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PC 4A <br /> Other Receipts <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />Nancy Nathanson for Mayor Page 1 of <br /> <br />Election: [] Primary 200_A4 [] General 200~4 [] Other __ <br />Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFI[NITIONS <br /> <br />Other Receipt Transaction Type Codes <br /> <br /> EL Exempt Loan Proceeds <br /> <br /> FM Items Sold at Fair Market Value <br /> <br /> [N Interest/Investment Income <br /> <br /> OM Miscellaneous (provide a description) <br /> <br /> RF Refimds, Rebates and Returns <br /> <br /> Date Name Other Receipt <br />Line # Received (required for codes EL, OM and RF, Transachon Type Other Recmpt Amount <br /> optsona/for codes FM and IN) Code <br /> <br /> 1. 4/30/04 Oregon Commumty Credit Umon (OCCU) IN $ 2447 <br /> <br /> 4/2/04-5/2/04 Cash T-shirt sales at fair market value FM $ 115.00 <br /> <br /> $ <br /> <br /> 4. $ <br /> <br /> 5. $ <br /> <br /> 8. $ <br /> <br /> $ <br /> <br /> 9 $ <br /> <br /> 10 $ <br /> <br /> See Page Totals (Add all Other Receipt Transaction Accounting Period Totals/Complete only fbr Fast page and <br /> <br /> Instructions Type Codes specified. ~ transfer these amounts to the Summary Statement, PC 1. ~ <br /> <br /> on Back and Codes FM, IN, OM, RF $117 47 Codes FM, iN, OM, RF $117.47 <br /> in Campaign gm~ o~ Summary Stalemem Colunm A. Line 13 <br /> <br /> Finance <br /> Manual Code EL $ 0,00 Code EL $ 0 00 <br /> Enter ot~ Sarmnary Sta;erncnt, Cdmm~ A. Line I4 <br /> <br /> PC 4A <br /> <br /> <br />