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PC 2 Amendment <br /> Amendments-Cash Contributions, Loans Received and n-Kind '-'°' <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />Nancy Nathanson for Mayor Page 4 of 5 <br /> <br />Election: [5~ Primary 200_j4 [] General 20i [] Other __ <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental <br />SEE BACK FOR iNSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Conn-nittee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br />Amending Page # Amount of In-Kind Purpose <br />and Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br />Date Recewed Occupa#onal Information or Contributor <br /> Code I Code 2 <br /> Contributing Commlttee% ID# Aggregate <br />Page ~J Line ! Hem7 Company <br />[] New Entry PO BOX 2592 $ 100.00 <br />[] Correct~ng <br />[] Deleting Eugene OR 97402 <br /> <br /> 5/12/04 $ 100 00 B CA <br /> <br />Page "~' Line ,'L Nough-Tibbltts, Inc <br />[] New Entry 111 West 7th Ave Suite 320 $ 100.00 <br />[] Correcting <br />BI Deleting Eugene OR 97401 <br /> <br /> 5/13/04 $ 100 00 B CA <br /> <br />Page. ,LC Line _ Gale Roberts Co. <br />[] New Entry 338 W 11th St. $ 200 00 <br />[] Correcting <br />[] Deleting Eugene OR 97401 <br /> <br /> 5/13/04 $ 200.00 B CA <br /> <br />Page "¢ Line '¢ Olsson Industrial Electric <br />[] NewEntry PO BOX 70413 $ 500 00 <br />[] Correcting <br />[] Deleting Eugene OR 97401 <br /> <br />5/16/04 $ 500 00 B CA <br />Page. ~ Line ~'¢ Rexius Forest Byproducts, Inc. <br />[] New Entry 1275 Bailey Hdl Rd $ 500 00 <br />[] Correcting <br />[] Deleting Eugene OR 97402 <br /> <br /> 5/16/04 $ 500 00 B CA <br /> <br /> See FOR OFFICE USE ONLY <br /> Instructions .: --~ <br /> on Back and ~,/7', , ~( _,~ ,7, _ , · <br /> in Campaign <br /> Finance ~Signature of candidate or treasurer <br /> Manual <br /> <br /> PC 2 / ~ <br /> Amendment Date signed <br /> <br /> <br />