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PC 2 <br /> Cash Contributions, Loans Received and n-Kind Re, ,:0, <br /> <br />Candidate or Political Committee Name: Committee [D Number: <br />Nancy Nathanson for Mayor Page 3 of 18 <br /> <br />Election: [] Primary 2004 [] General 200_A4 [] Other <br />Report: [] I st Pre~elecUon [] 2nd Pre-election [] Post-election [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFJ[NITIONS; <br /> <br /> CODE l: 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 Individaal LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Ktnd Purpose <br /> Line # Name and Address of Contributor <br /> Contnbutton (see manua! for suggested purpose codes) <br /> <br /> Date Received Occupational Information, Contributing Contrtbutor Code 1 Code 2 <br /> Committee's ID~, or Description if Code ~ ts "0' Aggregate <br /> <br /> Mallard Properties <br /> <br /> I $ 250.00 <br /> <br /> 5/10/04 $ 250 00 B CA <br /> <br /> Anslow & DeGeneau~t, [nc <br /> 2 $ 250.00 <br /> <br /> 5/10/04 $ 250 00 B CA <br /> <br /> Jerry's Home improvement Center <br /> 3. $ 500.0O <br /> <br /> 5/10/04 $ 500 00 B CA <br /> <br /> Overhead Door Co of Eugene <br /> $ 100.00 <br /> <br /> 5/10/04 $ 100.00 B CA <br /> <br /> Hult & Assoc LLC <br /> <br /> 5 $ 1000 00 <br /> <br /> 5/12/04 $ 1000 00 B CA <br /> <br /> See Page Totals (Add a~l amounts with the same Accounting Period Totals (Complete on]3' for last page arid <br /> contribution type. Do not include aggregates.) transfer these amounts to the Smnmary Statement, PC 1.) <br /> instructions <br /> on Back and Cash (CA) $ 2100 00 Cash (CA) $ __ <br /> ill Calnpai~n Emer on Summary Stalement. Colman A Line l <br /> Finance lmKind (IKI $ __ in-Kind OK) $ __ <br /> l~a~lllaI Emer on Summary Stateme~t, Colamn &, Lines 4 ,md 9 <br /> <br /> Loans Received (LR) $ ~ Loans Received (LR~ $ ~ <br /> PC 2 Fnter tm Summary Statement Colmnn A, Line 2 <br /> <br /> <br />