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PC 4A <br /> Other Receipts Re, ,: <br /> <br />Candidate or Political Committee Name: Committee tD Number: <br />Nancy Nathanson for Mayor Page I_of1 <br /> <br />Election: [] Primary 200__&4 [] General 2004 [] Other__ <br />Report: [] 1st Pre-elect~on [] 2nd Pre-election [] Post-election [] September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Other Receipt Transaction Type Codes <br /> <br /> EL Exempt Loan Proceeds <br /> <br /> FM items Sold at Fair Market Value <br /> <br /> iN lnterest/[nvestment Income <br /> <br /> OM Miscellaneous (provide a description) <br /> <br /> RF Refunds. Rebates and Returns <br /> <br /> Date Name Other Recect <br />Line # Received (requtred for cedes EL, OM and RF; Transaction Type Other Receipt Amount <br /> optional for codes FM and IN) Code <br /> <br /> 1. 5/31/04 Oregon Community Credit Union (OCCU) IN $ 1.65 <br /> <br /> 2. $ <br /> <br /> $ <br /> <br /> 4. $ <br /> <br /> 5 $ <br /> <br /> $ <br /> <br /> $ <br /> <br /> $ <br /> <br /> 9. <br /> <br /> 10 $ <br /> <br /> See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only fbr last page and <br /> instructions Type Codes specified. <br /> <br /> on Back and Codes FM, IN, OM, RF $1 65 Codes FM, iN, OM, RF $ I 65 <br /> ~n Can,tp~i~n E~tcr or~ S~m'anary Statement. Colurm~ A. Emu [ 3 <br /> <br /> Finanee <br /> Mamm~ Code EL $ 0 00 Codu EL $ <br /> Eater on Smnmar> btatement, Coimnn A, Emc 14 <br /> <br /> PC 4A <br /> <br /> <br />