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9C 2 ~nendment <br /> Amendments-Cash Contributions, Loans Received and n-Kind Rev <br /> <br />Candidate or Political Committee Name: Committee iD Number: <br />Nancy Nathanson for Mayor Page 1 of 2 <br /> <br />Election: [] Primary 2004 [] General 20__ [] Other _ <br />Report: [] l st Pre-election [~ 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> <br />SEE BACK FOR IINSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACsl CO Cosigmer Obligation <br /> F Candidate's lrnmediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Commtttee <br /> Amending Page # Name and Address of Contributor Amount of In-~nd Purpose <br /> and Dne # Contribution (see manual for suggested purpose codes) <br /> Occupational <br /> Informat~on <br /> or <br /> Contributor <br /> Code ~ I Code 2 <br /> Date Received Contributing Commtttee :s ID# Aggregate <br /> <br /> Page ...... Line Ruby L. Brockett <br />BI Ne~ ~nvv 485 Spyglass Dr $ 100 00 <br />[:l Correcting <br />U] Deleting Eugene OR 97401 <br /> <br /> 4/22/04 Real estate sales manager $ 100 00 I CA <br /> <br />Page. Line Contnbubon $50 and under <br /> [] New Entry' $ 50 00 <br /> ~ Correcting <br /> ~ Deletmfl <br /> <br /> 4116104 $ 50 00 I CA <br /> <br /> Page ~ Line____ Peterson <br /> ~ NewEntry PO Box 2218 $ 1,000.00 <br /> [] Correctm9 <br /> [] Deleting San Leandro CA 94577 <br /> I <br /> <br /> 4/23~04 $ 1,000.00 B <br /> CA <br /> <br /> Page _ Line John W Ward <br /> ~l New Entq/ 689 Spyglass Dr. $ 250.00 <br /> El Correcting <br /> O Deleung Eugene OR 97401 <br /> <br /> 4/23/04 retired $ 250 00 ~ CA <br /> <br /> Page~ Line '> Heinz Sehg <br /> [] New Entry 28346 Bnggs Hill Rd. $ 100 00 <br /> [gl Correcting <br /> [] Deleting Eugene OR 97405 <br /> <br /> 4/8/04 Private investor $ 100 00 ~ CA <br /> <br /> See F~ ~l~fi ~ ~,NLY <br /> Instructions ?~; _~ ~ .,, ~.t.~tjL,~ ¥ <br /> <br /> in Carnpaign Signature of candidate or treasurer "-" <br /> Finance <br /> <br /> PC2 ' L ¥ <br /> Amendment Date signed <br /> <br /> <br />