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PC 4~ <br /> O her Receipts <br /> <br />Candidate or Political Committee Name: Committee ID Nmnber: <br />Nancy Nathanson for Mayor Page 1 of 1 <br /> <br />Election: [] Primary 2004 [] General 200__44 [] Other <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFLNIT~ONS <br /> <br />Other Receipt Transaction Type Cedes <br /> <br /> EL Exempt Loan Proceeds <br /> <br /> FM Items Sold at Fair Market Value <br /> <br /> IN Interest/Investment Income <br /> <br /> OM Miscellaneous (provide a descfption) <br /> <br /> RF Refunds, Rebates and Returns <br /> <br /> Date Name Other Receipt <br />Line # Received (required for codes EL, OM and RF; Transaction Type Other Rece(pt Amount <br /> optionel for codes FM and IN) Code <br /> <br /> 12/31103 Oregon Commumty Credit Union (OCCU) IN $ 0.30 <br /> <br /> 2. It31-3/31/04 OCCU IN $ 1.69 <br /> <br /> $ <br /> <br /> $ <br /> <br /> 5. $ <br /> <br /> $ <br /> <br /> 7. $ <br /> <br /> 8 $ <br /> <br /> 9. <br /> <br /> 10 $ <br /> <br /> See Page Totals (Add all OCher Receipt Transaction Accounting Period Totals (Complete onb for last page and <br /> <br /> Instraetions Type Codes specified,) transfer these amotmts to the Summary Statement, PC <br /> on Back and Codes FM, IN, OM~ RF $ ~ 9~ Codes FM, IN, OM, RF $ <br /> in Callllpaign Eater on <br /> <br /> Finance <br /> Maaaal Code EL $ 0.00 Code EL $ 0.00 <br /> Ente~ on Stttruma.~ Sta~-~ent. Coiurm~ A~ Line 14 <br /> <br /> PC 4A <br /> <br /> <br />