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PC 2 Amendmem <br /> Amendments-Cash Contributions, Loans Received and In-Kind Re~.12/03 <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br /> ~7 ~c- ?&~£- ~"q-;1 ~e~¢7 I Page ( of <br /> <br />Election: ~[ Primary 20 e cf [] General 20 [] Other <br />Report: []-1 st Pre-election Eli 2nd Pre-election E] Post-election [] 20 September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Bus~ness Entity CA Cash <br /> C Political Conmnittee (includes business and union PACs) CO Cosigner Obligation <br /> F Can&date% Immediate Family (mcludes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Pazty Committee <br /> <br />Amending Page # Amount of In-Kind Purpose <br />and Line # Name and Address d Contributor <br /> Contribution (see manual ~or suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor <br /> Contributing Committee's ID# Aggregate Code 1 Code 2 <br /> <br />[] New Entry <br />~ Correcting , ¢ ~. ¢ ¢ <br /> <br />D Delebng <br /> <br />~ New Entw <br /> <br /> ~ Correcting <br /> ~ Deleting <br /> <br /> Instructions <br /> on Back and <br /> inCampmgn /¢v~¢ ~F~. <br /> F~nance Signature of candidate or treasurer <br /> Manual <br /> <br /> Amendment Date s~gned <br /> <br /> <br />