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PC 8A <br /> Supplement to Second Pre/Post-Election - Contributions <br /> <br />Candidate or Political Committee Name: Committee 1D Number: <br />Nancy Nathanson for Mayor Page 1 of 2 <br /> <br />Election: [] Primary 200_~4 [] General 2004 [] Other __ <br />Report: [] 1 st Suppl. to the 2nd Pre-election [] 2nd Suppl. to the 2nd Pre-election [] Suppl. to Post-election <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFllNITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Committee {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 PC Pledge of Cash <br /> 0 Other Pi Pledge of In-Kind <br /> P Political Party Committee PL P~edge of Loan <br /> Line # Name and Address of Contnbutor Amount of Amount of Account Recetvable <br /> Contribution <br /> <br /> Date Received Occupational Information, Contnbut~ng Code 1 Code 2 ln-K~nd Purpose <br /> Committee's ID~, or Description if Code I ~s kO" (see manual for suggested purpose codes) <br /> <br /> Stephame M Conner <br /> 1~ 4040 Sunndge Dr. $ 1000 00 $ <br /> Eugene OR 97405 <br /> <br /> 5/5/04 hotel operator I CA <br /> <br /> Randall Pape <br /> 2. 3693 North Shasta Lp $ 1500 00 $ <br /> Eugene OR 97405 <br /> <br /> 5/4/04 equipment dealer ~ CA <br /> <br /> Vernon Egge <br /> 3 90520 Coburg Rd. $ 1000.00 $ <br /> Eugene OR 97408 <br /> <br /> 5/5/04 mmmg I CA <br /> <br /> Chambers Construction <br /> 4. 2295 Coburg Rd~ Suite 100 $ 1000.00 $ <br /> Eugene OR 97401 <br /> <br /> 5/7/04 B CA <br /> <br /> Oregomans for AffordaNe Housing <br /> 5 375 Taylor St. NE $ 2000 00 $ <br /> Salem OR 97303 <br /> <br /> 5/8/04 C CA <br /> <br /> See L Steve Robinson, (name of candidate or treasurer) hereby certit5 FOR OFFICE USE ONLY <br /> instructions that the above statement is true and correct. ,, , ,¢ ~ : <br /> on Back and <br /> <br /> Finance _,~. <br /> PC'xA Signature of candidate or ~easurer Date signed <br /> <br /> <br />