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PC 2 Amenchnent <br /> Amendments-Cash Contributions, Loans Received and in-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Nancy Nathanson for Mayor Page 5of5 <br /> <br />Election: [] Primary 2004 [] General 20__ [] Other __ <br />Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [-~ 20__ September Supplemm~tal <br /> <br />SEE BACK FOR INSTRUCTIONS 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 PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate/ IK In-Kind <br /> I Individual LR Loan Received <br /> I~ Labor Organization <br /> O Other <br /> P Political Party Committee <br /> Amending Page # Name and Address of Contributor Amount of In-Kind Purpose <br /> and bne # Contribution (see manual for suggested purpose codes) <br /> Occupational lnformatlon or Contributor Code 1 t Code 2 <br /> Date Recewed Q)ntribut~ng Committee's ID# Aggregate <br /> 7 <br />Page_ ~ Line ~ Mallard Properties <br />[] New Entry 1953 Garden Ave $ 250 00 <br />[] Correcting <br />[] Deleting Eugene OR 97403 <br /> 5110104 $ 250 00 B I CA <br />Page. -: Lme_,¢ Anslow & DeGeneault, Inc <br />[] New Entry 1953 Garden Ave $ 250.00 <br />[] Correcting <br />[] Deleting Eugene OR 97403 <br /> <br /> 5110/04 $ 250.00 B CA <br /> <br /> Page ~** Line :' Jerry's Home Improvement Center <br /> [] New Entry PO BOX 2611 $ 500.00 <br /> [] Correcting <br /> [] Deleting Eugene OR 97402 <br /> <br /> 5/10~04 $ 500.00 B CA <br /> <br /> Page ~' Line ~¢ Overhead Door Co of Eugene <br /> [] New Entry PO Box 2623 $ 100 00 <br /> ~ Correcting <br /> [] Deleting Eugene OR 97402 <br /> <br /> 5/10~04 $ 100~00 B CA <br /> <br /> Page~ ¢ Line .,.¢ Hult & ASSOC. LLC <br /> [] NewEntry PO Box 1341 $ 1,000.00 <br /> [] Correcting <br /> [] Deleting Eugene OR 97440 <br /> <br /> 5/12104 $ 1,000.00 B CA <br /> <br /> See FOR OFFICE USE ONLY <br /> Instructions <br /> on Back and ; ¢ ::~ ,,, ~ <br /> in Campaign <br /> Finance Si~ature of candidate or treasurer <br /> Manual <br /> <br /> PC 2 ~" '~ ' <br /> Amendment Date signed <br /> <br /> <br />