Apr ~ . -
Total
B/gPond - gflan56@bigpond.com
OS Feb to 04 Mar
$29.950
SO.900
$1.150
$10.155
$0.000
$7.736
$12.000
$61.891
Price $
Recurring Charges ~ 05 Mar to 04 Apr $89.950
Total 589.950
Account Charges
as Feb to 04 Mar Price $
Other Charges & Credits $1.683
Total $1.68]
.. Registered trade mark in Australia afTelstra Corparation Limited
... Trade mark in Australia ofTelstra Corporation Limited
FOXTEL is a trade mork of Twentieth Century Fox Film Corporotion used under license
Telstra respects and tokes your prrvocy seriously. If you would like a capy of our privacy statement please contact us on 13 22 00 or visit telstra.com.au/pnvacy

Celsfra
TAX INVOICE Bill enquiries 132200
Telstro Corporation Umtted
Issued 08 Apr 09
ABN 33 051 77S 556
Billing period to 04Apr09
Your account number 2000 06585 0024
Your bill number 0124188112
Your Bill
MR G P FLANNERY
12 ANNA LOUISE TCE
WINDAROO OLD 4207
" Your Account Summary
Visit telstra.com/myaccount to view your bill details
Amount on your last bill . $228.05
Amount you paid (as at 22 Mar 09)

Your New Charges

Your balance \ \"".'- ",,""., /' $0.00
". '.\-j. '-' :'\'.\),
New charges 'Y .. $295.92
-
(See over for breakdown)

Total due $295.92
GST included in New charges $26.90
Feb Mar Apr
2009 2009 2009
. Paying Your BiLL
Telstra EasyPay I:;,I ,-------,BPAY - Moke this payment via internet or phone
Automatic - The amount of your biU is deducted from I!I Biller Code: 23796 banking from your cheque or savings occount.
your cheque or sovings occount or credit card" on the PAY Ref: 2000 06585 0024 BPAYView - Receive, view and pay this bill using
due date. internet banking. Registration No: 2000065850024
Fixed Payments - Moke payments before your bill is
POSTblllpay - Pay in person at any Post Office by cash, cheque or
due. Automatically pay a fixed amount on a
from yaur cheque or sovings oCCount.
fortnightly or monthly bosis.
Post - Past this payment slip with your cheque made payable to
By Phone/Internet -lets you pay your biU when you
Telstro, in the re-usable envelope pravided toGPO Box 9901,
choase from yaur cheque or savings account.
Melbourne VIC 300l.
To register or pay call 1300 369 666 or visit
telstra.com/paymybill Telstra Shop
Pay in person by cash, cheque or credit card! Present this poyment
* A payment processing fee applies, reflecting bank. fees charged
slip at any Telstra Shop.
to Telstro for card payments. This is currentlyO.69!11; for Visa,
Credit Carer by Phone/Internet CaU 1300369 666 or visit
f./fasrercard and American EKpress and 1.6B!II; for Dinel!i,
telstra.com/paymyblU
plus applicable GST. Exemptions malJ appllJ.
Page 3:Jf 3
New Charges Breakdown (Ollt"lUe(1
Your account number
Issued
2000 06585 0024
08 Apr 09
,
,
Mobile - 0438131618
Telstra Mobile Member Pial. $10
05 Marta 04Apr Price S
MEMBER 05 Aprto 04 May $10.000
Co tis to Sensis $1.243
National Direct Dialled Calls $59.949
Extras
Calls Forwarded to MessageBank $0.000
Mobile MessageBonk

Total $84.092
.. -- ... ------ ....\-....--------------.-------
Price includes any eligible mobile Bonus Option you have chosen.
,
Telephone - 07 38040544
HomeLine'" Plus
05 Mar to 04 Apr Price $
HomeUne Plus - 05 Apr to 04 May $29.950
Calls to 13 Numbers $0.600
Calls to Nan-Telstra Mobiles $5.-465
Calls to Telstra Mobiles $-4.260
Local Calls $0.000
STD Calls $18_876
Extras
Recurring Charges - 05 Apr to 04 May

t..2.000
Total $71.151
----.------y.
BigPond - gflan56@bigpond.com
05 Marta 04Apr Price S
Recurring Charges - 05 Apr to 04 May $89.950
Total $89.950
Account Charges
05 Mar to 04Apr Price $
Other Charges & Credits $1.731
Total $1.731
ill Registered trade mark in Australia of Telstra Corporation l'lmited
"" Trade mark in Australia ofTelstra Corporation Limited
FQXTEl is a trode marie of Twentieth Century Fox Film Corporation used under license

You might also like